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Gonarthrose

Gibt es die regionale Arthrose am Kniegelenk?

Osteoarthritis of the knee joint

What is the evidence for a topographical involvement of osteoarthritis of the knee joint?

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Hintergrund

Gelenkerhaltende Eingriffe bei Gonarthrose beschränken sich zumeist auf arthrotisch veränderte regionale Anteile des Kniegelenks.

Ziel der Arbeit

Dieser Artikel befasst sich mit topographischen Aspekten der Arthroseentstehung im Kniegelenk. Schwerpunkte sind topographische Zusammenhänge der normalen und arthrotischen osteochondralen Einheit des Kniegelenks, wie beispielsweise zwischen von den Menisken bedeckten und unbedeckten Arealen.

Material und Methoden

Es wurde eine selektive Literaturrecherche durchgeführt und eigene Forschungsergebnisse implementiert.

Ergebnisse

Neue Erkenntnisse aus translationalen und klinischen Studien zu allgemeinen und speziellen Arthrosemustern, wie z. B. ausgehend von fokalen Knorpeldefekten, nach (partieller) Meniskusresektion, nach Rupturen des vorderen Kreuzbands (VKB) sowie bei patellofemoraler Instabilität, werden diskutiert.

Abstract

Background

Joint-preserving reconstructive interventions for knee osteoarthritis (OA) are chiefly restricted to osteoarthritic regional parts of the knee joint.

Objective

This article elaborates on topographical aspects of the development of OA in the knee joint. The main points of interest are topographical relationships between the normal and arthritic osteochondral unit of the knee joint, such as between areas covered and not covered by the meniscus.

Material and methods

A selective literature review was carried out with implementation of own research findings.

Results

New insights from translational and clinical studies on general and special patterns of OA, such as originating from focal cartilage defects, following (partial) meniscectomy, after rupture of the anterior cruciate ligament (ACL) and in the case of patellofemoral instability, are discussed.

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Author information

Authors and Affiliations

  1. Lehrstuhl für Experimentelle Orthopädie und Arthroseforschung, Zentrum für Experimentelle Orthopädie, Universität des Saarlandes, Kirrbergerstraße 100, Gebäude 37, 66421, Homburg/Saar, Deutschland

    H. Madry

  2. Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland

    H. Madry

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Correspondence to H. Madry.

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H. Madry gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Madry, H. Gonarthrose. Arthroskopie 33, 222–227 (2020). https://doi.org/10.1007/s00142-020-00362-6

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  • DOI: https://doi.org/10.1007/s00142-020-00362-6

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