单级关节镜下软骨碎屑植入术治疗蝶鞍软骨灶性缺损,包括 GLAD(蝶鞍关节破坏)病变:技术说明

IF 1.2 Q3 ORTHOPEDICS
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引用次数: 0

摘要

肩关节前脱位通常与盂前软骨缺损(盂臼关节破坏,或 GLAD 损伤)有关。然而,GLAD 病变对肩关节稳定性的重要性通常被大大低估。此外,盂软骨缺损可能会导致持续性疼痛,并有可能发展为骨关节炎,因此具有很高的临床意义。因此,手术治疗似乎是必要的。虽然对老年患者来说,人工关节置换术是治疗进展性无症状软骨缺损的有效方法,但对于治疗孤立性盂顶软骨缺损的理想关节保留方法仍存在分歧,尤其是对年轻且多运动的患者。近年来,自体软骨细胞植入已被认为是治疗病灶性软骨缺损的一种很有前景的方法。然而,大多数自体软骨细胞植入技术都有一个缺点,即需要两次手术过程和专业实验室,因此技术复杂且昂贵。相比之下,AutoCart 程序(Arthrex,德国慕尼黑)是一种成本效益较高的一步到位程序,即用碎自体软骨和自体调节血浆的混合物填充软骨缺损,并已在膝关节中显示出良好的临床效果。我们介绍一种用于盂软骨缺损的关节镜技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-Stage Arthroscopic Minced Cartilage Implantation for Focal Cartilage Defects of the Glenoid Including Glenolabral Articular Disruption Lesions: A Technical Note

Anterior shoulder dislocations often are associated with cartilage defects of the anterior glenoid (glenolabral articular disruption, or GLAD lesions). However, the importance of GLAD lesions for shoulder stability is usually greatly underestimated. Moreover, glenoid cartilage defects may have a high clinical relevance as the result of persistent pain and possible progression to osteoarthritis. Therefore, surgical treatment appears to be necessary. Although in older patients prosthetic arthroplasty is a useful treatment option for progressive symptomatic cartilage defects, there is still disagreement about the ideal joint-preserving method for the treatment of isolated glenoid cartilage defects, especially in younger and more active patients. In recent years, autologous chondrocyte implantation has been established as a promising treatment option for focal cartilage defects. However, most autologous chondrocyte implantation techniques have the disadvantage of requiring 2 surgical procedures and the availability of specialized laboratories, making the techniques complex and expensive. In contrast, the AutoCart procedure (Arthrex, Munich, Germany) is a cost-effective one-step procedure in which the cartilage defect is filled with a mixture of minced autologous cartilage and autologous conditioned plasma and has already shown good clinical results in the knee joint. We present an arthroscopic technique for use in glenoid cartilage defects.

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来源期刊
Arthroscopy Techniques
Arthroscopy Techniques ORTHOPEDICS-
CiteScore
2.10
自引率
33.30%
发文量
291
审稿时长
29 weeks
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