Microfracture and osteochondral transplantation in the treatment of articular cartilage defects
10.3969/j.issn.2095-4344.2015.15.004
- VernacularTitle:软骨移植与软骨微骨折方法修复关节软骨损伤
- Author:
Jian YANG
;
Xianlun PANG
;
Jiangmeng HE
- Publication Type:Journal Article
- Keywords:
Subject headings:Fractures,Bone;
Cartilage;
Bone Transplantation
- From:
Chinese Journal of Tissue Engineering Research
2015;(15):2315-2319
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Both microfracture and osteochondral transplantation are effective tools in the clinical treatment of articular cartilage defects.
OBJECTIVE: To observe the implementation results of microfracture and osteochondral transplantation in the treatment of articular cartilage defects.
METHODS:The clinical data of 50 cases (50 knees) of articular cartilage defects were retrospectively analyzed. There were two groups according to surgical repair methods: autogenous osteochondral transplantation+ microfracture in observation group (n=25), and microfracture in control group (n=25). Patients in the two groups were folowed up for over 24 hours to compare the Hospital for Special Surgery scores, clinical efficacy, adverse effects and complications.
RESULTS AND CONCLUSION:The number of patients whose Hospital for Special Surgery score was > 85 points and 60 to 85 points in the observation group was significantly larger than that in the control group (P< 0.05), and the total treatment effective rate of patients in the observation group was significantly higher than that of the control group (92%vs. 60%,P < 0.05). No complications occurred in both two groups. These findings indicate that osteochondral transplantation has better implementation results in the treatment of articular cartilage defects than microfracture.
