Técnica de mosaicoplastia no tratamento de lesões osteocondrais isoladas do côndilo femoral do joelho – estudo retrospectivo

Karmali, Samir; Guerreiro, Rui Azevedo; Costa, Daniel Sá da; Fonseca, Jorge; Gonçalves, Ricardo

doi:10.1055/s-0039-1691763

Cited by 2 publications

(5 citation statements)

References 13 publications

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“…33 One study stated that when properly used, the mosaicplasty technique can produce excellent outcomes with good durability and functional impact, low morbidity rates, and low costs. 34 A recently published technique described harvesting an osteochondral graft from the proximal tibiofibular joint. 35…”

Section: Autologous Osteochondral Graftmentioning

confidence: 99%

“… 33 One study stated that when properly used, the mosaicplasty technique can produce excellent outcomes with good durability and functional impact, low morbidity rates, and low costs. 34 …”

Section: Treatmentmentioning

confidence: 99%

Section: Enxerto Osteocondral Autólogounclassified

“…33 Um estudo afirmou que quando adequadamente usada, a técnica de mosaicoplastia pode produzir resultados excelentes com grande durabilidade e impacto funcional, com baixas taxas de morbidade e baixo custo. 34 Uma técnica publicada recentemente descreveu a retirada de enxerto osteocondral da articulação tibiofibular proximal. 35…”

Section: Enxerto Osteocondral Autólogounclassified

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Tratamento das lesões condrais no joelho

Filho,

Sousa

2023

Rev Bras Ortop (Sao Paulo)

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ResumoAs lesões da cartilagem articular são comuns e levam à deterioração precoce da articulação e ao desenvolvimento da osteoartrite. As técnicas de reparo da cartilagem articular visam a formação de um neo-tecido cartilaginoso capaz de suportar carga articular e evitar a progressão da degeneração. Há várias técnicas disponíveis para esse fim, como a microfratura e o transplante de condrócitos. Entretanto muitas vezes o desfecho do procedimento é a formação de fibrocartilagem, que não possui a mesma resistência mecânica do tecido cartilaginoso. Em outros procedimentos, nos quais é realizado enxerto osteocondral autólogo, há risco de morbidade associada ao procedimento, além da disponibilidade limitada de tecido. Por esse motivo, o transplante osteocondral, utilizando enxertos a fresco ou congelados tem sido utilizado para lesões de maior volume. Por fim, novas técnicas utilizando fragmentos de cartilagem picada ou particulada, assim como o uso de células tronco mesenquimais se apresentam como promissores. O objetivo desse artigo é realizar uma atualização dos procedimentos para tratamento das lesões condrais do joelho.

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Section: Autologous Osteochondral Graftmentioning

confidence: 99%

“… 33 One study stated that when properly used, the mosaicplasty technique can produce excellent outcomes with good durability and functional impact, low morbidity rates, and low costs. 34 …”

Section: Treatmentmentioning

confidence: 99%

Section: Enxerto Osteocondral Autólogounclassified

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Tratamento das lesões condrais no joelho

Filho,

Sousa

2023

Rev Bras Ortop (Sao Paulo)

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“…Treatment of osteochondral lesions through mosaicplasty is shown to be an appropriate, cost-efficient method, which could restore the articular cartilage to its original condition in patients for whom arthroplasty is otherwise contra-indicated [2,7,8,9]. Furthermore, mosaicplasty could be performed as a single-stage procedure as an open, semi-open or arthroscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Mosaicplasty Techniques in the Treatment of Osteochondral Injuries

Simeonov

2023

JofIMAB

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Introduction: Articular cartilage damage is quite a common problem within the general population, especially in the younger and more athletic populations. These defects, if left untreated, would lead to post-traumatic osteoarthritis. Taking into consideration the high frequency and socioeconomic burden of osteoarthritis, the treatment of osteochondral lesions presents a unique challenge for surgeons. Materials/Methods: Several hypotheses were formulated to discover whether mosaicplasty could be used in order to successfully treat osteochondral lesions. Furthermore, open mini and arthroscopic surgery were tested to determine whether they could achieve the same result as mosaicplasty. A sample of 45 patients from the general population volunteered for the study, of whom 13 patients underwent open mosaicplasty, 17 mini-open and 15 patients arthroscopic mosaicplasty. Assessment of the knee articular cartilage reconstruction was done during each visit, utilising Lysholm and the VAS scale. A histological examination was also performed. Results: A significant difference was observed between pre- and post-surgical Lysholm score, as well as between pre- and post-surgical VAS score. Additionally, histological analysis confirmed the success of osteochondral autograft transfer and integration into the recipient's knee. Conclusion: The study demonstrated that several mosaicplasty techniques could be used in articular cartilage reconstruction. Moreover, the histological examination further confirmed the viability of the autograft.

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Técnica de mosaicoplastia no tratamento de lesões osteocondrais isoladas do côndilo femoral do joelho – estudo retrospectivo

Cited by 2 publications

References 13 publications

Tratamento das lesões condrais no joelho

Tratamento das lesões condrais no joelho

Mosaicplasty Techniques in the Treatment of Osteochondral Injuries

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