PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Review Article

Volume 1 Issue 2

Analysis of Regeneration Tissue Formed in the Treatment of Cartilage Defects

Tolgay Satana*, O Üzümcügil, OS Atik, S Ömeroglu and D Erdogan

February 12, 2023

View PDF

Abstract

Joint function losses that occur as a result of injury, healing and scarring of the cartilage tissue are varied. In this study, the contralateral joints of rabbits with complete cartilage loss were defined as the control group. Self-healing of similar cartilage losses and popular surgical methods were compared, and the results were examined histopathologically. As a result, it was determined that while autogenous full-thickness osteochondral cartilage transfer resulted in the best cartilage healing, the healed cartilage tissue without any intervention was superior to methods such as drilling and carbon fiber. We concluded that cartilage tissue must be “no men land” if lower than full thickness cartilage lesions. Cartilage must be protected any surgical impact instead of main mechanical articular problems must be focused.

Keywords: Cartilage Defects; Mosaicplasty; Cartilage debridement

References

  1. Adams ME, Lussier AJ and Peyron JG. “A risk-benefit assessment of injections of hyaluronan and its derivatives in the treatment of osteoarthritis of the knee”. Drud Saf 23.2 (2000): 115-30.
  2. Allcock S and Ali MA. “Early failure of a carbon fiber composite femoral component”. J Arthroplasty 12.3 (1997): 356-8.
  3. Atik OS., et al. “Ostechondral multiple autograft transfer, a new surgical method in chondroplasty”. Transfer Arthroplasty Arthroscopic Surgery 7.2 (1996): 22-23.
  4. Waste OS., et al. “Arthroscopic Osteochendral Multiple Autograft Transfer Arthroplasty Arthroscopic Surgery 8 (1997).
  5. Waste OS., et al. Total Knee Replacement and Osteochondral Multiple Autograft Transfer Arthroplasty Arthroscopic Surgery 8 (1997).
  6. Atik OS. “Biological Repair of Osteochondral Defects Using Carbon Implants”. Artoplasty Arthroscopy 2 (1990).
  7. Atik OS. “Knee Replacement and Patella Problem”. Arthroplasty Arthroscopic Surgery 2.1-2 (1991).
  8. Attmanspacher W, Dittrich V and Stedtfeld HW. “Experiences with arthroscopic therapy of chondral defects of the knee joint with osteochondral autograft system”. Zentralbl Chir 125.6 (2000): 494-9.
  9. Brandt KD., et al. “Efficacy and safety of intraarticular sodium hyaluronate in knee osteoarthritis”. Clin Orthop 385 (2001): 130-43.
  10. Britberg M and Faxen E, Peterson L. “Carbon fiber scaffolds in the treatment of early knee osteoarthritis”. Clin Orthop (1994): 155-64.
  11. Cain EL and Clancy WG. “Treatment algorithm for osteochondral injuries of the knee”. Clin Sports Med 20.2 (2001): 321-42.
  12. Chen FS, Frenkel SR and Di Cesare PE. “Repair of articular cartilage defects: part II. Treatment options”. Am J Orthop 28.2 (1999): 88-99.
  13. Duchow J, Hess T and Kohn D. “Primary stability of press-fit implanted osteochondral grafts influnce of graft size, repeated insertion and harvesting technique”. Am J Sports Med 28.1 (2000): 24-7.
  14. Kang HJ., et al. “An experimental implantation of wowen carbon fiber pad into osteochondral defect of the femoral condyle in rabbit”. Yonsei Med J 32.2 (1991): 108-16.
  15. Kus WM., et al. “Carbon fiber scaffolds in the surgical treatment of cartilage lesions”. Ann Transplant 4.3-4 (1999): 101-2.
  16. Makino T., et al. “Histologic analysis of the implanted cartilage in an exact-fit osteochondral transplantation model”. Arthroscopy 17.7 (2001): 747-51.
  17. Morelli M, Nagamori J and Miniaci A. “Management of chondral injuries of the knee by osteochondral autogeneous transfer”. J Knee Surg 15.3 (2002): 185-90.
  18. Sanders TG., et al. “Autogenous osteochondral plug transfer for the treatment of focal chondral defects”. Skeletal Radiol 30.10 (2001): 570-8.
  19. Takahashi S., et al. “Autogeneous callo-osseous grafts for the repair of osteochondral defects”. J Bone Joint Surg Br 77.2 (1995): 194-204.