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Transplantation osteochondraler Zylinder an verschiedenen Gelenken — Technik und Ergebnisse

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Gelenkknorpeldefekte

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Zusammenfassung

Ein chondraler oder osteochondraler Defekt in der Belastungszone eines Gelenkes, insbesondere des Knies, stellt gerade beim jüngeren Patienten immer noch ein gravierendes therapeutisches Problem dar. Unabhängig von der Ätiologie des Schadens ist das Ziel der Therapie die Wiederherstellung der Knorpeloberfläche und Gelenkkongruenz, normale Gelenkfunktion sowie Schmerzfreiheit. Bis dato stehen uns mehrere Therapieansätze zur Behandlung von Knorpelschäden zur Verfügung: Debridement und Drilling [26], Mikrofrakturierung [23] oder Abrasionsarthroplastik [26], frische osteochondrale Allografts, Transplantation von Rippenperichondrium oder Periost [6], Periosttransplantation mit Chondrozytenimplantation, autologe Chondrozytentransplantation [13, 16] und als ultima ratio die endoprothetische Versorgung. Prinzip des osteochondralen Autografts ist die Verwendung von Knorpelknochenzylindern aus gering belasteten Gelenkflächen des Knies (proximal lateraler oder medialer Femurkondylus bzw. Trochlea) für die Transplantation in Defekte der Belastungszonen.

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Authors
  1. P. B. Schöttle
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  2. J. D. Agneskirchner
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  3. A. B. Imhoff
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Editors and Affiliations

  1. Orthopädische Universitätsklinik, Hugstetter Str. 55, Freiburg, D-79106, Germany

    Christoph Erggelet  & Matthias Steinwachs  & 

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© 2001 Springer-Verlag Berlin Heidelberg

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Schöttle, P.B., Agneskirchner, J.D., Imhoff, A.B. (2001). Transplantation osteochondraler Zylinder an verschiedenen Gelenken — Technik und Ergebnisse. In: Erggelet, C., Steinwachs, M. (eds) Gelenkknorpeldefekte. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57716-1_9

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  • DOI: https://doi.org/10.1007/978-3-642-57716-1_9

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-7985-1265-8

  • Online ISBN: 978-3-642-57716-1

  • eBook Packages: Springer Book Archive

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