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Einsatzmöglichkeiten osteochondraler Allografts

  • F. Gaul
  • W. D. BugbeeEmail author
Leitthema
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Zusammenfassung

Transplantationen von frischen osteochondralen Allografts (OCA) können zur Primärtherapie einer Vielzahl unterschiedlicher Gelenkverletzungen und Erkrankungen eingesetzt werden und stellen auch im Revisionsfall nach nicht erfolgreicher Knorpeltherapie eine alternative Behandlungsmethode dar. Große und tiefe (osteo)chondrale Defekte können dabei mit nur einem Eingriff vollständig rekonstruiert werden. Dem Patienten bietet sich ein Verfahren, dass zuverlässig Schmerzen reduziert, zu langanhaltender Funktionsverbesserung führt und im besten Fall eine endoprothetische Versorgung verhindert oder zumindest verzögert.

Schlüsselwörter

Knorpeldefekt Kniegelenk Transplantation Rekonstruktion Schmerzreduktion 

Applications for osteochondral allografts

Abstract

Transplantation of fresh osteochondral allografts (OCA) can be used in a wide variety of different injuries and joint diseases as well as a salvage procedure after primary failed cartilage repair. Large and deep osteochondral defects can be completely reconstructed in a one-stage procedure without having the issue of donor site morbidity. For the patient, OCA transplantation provides reliable symptomatic pain relief and lasting functional improvements with the possibility of delaying or eliminating the need for arthroplasty.

Keywords

Chondral defect Knee joint Transplantation Reconstruction Analgesia 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

F. Gaul und W.D. Bugbee geben 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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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Shiley Center for Orthopaedic Research and Education at Scripps ClinicLa JollaUSA
  2. 2.Gelenkzentrum Dr. RoseLeipzigDeutschland
  3. 3.Department of Orthopaedic SurgeryScripps ClinicLa JollaUSA

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