|
 |
|
|||||||
|
|||||||||
© 2000 the American Academy of Orthopaedic Surgeons
Surgical Alternatives for Treatment of Articular Cartilage Lesions
Dr. Browne is Clinical Associate Professor of Orthopaedic Surgery and Director of the Orthopaedic Sports Medicine Fellowship Program, University of Missouri, Kansas City. Dr. Branch is Director, University Orthopaedic Clinic, Decatur, Ga.
Reprint requests: Dr. Browne, Orthopaedic and Sports Medicine Clinic, Suite 400, 6675 Holmes Road, Kansas City, MO 64131.
Articular cartilage injuries in the knee are common; fortunately, full-thickness articular cartilage defects constitute only a small portion of this group. These lesions may be incidentally encountered during ligament or meniscal surgery, having been silent or asymptomatic for an unknown period of time. However, when they are large and symptomatic, the surgeon may choose from a wide array of techniques available for treatment. The relatively small number of natural history studies regarding full-thickness articular surface lesions complicates the decision-making process. Accurate evaluation and classification of the anatomic defect aids in the development of a clinical algorithm for treatment. Surgical techniques are either reparative or restorative in nature. Reparative techniques fall short of complete reestablishment of the articular cartilage; however, the resultant repairs may remain quite functional for varying periods of time. Restorative techniques attempt to reestablish the native articular surface. To date, no peer-reviewed, prospective, randomized, controlled studies of operative versus nonoperative treatment for full-thickness articular cartilage lesions have been published. Even though the long-term results of surgical treatment for full-thickness articular surface lesions remain unknown, the early results are encouraging.
This article has been cited by other articles:
|
|
 |
|
  M. E. Mitchell, E. Giza, and M. R. Sullivan Cartilage Transplantation Techniques for Talar Cartilage Lesions J. Am. Acad. Ortho. Surg., July 1, 2009; 17(7): 407 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. E. Rosenberger, A. H. Gomoll, T. Bryant, and T. Minas Repair of Large Chondral Defects of the Knee With Autologous Chondrocyte Implantation in Patients 45 Years or Older Am. J. Sports Med., December 1, 2008; 36(12): 2336 - 2344. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Giza Operative Techniques for Osteochondral Lesions of the Talus Foot & Ankle Specialist, August 1, 2008; 1(4): 250 - 252. [PDF]
|
|
|
|
|
|
D. C. Crawford and M. R. Safran Osteochondritis Dissecans of the Knee J. Am. Acad. Ortho. Surg., February 1, 2006; 14(2): 90 - 100. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. H. Fu, D. Zurakowski, J. E. Browne, B. Mandelbaum, C. Erggelet, J. B. Moseley Jr, A. F. Anderson, and L. J. Micheli Autologous Chondrocyte Implantation Versus Debridement for Treatment of Full-Thickness Chondral Defects of the Knee: An Observational Cohort Study With 3-Year Follow-up Am. J. Sports Med., November 1, 2005; 33(11): 1658 - 1666. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. K. Nam, M. Makhsous, J. Koh, M. Bowen, G. Nuber, and L.-Q. Zhang Biomechanical and Histological Evaluation of Osteochondral Transplantation in a Rabbit Model Am. J. Sports Med., March 1, 2004; 32(2): 308 - 316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. W. Pearsall IV, J. A. Tucker, R. B. Hester, and R. J. Heitman Chondrocyte Viability in Refrigerated Osteochondral Allografts Used for Transplantation Within the Knee Am. J. Sports Med., January 1, 2004; 32(1): 125 - 131. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |