Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (15): 2315-2319.doi: 10.3969/j.issn.2095-4344.2015.15.004

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Microfracture and osteochondral transplantation in the treatment of articular cartilage defects

Yang Jian1, Pang Xian-lun2, He Jiang-meng3   

  1. 1Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China
    2Affiliated Hospital of Traditional Chinese Medicine, Luzhou Medical College, Luzhou 646000, Sichuan Province, China
    3Department of General Surgery, Health Center of Biquan Subdistrict Office, Chongqing 402760, China
  • Revised:2015-02-27 Online:2015-04-09 Published:2015-04-09
  • Contact: Pang Xian-lun, Master, Associate chief physician, Affiliated Hospital of Traditional Chinese Medicine, Luzhou Medical College, Luzhou 646000, Sichuan Province, China
  • About author:Yang Jian, Master, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China
  • Supported by:

    the Project of Sichuan Provincial Educational Bureau, No. 14ZB0159; the Funding Project of Chongqing Health Department, No. 2012-2-160; the Project of Yongchuan Hospital of Chongqing Medical University, No. YJQN20120029

Abstract:

BACKGROUND: Both microfracture and osteochondral transplantation are effective tools in the clinical treatment of articular cartilage defects.
OBJECTIVE: To observe the implementation results of microfracture and osteochondral transplantation in the treatment of articular cartilage defects.
METHODS: The clinical data of 50 cases (50 knees) of articular cartilage defects were retrospectively analyzed. There were two groups according to surgical repair methods: autogenous osteochondral transplantation+ microfracture in observation group (n=25), and microfracture in control group (n=25). Patients in the two groups were followed up for over 24 hours to compare the Hospital for Special Surgery scores, clinical efficacy, adverse effects and complications.
RESULTS AND CONCLUSION: The number of patients whose Hospital for Special Surgery score was > 85 points and 60 to 85 points in the observation group was significantly larger than that in the control group (P < 0.05), and the total treatment effective rate of patients in the observation group was significantly higher than that of the control group (92% vs. 60%, P < 0.05). No complications occurred in both two groups. These findings indicate that osteochondral transplantation has better implementation results in the treatment of articular cartilage defects than microfracture.



中国组织工程研究
杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松组织工程


全文链接:

Key words: Fractures, Bone, Cartilage, Bone Transplantation

CLC Number: