Mosaicplasty: long-term follow-up.
Mosaicplasty: long-term follow-up.
复制标题
马赛克成形术：长期随访。
DOI：
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
N. P. Kaposi
中科院分区：
文献类型：
--
作者：
I. Szerb;L. Hangody;Zsófia Duska;N. P. Kaposi
负重面软骨和骨软骨缺损的成功治疗是骨科医生面临的一个挑战。自体骨软骨移植是一种可以在缺损区域形成透明或类似透明的修复体的方法。本文描述了十年来自体骨软骨镶嵌成形术的临床经验。临床评分、影像学技术、关节镜检查、活检样本的组织学检查和软骨刚度测量用于评估831例接受镶嵌成形术的患者的临床结果和移植软骨的质量。根据我们的调查，92%的股骨髁植入患者、87%的胫骨表面置换患者、79%的髌骨和/或滑车镶嵌成形术患者和94%的距骨手术患者获得了良好至优异的结果。使用Bandi评分评估的长期供体部位紊乱显示，嵌合成形术后患者有3%的发病率。在关节镜下随访的83例患者中，69例显示出完整的滑动面，移植透明软骨存活的组织学证据，供体部位纤维软骨填充。4例深度感染和36例术后疼痛的关节出血是手术引起的并发症。基于这些有希望的结果和其他类似的研究，自体骨软骨镶嵌成形术似乎是治疗膝关节和其他负重滑膜关节的中小型局点软骨和骨软骨缺损的一种替代方法。
The successful treatment of chondral and osteochondral defects of the weightbearing surfaces is a challenge for orthopaedic surgeons. Autologous osteochondral transplantation is one method that can be used to create a hyaline or hyaline-like repair in the defect area. Ten years of clinical experience with autologous osteochondral mosaicplasty are described. Clinical scores, imaging techniques, arthroscopy, histological examination of biopsy samples, and cartilage stiffness measurements were used to evaluate the clinical outcomes and quality of the transplanted cartilage in a total of 831 patients who underwent mosaicplasty. According to our investigations, good-to-excellent results were achieved in 92% of the patients treated with femoral condylar implantations, in 87% of those treated with tibial resurfacing, in 79% of those treated with patellar and/or trochlear mosaicplasties, and in 94% of those treated with talarprocedures. Long-term donor-site disturbances, which were assessed using the Bandi score, showed that patients had 3% morbidity after mosaicplasty. Sixty-nine of 83 patients who were followed arthroscopically showed congruent gliding surfaces, histological evidence of the survival of the transplanted hyaline cartilage, and fibrocartilage filling of the donor sites. Four deep infections and 36 painful postoperative hemarthroses were experienced as complications arising from the surgical procedures. On the basis of both these promising results and also those of other similar studies, autologous osteochondral mosaicplasty would appears to be an alternative for the treatment of small and medium-sized focal chondral and osteochondral defects of the weightbearing surfaces of the knee and other weightbearing synovial joints.
影响因子：
4.2
作者：
R. Coutts;S. Woo;D. Amiel;H. V. von Schroeder;M. Kwan
通讯作者：
R. Coutts;S. Woo;D. Amiel;H. V. von Schroeder;M. Kwan