关节软骨损伤手术-_Wolfe教授.ppt

The Athletic Knee Shannon M. Wolfe The Problem Young active patients with articular cartilage defects! Which defects progress to OA ? Which defects are symptomatic ? How do we most effectively treat these defects? The Biology Physiologic role of articular cartilage Minimize stresses on the subchondral bone Reduces friction on the weight bearing surface Critical in proper joint function Goals of Treatment Restore integrity of load bearing surface Obtain full range of motion Obtain pain free motion Inhibit further degeneration Treatment Considerations Age of the patient Defect size Knee stabili