HYBRID BONE AND CARTILAGE TRANSPLANTATION – AN INNOVATIVE TECHNOLOGY FOR THE SURGICAL TREATMENT OF LARGE OSTEOCHONDRAL DEFECTS OF THE KNEE JOINT
https://doi.org/10.38181/issn2223-2427.2019.4.10-17
Abstract
Abstract: the article is devoted to the current direction of modern orthopedics - surgical treatment of osteochondritis dissecans of the knee joint. This disease accounts for up to 2% of all diseases of the knee joint and occurs in approximately 30 patients per 100.000 people.
Materials and methods: The authors of the article developed the technique of “Hybrid bone and cartilage transplantation”, based on the removal of pathological subchondral bone, its replacement by autologous bone and collagen matrix implantation. Such an operation technique was applied in 27 patients. The article presents the indications and technique of the operation, criteria for evaluating treatment outcomes.
Results: treatment outcomes up to 2 years were studied in all 27 patients. Good treatment results were observed in 22 patients. In all cases, high-quality consolidation of bone tissue and regeneration of the cartilaginous surface of osteochondral defects were achieved.
Conclusion: The analysis of treatment outcomes for patients after “hybrid osteochondral transplantation” allows the article authors to recommend this technique for widespread use in clinical practice.
About the Authors
G. D. Lazishvili
Pirogov Medical University
Russian Federation
Russian Federation
Lazishvili Guram Davidovich, MD., PhD, professor of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
K. A. Egiazaryan
Pirogov Medical University
Russian Federation
Russian Federation
Egiazaryan Karen Albertovich, MD., PhD., professor, chief of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
A. P. Ratyev
Pirogov Medical University
Russian Federation
Russian Federation
Ratyev Andrey Petrovich, MD., PhD, professor of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
D. I. Gordienko
Pirogov Medical University
Russian Federation
Russian Federation
Gordienko Dmitri Igorevich, MD, PhD., docent of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
A. B. But-Gusaim
Pirogov Medical University
Russian Federation
Russian Federation
But-Gusaim Aleksander Borisovich, MD, PhD., professor of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
I. G. Chulovskaja
Pirogov Medical University
Russian Federation
Russian Federation
Chulovskaja Irina Germanovna, MD, PhD., professor of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
I. V. Sirotin
Pirogov Medical University
Russian Federation
Russian Federation
Sirotin Ivan Vladimirovich, MD, PhD., docent of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
M. A. Shpak
Pirogov Medical University
Russian Federation
Russian Federation
Shpak Marya Alekseevna, resident of department of traumatology and orthopaedy
1 Ostrovityanova st. Moscow, 117997
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Review
For citations:
Lazishvili G.D., Egiazaryan K.A., Ratyev A.P., Gordienko D.I., But-Gusaim A.B., Chulovskaja I.G., Sirotin I.V., Shpak M.A. HYBRID BONE AND CARTILAGE TRANSPLANTATION – AN INNOVATIVE TECHNOLOGY FOR THE SURGICAL TREATMENT OF LARGE OSTEOCHONDRAL DEFECTS OF THE KNEE JOINT. Surgical practice (Russia). 2019;(4):10-17. (In Russ.) https://doi.org/10.38181/issn2223-2427.2019.4.10-17
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