Priority of surgical treatment techniques of full cartilage defects of knee joint

Authors

  • Андрій Вікторович Літовченко Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022
  • Микола Іванович Березка Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022
  • Максим Олегович Гуліда Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022
  • Євгеній Владиславович Гарячий Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022

DOI:

https://doi.org/10.15587/2313-8416.2015.51246

Keywords:

deep forage, chondromalacia, articular cartilage, cartilage defect, medullary canal

Abstract

Aim. Surgical treatment of chondromalacia of knee joint cartilage is an actual problem of the modern orthopedics because the means of conservative therapy can be realized at an initial stage only and almost exhausted at the further ones. Imperfections of palliative surgical techniques are the short-term clinical effect and pathogenetic baselessness because surgical procedure is not directed on reparation of cartilaginous tissue. For today there are a lot of transplantation techniques that are used for biological renewal of articular surface with formation of hyaline or at least hyaline-like cartilage. The deep forage of cartilage defect bottom to the medullary canal is a perspective and priority technique.

Methods. The results of treatment of 61 patients with chondromalacia of knee joint of 3-4 degree according to R. Outerbridge are the base of the work. 20 patients of every group underwent microfracturization of cartilage defect bottom and subchondral forage of defect zone. 21 patients underwent the deep forage of defect zone of knee joint according to an offered technique.

Result. The results of treatment with microfracturization, subchondral forage and deep forage of defect zone indicate the more strong clinical effect especially in the last clinical group where good and satisfactory results ratios in the term of observation 18 and 24 month remain stable.

Conclusions. Deep forage of cartilage defects zone is the most adequate reparative technique of the surgical treatment of local knee joint cartilage defects. Owing to this procedure the number of cells of reparative chondrogenesis predecessors is realized

Author Biographies

Андрій Вікторович Літовченко, Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022

Postgraduate student

Department of Emergency and Urgent health care, orthopedics and traumatology

Микола Іванович Березка, Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022

MD, professor, Head of department

Department of Emergency and Urgent health care, orthopedics and traumatology

Максим Олегович Гуліда, Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022

Assistant, Candidate of Medical Science

Department of Emergency and Urgent health care, orthopedics and traumatology

Євгеній Владиславович Гарячий, Kharkiv National Medical University 4 Lenina ave., Kharkov, Ukraine, 61022

Assistant, Candidate of Medical Science

Department of Emergency and Urgent health care, orthopedics and traumatology

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Published

2015-10-25

Issue

Section

Medical Science. Part 1