【摘要】 目的:探讨关节镜下取非负重区软骨替代负重区病变软骨自体软骨镶嵌式移植修复软骨缺损的方法。方法:2004年3月~2008年4月共30例中青年关节面软骨缺损患者,在关节镜下采用镶嵌式骨软骨移植术,将膝关节非负重关节面骨软骨条,移植修复膝关节负重面的病灶性软骨缺损。结果:术后随访9个月~32个月,平均17个月,患者关节活动度良好,疼痛症状基本消失,复查MR I结果显示软骨缺损区表面光滑,移植的骨软骨柱位置良好。结论:关节镜下自体软骨移植具有疗效好,创伤小,且避免异体移植产生的排斥反应及疾病传播,是修复软骨缺损的好方法。更多还原

【Abstract】 Objective To investigate the way to repair cartilage defect with the autologous osteochondral under the arthroscopy.Method Thirty patients with osteochondral defect of the weight-bearing surfaces were treated by the autologous osteochondral transplantation of the unweight-bearing surfaces from March 2004 to April 2008.Results The follow-up period lasted 9~32 months.The most patients’ knee joint had good motion extent and the pain was relieved obviously.A follow-up MRI showed articular cartilage coverage and the excellent position of the cylindrical osteochondral graft.Conclusion The autologous osteochondral transplantation is effective method for cartilage defect,with advantages of minimal invasion and avoidance the possibility of conveying infective diseases.更多还原