[Current treatment for cartilage damage in the patellofemoral joint].

Der Orthopäde
Matthias SteinwachsP Niemeyer

Abstract

Joint cartilage damage in adults has practically no tendency to self healing. Symptomatic grade III/IV damage requires surgical treatment. There are special challenges involved in cartilage damage in the patellofemoral joint as the complicated biomechanics of the joint is often combined with dysplasia. All tissue regeneration measures are based on the recruitment of cells. The synovial cells available in the joint can be differentiated to fibrous cartilage under certain mechanical conditions; however, they cannot sufficiently fill in defects. Also the use of bone marrow cells for cartilage reconstruction only creates mechanically inferior fibrous cartilage (Pridie drillings, microfracture, AMIC). Presently only cultivated, autologous chondrocytes from the lab are available for a biomechanically high-quality reconstruction of the cartilage layer.The application of mesenchymal stem cells is a subject of extensive international research. However, the first experimental studies, after initial formation of cartilage, disappointingly show significant ossification. Essential conditions for a successful treatment of patellofemoral cartilage damage are the diagnosis of accompanying pathological conditions, selection of the right cartila...Continue Reading

References

Oct 6, 1994·The New England Journal of Medicine·M BrittbergL Peterson
Apr 1, 1993·The Journal of Bone and Joint Surgery. American Volume·F ShapiroM J Glimcher
May 1, 1997·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·G BachmannW S Rau
Jan 1, 1997·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·L HangodyI Udvarhelyi
Dec 9, 1998·Radiology·T R McCauley, D G Disler
Nov 7, 1999·Der Unfallchirurg·M R SteinwachsU Guhlke-Steinwachs
Jan 19, 2002·The American Journal of Sports Medicine·Lars PetersonAnders Lindahl
Oct 9, 2002·Clinics in Sports Medicine·Roland M Biedert, Vicente Sanchis-Alfonso
May 2, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J Richard SteadmanWilliam G Rodkey
Mar 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Gunnar KnutsenOddmund Johansen
Oct 9, 2004·Zeitschrift für Orthopädie und ihre Grenzgebiete·P BehrensUNKNOWN German Society for Orthopedic Surgery
Nov 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peter C KreuzNorbert Südkamp
Apr 10, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Matthias Steinwachs, Peter C Kreuz
Aug 11, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp NiemeyerNorbert P Südkamp
Aug 22, 2007·Archives of Orthopaedic and Trauma Surgery·Philipp NiemeyerNorbert P Südkamp
May 28, 2008·Injury·M R SteinwachsP C Kreuz
Mar 14, 2008·The American Journal of Sports Medicine·Yeong-Fwu LinCheng-Kung Cheng
Jun 26, 2008·The American Journal of Sports Medicine·Karen Hambly, Konstadina Griva

❮ Previous
Next ❯

Citations

Mar 24, 2009·Der Unfallchirurg·M JagodzinskiC Krettek
Aug 27, 2014·Der Orthopäde·M Cotic, A B Imhoff
May 2, 2009·The Journal of Bone and Joint Surgery. British Volume·A GetgoodN Rushton

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.

Adult Stem Cells

Adult stem cells reside in unique niches that provide vital cues for their survival, self-renewal, and differentiation. They hold great promise for use in tissue repair and regeneration as a novel therapeutic strategies. Here is the latest research.

Related Papers

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Matthias SteinwachsP Niemeyer
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Tomasz PiontekMichał Słomczykowski
The Journal of Orthopaedic and Sports Physical Therapy
S D GilloglyT Blackburn
Archives of Orthopaedic and Trauma Surgery
Stephan VogtHermann O Mayr
© 2022 Meta ULC. All rights reserved