Zusammenfassung
Verletzungen des hyalinen Gekenkknorpels sind relativ häufige Ereignisse. Bei Unfällen, die mit einem Hämarthos einhergehen, ist in 16% mit Knorpelläsionen zu rechnen. Knorpelverletzungen mit einem Durchmesser von mehr als 2-4 mm haben keine Möglichkeit der Selbstheilung und können zu frühzeitiger Arthrose führen (Calandruccio/Gilmer 1962, Convery et al. 1972, 1991; Mitchell/Shepard 1976; Salter et al. 1980). Auch die jugendliche Osteochondrosis dissecans führt im Alter von 34 Jahren in 32% der Fälle zu radiologischen Arthrosezeichen; nur die Hälfte der Patienten haben eine gute oder sehr gute Gelenkfunktion (Bently(Greer 1971).
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Literatur
Argun M, Baktir A, Turk CY, Vstdal M, Okten I, Karakas ES, Akbeyaz 0 (1993) The chondrogenic potential of free autogenous periosteal and fascial grafts for biological resurfacing of major full-thickness defects in joint surfaces (an experimental investigation in the rabbit). Tokai J Exper and Clin Med 18:107–116
Bentley G, Greer RB III (1971) Homotransplantation of isolated epiphyseal and articular cartilage chondrocytes into joint surfaces of rabbits. Nature 230:385–388
Billings E Jr, von Schroeder HP, Mai MT, Aratow M, Amiel D, Woo SL, Coutts RD (1990) Cartilage resurfacing of the rabbit knee. The use of an allogeneic demineralized bone matrix-autogeneic perichondrium composite implant. Acta Orthop Scandinavica 61:201–216
Bobic V (1996) Arthroscopic osteochondral autogenous graft transplantation in anterior cruciate reconstruction: A preliminary report. Knee Surg Sports Traumatol Arthrosc 3:262
Breinan HA, Minas T, Hsu HP, Nehrer S, Sledge CB, Spector M (1997) Effect of cultured autologous chondrocytes on repair of chondral defects in a canine model. J Bone and Joint Surg 79-A:1439–1451
Brittberg M, Lindhal A, Nilsson A (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. New England J Med 331:889–895
Brittberg M, Nilsson A, Lindahl A, Ohlsson C, Peterson L (1996) Rabbit articular cartilage defects treated with autologous cultured chondrocytes. Clin Orthop 326:270–283
Brown TD, Pope DF, Hale JE (1991) Effects of osteochondral defect size on cartilage contact stress. J Orthop Res 9:559–567
Buckwalter JA, Mankin HJ (1998) Articular cartilage restoration. Arthritis and rheumatism 41:1331–1342
Calandruccio RA, Gilmer WS (1962) Proliferation, regeneration, and repair of articular cartilage of immature animals. J Bone Joint Surg 44-A:431–455
Chu CR, Dounchis JS, Yoshioka M, Sah RL, Coutts RD, Amiel D (1997) Osteochondral repair using perichondrial cells. A 1-year study in rabbits. Clin Orthop 340:220–229
Convery FR, Akeson WH, Keown GH (1972) The repair of large osteochondral defects. An experimental study in horses. Clin Orthop 82:253–262
Convery FR, Meyers MH, Akeson WH (1991) Fresh osteochondral allografting of the femoral condyle. Clin Orthop 273:139–145
Czitrom AA, Keating S, Gross AE (1990) The viability of articular cartilage in fresh osteochondral allografts after clinical transplantation. J Bone Joint Surg 72A:574–581
Delaney JP, O’Driscoll SW, Salter RB (1989) Neochondrogenesis in free intraarticular periosteal autografts in an immobilized and paralyzed limb. An experimental investigation in the rabbit. Clin Orthop 248:278–282
Eckstein F, Gavazzeni A, Sittek H, Hauner M, Lösch A, Milz St, Englmeier KH, Schulte E, Putz R, Reiser M (1996) Determination of knee joint cartilage thickness using three dimensional magnetic resonance chondro-crassometry. MRM 36:256–265
Falkenberg P, Nygaard H (1983) Isolated anterior dislocation of proximal tibiofibular joint. J Bone Joint Surg 65-B:310–311
Grande DA, Singh IJ, Pugh J (1987) Healing of experimentally produced lesions in articular cartilage following chondrocyte transplantation. Anat Rec 218:142–148
