Medial femoral condyle cartilage restoration using a single-stage combined autologous-allogenic technique: a case report

Brendan Swift, Brian Chilelli
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引用次数: 0

Abstract

Introduction

Cartilage injjuries in the knee pose a significant treatment dilemma. Multiple cartilage restoration procedures currently exist, but often come with significant cost and multistage procedures.

Case presentation

We report a case of a young, active female who, due to insurance limitations, was unable to undergo matrix-associated autologous chondrocyte implantation. The patient was instead treated with a single-stage combined autogenous-allogenic cartilage restoration. In the follow-up period, the patient endorsed marked improvements in Knee injury and Osteoarthritis Outcome Score, International Knee Documentation Committee Subjective Knee Form, and Western Ontario and McMaster Universities Osteoarthritis Index scores as compared to preoperative scores.

Conclusion

Single-stage cartilage restoration with a combined autogenous-allogenic graft technique offers an acceptable alternative to currently available cartilage techniques, with excellent short-term patient-reported outcomes.
单期自体-异体联合技术修复股骨内侧髁软骨1例
膝关节软骨损伤是一个重要的治疗难题。目前存在多种软骨修复方法,但通常成本高且多阶段。我们报告一例年轻,活跃的女性谁,由于保险的限制,无法接受基质相关的自体软骨细胞植入。患者转而接受单期自体-异体软骨联合修复。在随访期间,与术前评分相比,患者在膝关节损伤和骨关节炎结局评分、国际膝关节文献委员会主观膝关节形态、西安大略和麦克马斯特大学骨关节炎指数评分方面均有显著改善。结论自体-异体联合单期软骨修复技术是目前可用的软骨修复技术的一种可接受的替代方法,患者报告的短期效果良好。
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