Cartilage injuries: A review of 31,516 knee arthroscopies
Cartilage injuries: A review of 31,516 knee arthroscopies
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DOI：
10.1016/s0749-8063(97)90124-9
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发表时间：
1997-08-01
影响因子：
4.7
通讯作者：
Poehling, GG
中科院分区：
文献类型：
--
作者：
Curl, WW;Krome, J;Poehling, GG
虽然膝关节的关节软骨损伤很常见，但损伤的软骨愈合能力有限。最近的数据表明，关节软骨移植可能为这些损伤提供治疗。为了确定可能受益于软骨移植的患者群体，我们回顾了31,516例膝关节镜检查。1991年6月至1995年10月，19827例患者中有53,569例透明软骨病变。以关节软骨损伤居多，以三级损伤最多见。IV级病变主要位于股骨内侧髁部。40岁以下有IV级病变的患者占所有关节镜检查的5%；其中74%的患者只有一个软骨病变(占关节镜检查的4%)。36.6%的患者未发现与韧带或半月板相关的病理改变。
Although articular cartilage injuries of the knee are common, injured cartilage has a limited ability to heal. Recent data suggest that articular cartilage grafting may provide treatment for these injuries. To define the patient population that might benefit from cartilage grafting, 31,516 knee arthroscopies were reviewed. Between June 1991 and October 1995, 53,569 hyaline cartilage lesions were documented in 19,827 patients. The majority were articular cartilage lesions; grade III lesions of the patella were the most common. Grade IV lesions were predominantly located on the medial femoral condyle. Patients under 40 years of age with grade IV lesions accounted for 5% of all arthroscopies; 74% of these patients had a single chondral lesion (4% of the arthroscopies). No associated Ligamentous or meniscal pathology was found in 36.6% of these patients.