Komplexes Knietrauma--Knorpelverletzungen [Complex knee trauma--cartilage injuries].

Détails

ID Serval
serval:BIB_16EF4EB6D3C0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Komplexes Knietrauma--Knorpelverletzungen [Complex knee trauma--cartilage injuries].
Périodique
Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
Auteur(s)
Jakob R.P., Gautier E.
ISSN
1023-9332 (Print)
ISSN-L
1023-9332
Statut éditorial
Publié
Date de publication
1998
Numéro
6
Pages
296-310
Langue
allemand
Notes
Publication types: English Abstract ; Journal Article ; ReviewPublication Status: ppublish
Résumé
Traumatic cartilage defects of the knee joint occur in an isolated way due to contusions or due to shear forces as a combined injury with ligamentous damage. They must be documented according to localisation, surface involved and depth. In the adult, only the fragment extending into subchondral bone can be refixed. Purely cartilagineous lesions heal spontaneously under partial repair with fibrocartilage; this can equally be surgically stimulated through surgical drillholes or impaction fractures with awls and pins. Since fibrocartilage is known to be mechanically insufficient and is often not resulting in sufficient sports- and working capacity newer methods and are getting more and more popular enabling the induction and production of hyaline or hyaline-like cartilage. Osteochondral transplantation from the own knee as plugs forming a mosaic has the advantage of being readily available for limited surface size. Repair to a hyaline-like cartilage using a chondrocyte suspension is also possible, and is used for bigger surfaces or defects, it needs however two operations. In the long term it will become the method of choice for defects over 4 cm2.
Mots-clé
Adult, Cartilage/transplantation, Cartilage, Articular/injuries, Cartilage, Articular/radiography, Humans, Knee Injuries/radiography, Knee Injuries/surgery, Osteoarthritis, Knee/radiography, Osteoarthritis, Knee/surgery, Osteochondritis Dissecans/radiography, Osteochondritis Dissecans/surgery, Postoperative Complications/radiography, Postoperative Complications/surgery, Reoperation
Pubmed
Création de la notice
26/11/2012 19:22
Dernière modification de la notice
20/08/2019 12:46
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