膝关节软骨损伤绪论.ppt

LOGO Articular cartilage injury of the knee  li yan General Information Name :Lu x x Male 18Y occupation :acrobat pain, swelling,immobility of right knee for 2ms worsen 2ds Chief Complaint History of present illness pain, immobility ,swelling of right knee for 2ms when taking exercise 2 days ago,injuried when jumping,then the symptom became worsen Other Medical History past history：（-） personal history：（-） family history：（-） Right knee: swelling Floating patella test : (+) McMurray sign : (+) Drawer test : (-) Physical Examination Physical Examination Lame Muscle atrophy ROM:0-130 Imaging Examination MRI defect 2*2cm Lab Examination Urine RT Blood RT Liver function Renal function ECG All above is normal Diagnosis Articular cartilage injury of the knee Surgery Osteochondral Transplant Result Discussion Function of articular cartilage: Variable load-bearing through a range of motion in functional activities Reduce stress on the subchondral bone minimise friction Absorbs load-forces up to 5x body weight Discussion Healing Response : Pathophysiology No blood supply No lymphatic drainage No neural element No immunological recognition Discussion Discussion Full-thickness articular cartilage injury is notoriously difficult to be treated in the fields of orthopedics and sports medicine. LOGO