Zusammenfassung
Ein intakter Gelenkknorpel ist essentiell für die normale Gelenkfunktion. Unglücklicherweise ist der Knorpel relativ leicht verletzbar, sei es durch Traumen oder infolge degenerativer Einflüsse. Während die verletzte Haut oder der gebrochene Knochen folgenlos ausheilen können, besitzt die Natur beim geschädigten Knorpel nur eine sehr begrenzte Möglichkeit der Heilung, so dass häufig die Entwicklung einer schmerzhaften Arthrose droht. Die mangelhafte Regenerationsfähigkeit des Knorpel ist seit dem 18. Jahrhundert bekannt [9]. Zahlreiche Operationsverfahren wurden entwickelt, urn eine Knorpelneubildung zu stimulieren, doch keine Methode war bisher in der Lage, günstige Ergebnisse zu produzieren, wenn sie auf der Basis eines funktionellen Outcomes und hinsichtlich ihrer Anwendbarkeit untersucht wurde. Die verschiedenen Verfahren haben unterschiedliche Ansatzpunkte. Am häufigsten angewendet werden so genannte knochenmarkstimulierende Verfahren.
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Pässler, H.H. (2001). Knochenmarkstimulierende Techniken — Mikrofracture. In: Erggelet, C., Steinwachs, M. (eds) Gelenkknorpeldefekte. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57716-1_8
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DOI: https://doi.org/10.1007/978-3-642-57716-1_8
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