Modern Trends in the Treatment of Focal Cartilage Defects of the Knee

Abstract

The article is devoted to the current trend of modern orthopedics – the surgical treatment of local full-thickness defects in the hyaline cartilage of the knee joint. This pathology is diagnosed in 5-10% of patients with diseases and injuries of the knee joint.Materials and methods: The authors of the article presented one of the most modern and available technologies for the restoration of cartilage defects – the technology of matrix-induced autochondrogenesis (AMIC – autologous matrix-induced chondrogenesis). This operation technique was used in 63 patients. The article presents the indications and technique of surgery, considers possible errors, complications, criteria for evaluating treatment outcomes.Results: treatment outcomes in terms of up to 13 years were studied in 56 patients. Good treatment results were observed in 53 patients. In all cases, high-quality and regeneration of the cartilaginous surface of the femoral condyles was achieved.Conclusion: Analysis of the outcomes of treatment of patients after implantation of collagen membranes in various modifications allows the authors of the article to recommend this technique for widespread use in clinical practice.

Modern methods of chondroplasty and possible stimulation of the regenerative processes of articular cartilage (part 1)

“…3 дренировании и пункциях в послеоперационном периоде суперсгусток может мигрировать с поверхности хрящевого дефекта, что нарушает или прекращает репаративные процессы. Поэтому, несмотря на рекомендованную длительную разгрузку сустава после операции, полноценный гиалиновый хрящ в области дефекта не формируется, а хрящеподобный регенерат существенно уступает нативному хрящу практически по всем параметрам и вследствие этого недолговечен [16][17][18].…”