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Zusammenfassung

Die Behandlung von Knorpelschäden am Kniegelenk ist sowohl aus klinischer wie auch volkswirtschaftlicher Sicht eine Herausforderung. Dieses Kapitel beschreibt detailliert sämtliche Techniken der modernen knorpelrekonstruktiven Chirurgie, welche sich in der Hand der Autoren bewährt haben: arthroskopische Mikrofrakturierung, autologe matrixinduzierte Chondrogenese (AMIC), unterschiedliche Varianten der matrixassoziierten Chondrozytentransplantation (MACT) sowie die hierfür notwendige arthroskopische Knorpelbiopsie, osteochondrale autologe Transplantation inklusive Mega-OATS-Verfahren und Spongiosaplastik mit MACT («Sandwich-Technik»).

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Literatur

Literatur zu Abschn. 19.1

  • Kreuz PC, Steinwachs MR, Erggelet C, Krause SJ, Konrad G, Uhl M, Südkamp N (2006) Results after microfracture of full-thickness chondral defects in different compartments in the knee. Osteoarthr Cartil 14: 1119–1125

    Google Scholar 

  • Mithoefer K, McAdams T, Williams RJ, Kreuz PC, Mandelbaum BR (2009) Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. Am J Sports Med 37: 2053–2063

    Google Scholar 

  • Steadman JR, Rodkey WG, Briggs KK, Rodrigo JJ (1999) Die Technik der Mikrofrakturierung zur Behandlung von kompletten Knorpeldefekten im Kniegelenk. Orthopäde 28: 26–32

    Google Scholar 

  • Vogt S, Braun S, Imhoff AB (2007) Stage oriented surgical cartilage therapy. Current situation. Z Rheumatol 66: 493–503

    Google Scholar 

Literatur zu Abschn. 19.2

  • Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331: 889–895

    Google Scholar 

  • Peterson L, Vasiliadis HS, Brittberg M, Lindahl A (2010) Autologous chondrocyte implantation: a long-term follow-up. Am J Sports Med 38: 1117–1124

    Google Scholar 

  • Saris DB, Vanlauwe J, Victor J, Almqvist KF, Verdonk R, Bellemans J, Luyten FP (2009) Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. Am J Sports Med 37 (Suppl 1): 10S–19S

    Google Scholar 

Literatur zu Abschn. 19.3

  • Braun S, Minzlaff P, Hollweck R, Wörtler K, Imhoff AB (2008) The 5.5-year results of MegaOATS-autologous transfer of the posterior femoral condyle: a case-series study. Arthritis Res Ther 10: R68

    Google Scholar 

  • Brucker PU, Braun S, Imhoff AB (2008) Mega-OATS-Technik – autogene Knorpel-Knochen-Transplantation als Salvage-Verfahren bei großen osteochondralen Defekten am Femurkondylus. Operat Orthop Traumatol 20: 188–198

    Google Scholar 

  • Hangody L, Vásárhelyi G, Hangody LR, Sükösd Z, Tibay G, Bartha L, Bodó G (2008) Autologous osteochondral grafting--technique and long-term results. Injury 39: Suppl 1: S32–9

    Google Scholar 

  • Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R (2003) Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective comparative trial. J Bone Joint Surg Am 85: 185–192

    Google Scholar 

Literatur zu Abschn. 19.4

  • Aurich M, Anders J, Trommer T, Liesaus E, Wagner A, Venbrocks R (2007) Autologous chondrocyte transplantation by the sandwich technique. A salvage procedure for osteochondritis dissecans of the knee. Unfallchirurg 110: 176–179

    Google Scholar 

  • Bartlett W, Gooding CR, Carrington RWJ, Skinner JA, Briggs TWR, Bentley G (2005) Autologous chondrocyte implantation at the knee using a bilayer collagen membrane with bone graft. A preliminary report. J Bone Joint Surg Br 87: 330–332

    Google Scholar 

  • Ochs BG, Müller-Horvat C, Albrecht D, Schewe B, Weise K, Aicher WK, Rolauffs B (2011) Remodeling of articular cartilage and subchondral bone after bone grafting and matrix-associated autologous chondrocyte implantation for osteochondritis dissecans of the knee. Am J Sports Med 39: 764–773

    Google Scholar 

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Berninger, M., Vogt, S. (2017). Chondrale und osteochondrale Läsionen. In: Imhoff, A., Feucht, M. (eds) Atlas sportorthopädisch-sporttraumatologische Operationen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54835-6_19

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  • DOI: https://doi.org/10.1007/978-3-662-54835-6_19

  • Publisher Name: Springer, Berlin, Heidelberg

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