PDF(Pubmed)
Abstract：
UNASSIGNED: Cartilage defects are a common pathology in active people and affect quality of life. A common treatment option is treatment with minced cartilage (MC). As conservative therapy has a limited effect, surgical treatments vary in terms of procedure and results. A modified technique for autologous cartilage repair is presented here.
UNASSIGNED: MC was modified by adding a synovial sealant. This improves the stability of the graft, allowing the cartilage to proliferate. The synovial tissue has the potential to stimulate the implanted cartilage, which promotes healing and regeneration. The clinical and functional results of the modified technique were examined in a retrospective case series.
UNASSIGNED: The technique has proven to be reproducible for retropatellar cartilage defects and is both efficient and cost effective. MC with synovial sealing was performed in ten patients with retropatellar cartilage damage. In the conducted cases serious, 10 patients were available for follow-up after 18 ± 3 months. Patients showed good clinical results in terms of pain (VAS = 1.9, KOOS Pain = 89.7), symptoms (KOOS Symptoms = 83.6), and daily activity (KOOS Activity = 96.6).
UNASSIGNED: The procedure combines the advantages of autologous cartilage repair with a one-stage surgical approach. It utilizes the regenerative potential of synovial tissue while providing improved mechanical stability. This technique offers a cost-effective, autologous solution for full-thickness cartilage defects, and shows promising clinical results in the medium term.
UNASSIGNED: MC was modified by adding a synovial sealant. This improves the stability of the graft, allowing the cartilage to proliferate. The synovial tissue has the potential to stimulate the implanted cartilage, which promotes healing and regeneration. The clinical and functional results of the modified technique were examined in a retrospective case series.
UNASSIGNED: The technique has proven to be reproducible for retropatellar cartilage defects and is both efficient and cost effective. MC with synovial sealing was performed in ten patients with retropatellar cartilage damage. In the conducted cases serious, 10 patients were available for follow-up after 18 ± 3 months. Patients showed good clinical results in terms of pain (VAS = 1.9, KOOS Pain = 89.7), symptoms (KOOS Symptoms = 83.6), and daily activity (KOOS Activity = 96.6).
UNASSIGNED: The procedure combines the advantages of autologous cartilage repair with a one-stage surgical approach. It utilizes the regenerative potential of synovial tissue while providing improved mechanical stability. This technique offers a cost-effective, autologous solution for full-thickness cartilage defects, and shows promising clinical results in the medium term.
摘要：
■软骨缺陷是活跃人群的常见病理，会影响生活质量。常见的治疗选择是用切碎的软骨(MC)治疗。由于保守治疗效果有限，手术治疗在程序和结果方面有所不同。本文介绍了一种改良的自体软骨修复技术。
■通过添加滑膜密封剂对MC进行改性。这提高了移植物的稳定性，允许软骨增殖.滑膜组织有可能刺激植入的软骨，促进愈合和再生。在回顾性病例系列中检查了改良技术的临床和功能结果。
■该技术已被证明对髌骨后软骨缺损具有可重复性，并且既有效又具有成本效益。对10例髌骨后软骨损伤患者进行了滑膜封闭MC。在严重的案件中，18±3个月后随访10例。患者在疼痛方面表现出良好的临床效果（VAS=1.9，KOOS疼痛=89.7），症状（KOOS症状=83.6），和日常活动（KOOS活动=96.6）。
■该程序将自体软骨修复的优点与一阶段手术方法相结合。它利用滑膜组织的再生潜力，同时提供改善的机械稳定性。这种技术提供了一种具有成本效益的，全层软骨缺损的自体溶液，并在中期显示出有希望的临床结果。
■通过添加滑膜密封剂对MC进行改性。这提高了移植物的稳定性，允许软骨增殖.滑膜组织有可能刺激植入的软骨，促进愈合和再生。在回顾性病例系列中检查了改良技术的临床和功能结果。
■该技术已被证明对髌骨后软骨缺损具有可重复性，并且既有效又具有成本效益。对10例髌骨后软骨损伤患者进行了滑膜封闭MC。在严重的案件中，18±3个月后随访10例。患者在疼痛方面表现出良好的临床效果（VAS=1.9，KOOS疼痛=89.7），症状（KOOS症状=83.6），和日常活动（KOOS活动=96.6）。
■该程序将自体软骨修复的优点与一阶段手术方法相结合。它利用滑膜组织的再生潜力，同时提供改善的机械稳定性。这种技术提供了一种具有成本效益的，全层软骨缺损的自体溶液，并在中期显示出有希望的临床结果。
