Mosaicplasty for the Treatment of Articular Cartilage Defects: Application in Clinical Practice

Orthopedics - Tập 21 Số 7 - Trang 751-756 - 1998
László Hangody1, George Kish, Zoltán Kárpati, I Udvarhelyi, István Szigeti, M. Bély
1Department of Orthopedics and Trauma, Budapest Uzsoki Hospital, Hungary.

Tóm tắt

ABSTRACT This article describes a one-step operative technique for the treatment of circumscript cartilage defects of weight-bearing surfaces of the knee. Since 1992, a total of 227 patients were treated using this technique for full-thickness lesions resulting from chondropathy, traumatic chondral defects, and osteochondritis dissecans; the procedure was evaluated in 57 patients who had >3 years of follow-up. Magnetic resonance imaging, computed tomography arthrographies, ultrasound, and arthroscopy were used to evaluate the technique. Using the modified Hospital for Special Surgery (HSS) knee scoring system, 91% of the patients achieved a good or excellent result. The operative technique, clinical results, and complications are detailed.

Từ khóa


Tài liệu tham khảo

1. Buckwater JA Mow VC Ratcliffe A. Restoration of injured or degenerative articular cartilage. Journal of the American Academy of Orthopaedic Surgeons. 1994; 2:192.

2. Campbell CJ. The heating of cartilage defects. Clin Orthop. 1969; 64:65.

3. Beaver RJ Mahomed M Backstein D et at. Fresh osteochondral allografts for post traumatic defects in the knee: a survivorship analysis. J Bone Joint Surg Br. 1992; 74:105.

4. Bobic V. Arthroscopic osteochondral autograft transplantation in anterior cruciate ligament reconstruction: a preliminary clinical study. Knee Surg Sports Traumatol Arthroscopy. 1996; 3:262.

5. Brittberg M Lindahl A Nilsson A et al. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994; 331:889.

6. Garrett JC. Treatment of osteochondritis dissecans of the distal femur with fresh osteochondral allografts. Arthroscopy. 1986; 2:222.

7. Garrett JC. Fresh osteochondral allografts for the treatment of articular defects in osteochondritis dissecans of the lateral femoral condyle in adults. Clin Orthop. 1994; 303:33.

8. Johnson LL. Surgical Arthroscopy: Principles and Practice. St Louis Mo: CV Mosby Co; 1986.

9. Lindholm TS Osterman K Kinnunen P Lindholm TC Osterman KK. Reconstruction of the joint surface using osteochondral fragments. Scand J Rheumatol Suppl. 1982; 44:5.

10. Matsusue Y Yamamuro T Hama M. Arthroscopic multiple osteochondral transplantation to the chondral defect in the knee associated with anterior cruciate ligament disruption: case report. Arthroscopy. 1993; 9:318.

11. O'Driscoll SW Salter RB. The repair of major osteochondral defects in joint surfaces by neochondrogenesis with autogenous osteoperiosteal grafts stimulated by continuous passive motion: an experimental investigation in the rabbit. CVm Orthop. 1986; 208:131.

12. Steadman JR Stereet Wl. The surgical treatment of knee injuries in skiers. Med Set Sports Exert: 1995; 27:328.

13. Yamashita F Sakakida K Suzu F Takai S. The transplantation of an autogenic osteochondral fragment for osteochondritis dissecans of the knee. Clin Orthop. 1985; 210:43.

14. Hangody L Káipáti Z. A new surgical treatment of localised cartilaginous defects of tiie knee. Hungarian Journal of Orthopaedics and Trauma. 1994; 37:237.

15. Hangody L Kárpáti Z Tóth J et al. Autogenous osteochondral grafting iri the knees of german shepherd dogs: radiographic and histological analysis. Hungarian Review of Sports Medicine. 1994:35:177.

16. Hangody L Kish G Kárpáti Z et al. Autogenous osteochondral graft technique for replacing knee cartilage defects in dogs. Orthopaedics International Edition. 1997; 5:175-181.

17. Hangody L. TIw Surgical Treatment of Knee Chondropathies l-U [dissertation]. Budapest Hungary: Uzsoki Press; 1994.

18. Hangody L Kárpáti Z Szerb I. Osteochondral autograft implantation in the treatment of knee chondropathy. Poster presented at: 6th Congress of ESSKA; 1994; Berlin Germany.

19. Hangody L. Kish G Kárpáti Z. Eberhardt R. Osteochondral plugs: autogenous osteochondral mosaicplasty for the treatment of focal chondral and osteochondral articular defects. Operative Techniques in Orthopaedics. 1997; 7:312-322.

20. Hangody L Kish G Kárpáti Z et al. Treatment of osteochondritis dissecans of the talus: the use of die mosaicplasty technique: preliminary report. Foot and Ankle International. 1997; 18:628-634.

21. Hangody L Sükösd L Szigeti I Kárpáti Z. Arthroscopic autogenous osteochondral mosaicplasty. Hungarian Journal of Orthopaedics and Trauma. 19%; 39:49.

22. Hangody L Kárpáti Z Szerb I. Autogenous osteochondral mosaicplasty in the treatment of osteochondritis dissecans of the talus. Poster presented at: 7th Congress of ESSKA; May 10-15 1996; Budapest Hungary.

23. Hangody L Szigeti I Kárpáti Z Sükösd L. Neue Metiiode in der Behandlung der schweren lokalen Knorpelschäden im Kniegelenk. Osteosynthese International. 1996; 3:106.

24. Hangody L Kish G Kárpáti Z et al. Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defects. Knee Surg Sports Traumatol Arthrose. In press.

25. Insali J. Arthritis of the knee Clin Orthop. 1976; 101:61.

Thông tin
Thông tin xuất bản

Orthopedics

Tập 21 Số 7

751-756

Thông tin tác giả