Current treatment modalities for cartilage defects at the knee - Results of a nation-wide survey of trauma and orthopaedic clinics in Germany

Luering, C. and Anders, S. and Baethis, H. and Perlick, L. and Tingart, M. and Grifka, Joachim (2004) Current treatment modalities for cartilage defects at the knee - Results of a nation-wide survey of trauma and orthopaedic clinics in Germany. ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 142 (5). pp. 546-552. ISSN 0044-3220,

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Abstract

Aim: A local cartilage defect at the knee is mostly followed by arthritis after a period of time. Up to now there are no options to adequately regenerate hyaline cartilage in vivo. Hence, the present strategies try to create a repair tissue with hyaline-like characteristics or to repair defects by transplanting autologous osteochondral cylinders. The objective of this study was to collect data about the current treatment of local cartilage defects of the knee in Germany. Method: In a countrywide anonymous survey, 250 German trauma surgery and 220 orthopaedic surgery departments were asked about their diagnostic procedures and their treatment strategies when addressing a local cartilage defect of the knee. Results: 230 (48.9%) of the questionnaires were returned and evaluated. We found differences between the two specialities: The orthopaedic departments are more progressive in applying autologous chondrocyte transplantation (ACT) (28.3% versus 13.6%) and osteochondral transplantation (OCT) (69.1% versus 56.3%). Only 5.2% of the German surgeons perform periostal grafting for local cartilage defects. Conclusion: There are still discrepancies about the therapy for local cartilage defects of the knee. Our survey illustrates the present status of cartilage repair strategies in Germany.

Item Type: Article
Uncontrolled Keywords: FULL-THICKNESS DEFECTS; ARTICULAR-CARTILAGE; FOLLOW-UP; PERIOSTEAL GRAFTS; JOINT SURFACES; TRANSPLANTATION; CHONDROCYTES; MOSAICPLASTY; ARTHROPLASTY; RABBIT; cartilage defect; cartilage repair; knee; ACT; OCT
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 30 Jun 2021 15:22
Last Modified: 30 Jun 2021 15:22
URI: https://pred.uni-regensburg.de/id/eprint/37312

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