Grande DA, Pitman MI, Peterson L, Menche D, Klein M (1987) The repair of experimentally produced defects in rabbit articular cartilage by autologous chondrocyte transplantation. J Orthop Res 7:208–218
Hangody L, Kish G, Karpati Z, Szerb I, Eberhardt R (1997) Treatment of osteochondritis dissecans of the talus: use of the mosaicplasty technique - a preliminary report. Foot and Ankle Internat 18:628–634
Hangody L, Kish G, Karpati Z, Szerb I, Udvarhelyi I (1997) Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defects. A preliminary report. Knee Surg Sports Traumatol Arthrosc 5:262–267
Insall JN (1967) Intraarticular surgery for degenerative arthritis of the knee: a report of the work of the late K.H. Pridie. J Bone Joint Surg 49-B:211
Jakob RP, Mainil-Varlet P, Saager C, Gautier E (1997) Mosaicplasty in cartilagineous lesions over 4 square cm and indications outside the knee. Cartilage Repair - 2nd Fribourg International Symposium - Book of abstracts
Jerosch J, Heisel J (1998) Knieendoprothetik. Indikationen - Operationstechnik - Nachbehandlung - Begutachtung. Springer, Heidelberg
Jerosch J, Filler T, Peuker E (2000) Is there an option for harvesting autologous osteochondral grafts without damaging weight bearing areas in the knee joint? Knee Surg, Sports Traumatol, Arthrosc 8:237–240
Jerosch J, Filler T, Peuker E (2001) Grundlagen and OP-Technik der T(ibio)-F(ibularen)-Plastik zur Knorpel-Knochentransplantation. Unfallchirurg (in print)
Johnson LL (1986) Arthroscopic abrasion arthroplasty historical and pathologic perspective. Arthroscopy 2:54–69
McDermott AGP, Langer F, Pritzker KPH, Gross AE (1985) Fresh small-fragment osteochondral allografts. Long-term follow-up study on first 100 cases. Clin Orthop 197:96–102
Mitchell N, Shepard N (1976) The resurfacing of adult rabbit articular cartilage by multiple perforations through the subchondral bone. J Bone Joint Surg 5ßA:230–233
Ogden JA (1974) Subluxation and dislocation of the proximal tibiofibular joint. J Bone Joint Surg 56-A:145–154
Ogden JA (1974) The anatomy and function of the proximal tibiofibular joint. Clin Orthop 101:186–191
Parkes JC, Zeiko RR (1973) Isolated acute dislocation of proximal tibiofibular joint. J Bone Joint Surg 55-A:177–180
Pastacaldi P, Engkvist 0 (1979) Perichondrial wrist arthroplasty in rheumatoid patients. Hand II:184–190
Pridie KH (1959) A method of resurfacing osteoarthritic knee joints. J Bone Joint Surg 41-B:618–619
Salter RB, Simmonds DF, Malcolm BW, Rumble EJ, MacMichael D, Clements ND (1980) The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. An experimental investigation in the rabbit. J Bone Joint Surg 62-A:1232–1251
Shapses SA, Ark WJ, Glazer PA, Rosenwasser MP, Gardner TR, Ratcliffe A, Mow VC (1991) Characteristics of repair of large femoral condyle defects using a periosteum-synthetic bone graft. Orthop Trans 16:454
Sijbrandij S (1978) Instability of proximal tibiofibular joint. Acta Orthop Scand 49:621–626
Simonian PT, Sussmann PS, Wickiewicz ThL, Paletta GA, Warren RF (1998) Contact pressure at the osteochondral donor sites in the knee. Am J Sports Med 26:491–494
Steadman JR, Rodkey WG, Briggs KK (1999) Die Technik der Mikrofrakturierung zur Behandlung von kompletten Knorpeldefekten im Kniegelenk. Orthopäde 28: 26–33
Thermann H (2000) Die Behandlung der Osteochondrosis Dissecans am Sprunggelenk. DAF-Workshop, 48. Jahrestagung der Vereinigung Süddeutscher Orthopäden, 28.1.-1.5., Baden-Baden
Twyman RS, Desai K, Aichroth PM (1991) Osteochondritis dissecans of the knee. A long-term study. J Bone Joint Surg 73-B:461–464
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Jerosch, J., Filler, T., Peuker, E. (2001). Theoretische und experimentelle Grundlagen sowie Operationstechnik der T(ibio)-F(ibularen)-Plastik zur Knorpel-Knochentransplantation. In: Erggelet, C., Steinwachs, M. (eds) Gelenkknorpeldefekte. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57716-1_10
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