关节镜下自体骨软骨移植治疗股骨髁负重区软骨缺损  

Repairing the Cartilage Defects of Femoral Condyle by Osteochondral Mosaic Autograft under Arthroscope

作　　者：黄克坚[1] 高立华[1] 臧学慧[1] 孙辉[1] 肖平国[1] 林军[1] 

机构地区：[1]南方医科大学附属南海医院骨二科,广东佛山528200

出　　处：《临床医学工程》2011年第6期880-881,共2页Clinical Medicine & Engineering

摘　　要：目的探讨关节镜下自体骨软骨移植治疗股骨髁软骨缺损的临床疗效。方法采用关节镜下自体骨软骨镶嵌式移植技术,对34例股骨髁非负重区骨软骨条移植至负重区软骨缺损处,术后膝关节支具固定、康复治疗。结果 34例膝关节疼痛均消失;其中1例屈曲受限,经过手法松解康复训练后恢复。34例均获随访24～36(30±6)个月。终末随访Lysholm评分为(90.2±4.2)分,与术前(62.8±10.2)分比较差异有统计学意义(P<0.05);患者均恢复原有工作、运动。结论关节镜下自体骨软骨镶嵌式移植治疗小面积股骨髁软骨缺损效果良好,患者恢复快,诊断与治疗一体化,同时可以处理合并损伤。Objective To investigate the clinical efficacy of repairing the cartilage defects of femoral condyle by osteochondral mosaic autograft under arthroscope. Methods 34 patients with femoral condyle cartilage injury were treated by osteochondral mosaic autograft from unload-bearing areas to load-bearing areas under arthroscope. Then all the patients received the therapy of external fixation of knee-joint and rehabilitation after operation. Results The pain of all the patients passed and their original life style was restored absolutely,but one case was limitary for knee flexing and recovered completely after relaxation and rehabilitative training. All the cases were followed up for 24 ～ 36 months（average 30 ± 6 months） . At the time of the latest follow-up,Lysholm knee score of postoperation（90.2 ± 4.2） was obviously higher than that of preoperation（62.8 ± 10.2） and the difference was significant（P 0.05） . Conclusion The effect of the method that patients with femoral condyle cartilage injury are treated by osteochondral mosaic autograft under arthroscope is not only beneficial to restoration process,but also to diagnosing,treating and other injuries at the same time.

关 键 词：关节镜 股骨髁 软骨缺损 自体骨软骨移植 修复 

分 类 号：R687.4[医药卫生—骨科学]