关节镜下带骨软骨镶嵌移植修复软骨病损

Mosaicplasty osteochondral grafting to repair cartilaginous defects under arthroscopy

目的 探讨关节镜下同体同关节内带骨软骨镶嵌式移植 ,治疗关节软骨病损的可行性。 方法 采用美国戴安娜镶嵌式骨软骨移植器 ,关节镜下进行同关节非负重关节面提供骨软骨移植条块修复关节负重面的软骨病损。 结果 手术 1 5例 ,术后随访 1 2～ 2 1个月 ,平均 1 5个月 ,优良率达 89 6 %。 结论 关节镜下同体同关节带骨软骨镶嵌移植对治疗关节应力性局限性软骨病及创伤性软骨缺损的 45岁以下患者是一个效果确实。

Objective To study mosaicplasty a as method of autogenous osteochondral transplantation in the treatment of cartilaginous defects. Methods The technique involves obtaining small cylindrical grafts from the non weight bearing periphery of the femur at the patellar femoral joint, and transporting them to the prepared recipient site by arthroscopy. Results Fifteen patients with defects cartilaginous received mosaicptasty osteochondral grafting. Follow up for 12 to 21 months (mean 15 months) showed good results. Conclusion The treatment is indicated for patients with focal cartilaginous defects under the age of 45.