关节软骨损伤手术wolfe教授ppt课件.ppt

The Athletic Knee;The Problem;The Biology ;Goals of Treatment;Treatment Considerations;Partial Thickness Defects;Full Thickness Defects;Non-Surgical Options;Non-Surgical Options;Surgical Options;Arthroscopic Lavage;Arthroscopic Debridement;Thermal Chondroplasty;Abrasion Arthroplasty;Results : Abrasion Arthroplasty;Results : Abrasion Arthroplasty;Drilling or Microfracture;Drilling Results;Results :;Microfracture Results :;Osteochondral Grafting;Osteochondral Autografting;Osteochondral Autografting Contraindications;Osteochondral Autografting Contraindications;Osteochondral Autografting;Osteochondral Autografting;Donor Site Morbidity : Osteochondral Autografts;Osteochondral AutograftBiopsy Proven Survival : Hyaline Cartilage, Tidemark Bone;Osteochondral Autografting : Results;Osteochondral Autografting : Results;LIMITATIONS OF OATS;ALL TEN SITES OF OSTEOCHONDRAL HARVEST;There is No Free Lunch!;Osteochondral Autograft;RECOVERY FROM OATS;Autologous Chondrocyte Implantation;First Surgery-Arthroscopy;Second Surgery-Arthrotomy;Inject $10,000 worth of cells!;Autologous Chondrocyte Implantation : Indications;Autologous Chondrocyte Implantation;Dedifferentiation / Redifferentiation;Method of Restoration;Autologous Chondrocyte Implantation: Advantages;Autologous Chondrocyte Implantation : Disadvantages;Autologous Chondrocyte Implantation;Autologous Chondrocyte ImplantationUS Clinical Experience;Autologous Chondrocyte ImplantationSwedish Results NESM 1994;Autologous Chondrocyte ImplantationSwedish Results 1997;;LIMITATIONS OF ACI;Osteochondral Allograft Transplantation;Allograft Procedure;Allograft Advantages;Allograft Disadvantages;Allograft Results;What to do??;Treatment Recommendations;Treatment Recommendations;Treatment Recommendations;Treatment Recommendations;;Conclusions;Conclusions;Meniscal Allograft Indications;Sterilization;Meniscal Allograft Technique;Meniscal Allograft Technique;Allograft Meniscal Transplant;Allograft Meniscal Transplant: Results;Allograft Meni