Abstract
Cartilage damage is often associated with pain, reduced quality of life and decreased physical performance. In addition, even small cartilage lesions can lead to osteoarthritis. Since young active people are particularly affected, the correct treatment of cartilage damage plays an important role. Operative treatment includes bone marrow-stimulating procedures with or without a matrix, cell-based procedures and osteochondral graft transplantation. The choice of the best procedure depends on the localization, the size and the extent of the cartilage damage. In addition, especially in the treatment of cartilage damage to the lower limbs, the leg axis and loading relationships should be taken into account and possibly treated as well as additional joint instabilities. The following article gives an overview of the available surgical treatment possibilities as well as the correct indications and implementation. It also gives abrief projection of possible further treatment options associated with stem cells.
Highlights
In der Behandlung von Knorpelschäden muss zunächst zwischen fokalen isolierten Knorpelschäden wie z
Cartilage damage is often associated with pain, reduced quality of life and decreased physical performance
Even small cartilage lesions can lead to osteoarthritis
Summary
Die Teilnahme an diesem zertifizierten Kurs ist für 12 Monate auf CME.SpringerMedizin.de möglich. Teilnehmen können Sie: – als Abonnent dieser Fachzeitschrift, – als e.Med-Abonnent. Als Abonnent von Der Orthopäde oder Der Unfallchirurg können Sie kostenlos an CME-Kursen beider Zeitschriften teilnehmen. Diese Fortbildungseinheit ist zertifiziert von der Ärztekammer Nordrhein gemäß Kategorie D und damit auch für andere Ärztekammern anerkennungsfähig.
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