2018
DOI: 10.1055/s-0044-101470
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Stellenwert des Débridements bei der Behandlung fokaler (Grad II – III) Knorpelschäden des Kniegelenks. Systematische Literaturübersicht und Empfehlungen der AG Geweberegeneration (DGOU)

Abstract: The decision criteria for debridement of partial thickness focal cartilage lesions are multifactorial and include the clinical symptoms, the size and the degree of the defect, the stability of remaining cartilage, localisation of the defect, and individual patient-specific parameters. Debridement is not recommended for asymptomatic lesions, but may be reasonable for symptomatic cases with unstable tissue.

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Cited by 6 publications
(3 citation statements)
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“…However, none of the recommendations reaches a grade of recommendation A. Hopefully, ongoing register studies as supported by the research group may contribute in the future to fill this gap. The first studies from this register are available and provide valuable data for the conclusions (132,134,140,141,142,143,144,145,146,147,148,149,150).…”
Section: Discussionmentioning
confidence: 99%
“…However, none of the recommendations reaches a grade of recommendation A. Hopefully, ongoing register studies as supported by the research group may contribute in the future to fill this gap. The first studies from this register are available and provide valuable data for the conclusions (132,134,140,141,142,143,144,145,146,147,148,149,150).…”
Section: Discussionmentioning
confidence: 99%
“…Various surgical methods are currently available for the treatment of local cartilage damage [2]. The selection of the appropriate procedure is primarily based on the size and depth of the defect as well as age and degree of activity of the patient [10]. In the case of chondral damage, according to the working group "Clinical Tissue Regeneration" of the German Society of Orthopaedics and Trauma (DGOU), the indication for autologous cartilage cell transplant is seen from a defect size of more than 2.5 cm 2 .…”
Section: Introductionmentioning
confidence: 99%
“…In the case of chondral damage, according to the working group "Clinical Tissue Regeneration" of the German Society of Orthopaedics and Trauma (DGOU), the indication for autologous cartilage cell transplant is seen from a defect size of more than 2.5 cm 2 . Microfracture (MFx) is recommended in the case of a defect smaller than 2.5 cm 2 or in patients with low to moderate activity level [10,23]. Both techniques, MFx and autologous chondrocyte transplantation (ACT), have drawbacks.…”
Section: Introductionmentioning
confidence: 99%