关节软骨损伤手术-wolfe铭教授 ppt课件.ppt

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 Unpredictab