- 1、本文档共114页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
Treatment Recommendations High demand patient Small focal lesion (2cm) Debridement plus drilling / fx 75% success with all 50% success with sports Osteochondral grafting or chondrocyte transplant if failure Treatment Recommendations Low demand patient Large lesion (2cm) Debridement or microfracture with chondrocyte harvest If persistent pain - osteochondral or chondrocyte transplant Treatment Recommendations High demand patients Large lesion (2cm.) Chondrocyte transplant 1st line treatment yields 90% success Long HistoryNo Acute SymptomsVarus KneeMarked DJD Arthroscopic Results Unpredictable Little Improvement Conclusions Articular cartilage does not repair itself Numerous treatments with varying results Most treatments fail in the long term due to articular cartilage’s inability to produce hyaline cartilage Conclusions Osteochondral auto grafts and chondrocyte transplants show promising results Osteochondral auto grafts allow transplantation of bone capped with hyaline cartilage Autologous chondrocyte implantation allows near normal hyaline cartilage growth into defects Meniscal Allograft Indications Patient age - young - 20-40 Previous meniscectomy Painful compartment Minimal Arthritic Changes Correct alignment Stable knee Sterilization Viral contamination risk 1:1.6 million to 1:1.2 billion Radiation 2.5 mrads destroys collagen 2.5 mrads does not kill viruses Sterile harvest and storage with donor screening Meniscal Allograft Technique Bone anchors for anterior and posterior horns Plugs for medial meniscus Slot for lateral meniscus Increases the difficulty Meniscal Allograft Technique Open Easier Arthroscopic Less morbidity More technically demanding Collateral ligament release if necessary Increases exposure facilitates graft passage under condyles Allograft Meniscal Transplant Postoperative protocol Not completely elucidated Reflect meniscal repair protocols Most incorporate early full ROM Restricted weight bearing (6 weeks) CPM early in post operative
您可能关注的文档
- 骨与关节化脓性感染—培训课件.ppt
- 骨折术后康复锻炼—培训课件.ppt
- 关节镜技术在关节—培训课件.ppt
- 关节松动技术—培训课件.ppt
- 关节外畸形全膝—培训课件.ppt
- 冠脉心肌桥2016—培训课件.ppt
- 冠心病.~FCA—培训课件.ppt
- 冠心病的健康教育—培训课件.ppt
- 冠心病二—培训课件.ppt
- 冠心病科普宣教社区王芳—培训课件.ppt
- 10《那一年,面包飘香》教案.docx
- 13 花钟 教学设计-2023-2024学年三年级下册语文统编版.docx
- 2024-2025学年中职学校心理健康教育与霸凌预防的设计.docx
- 2024-2025学年中职生反思与行动的反霸凌教学设计.docx
- 2023-2024学年人教版小学数学一年级上册5.docx
- 4.1.1 线段、射线、直线 教学设计 2024-2025学年北师大版七年级数学上册.docx
- 川教版(2024)三年级上册 2.2在线导航选路线 教案.docx
- Unit 8 Dolls (教学设计)-2024-2025学年译林版(三起)英语四年级上册.docx
- 高一上学期体育与健康人教版 “贪吃蛇”耐久跑 教案.docx
- 第1课时 亿以内数的认识(教学设计)-2024-2025学年四年级上册数学人教版.docx
文档评论(0)