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Patellofemoral Cartilage Repair
PURPOSE OF REVIEW: This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970109/ https://www.ncbi.nlm.nih.gov/pubmed/29777422 http://dx.doi.org/10.1007/s12178-018-9474-3 |
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author | Mestriner, Alexandre Barbieri Ackermann, Jakob Gomoll, Andreas H. |
author_facet | Mestriner, Alexandre Barbieri Ackermann, Jakob Gomoll, Andreas H. |
author_sort | Mestriner, Alexandre Barbieri |
collection | PubMed |
description | PURPOSE OF REVIEW: This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and trochlear articular surfaces. RECENT FINDINGS: Recent studies on cartilage repair in the PFJ have demonstrated improved outcomes in an attempt to delay or obviate the need for arthroplasty, and improve symptoms in young patients. While autologous chondrocyte implantation shows good and excellent outcomes for chondral lesions, osteochondral defects are adequately addressed with osteochondral allograft transplantation. In case of patellar malalignment, concomitant tibial tubercle osteotomy can significantly improve outcomes. Particulated cartilage and bone marrow aspirate concentrate are potential new alternative treatments for cartilage repair, currently in early clinical studies. SUMMARY: Due to the frequency of concomitant anatomic abnormalities in the PFJ, a thorough clinical examination combined with careful indication for each procedure in each individual patient combined with meticulous surgical technique is central to achieve satisfying outcomes. Additional comparative studies of cartilage repair procedures, as well as investigation of newer techniques, are needed. |
format | Online Article Text |
id | pubmed-5970109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-59701092018-06-05 Patellofemoral Cartilage Repair Mestriner, Alexandre Barbieri Ackermann, Jakob Gomoll, Andreas H. Curr Rev Musculoskelet Med Advances in Patellofemoral Surgery (L Redler, Section Editor) PURPOSE OF REVIEW: This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and trochlear articular surfaces. RECENT FINDINGS: Recent studies on cartilage repair in the PFJ have demonstrated improved outcomes in an attempt to delay or obviate the need for arthroplasty, and improve symptoms in young patients. While autologous chondrocyte implantation shows good and excellent outcomes for chondral lesions, osteochondral defects are adequately addressed with osteochondral allograft transplantation. In case of patellar malalignment, concomitant tibial tubercle osteotomy can significantly improve outcomes. Particulated cartilage and bone marrow aspirate concentrate are potential new alternative treatments for cartilage repair, currently in early clinical studies. SUMMARY: Due to the frequency of concomitant anatomic abnormalities in the PFJ, a thorough clinical examination combined with careful indication for each procedure in each individual patient combined with meticulous surgical technique is central to achieve satisfying outcomes. Additional comparative studies of cartilage repair procedures, as well as investigation of newer techniques, are needed. Springer US 2018-05-18 /pmc/articles/PMC5970109/ /pubmed/29777422 http://dx.doi.org/10.1007/s12178-018-9474-3 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Advances in Patellofemoral Surgery (L Redler, Section Editor) Mestriner, Alexandre Barbieri Ackermann, Jakob Gomoll, Andreas H. Patellofemoral Cartilage Repair |
title | Patellofemoral Cartilage Repair |
title_full | Patellofemoral Cartilage Repair |
title_fullStr | Patellofemoral Cartilage Repair |
title_full_unstemmed | Patellofemoral Cartilage Repair |
title_short | Patellofemoral Cartilage Repair |
title_sort | patellofemoral cartilage repair |
topic | Advances in Patellofemoral Surgery (L Redler, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5970109/ https://www.ncbi.nlm.nih.gov/pubmed/29777422 http://dx.doi.org/10.1007/s12178-018-9474-3 |
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