Interní Med. 2018; 20(1): 32-37 | DOI: 10.36290/int.2018.007

Management of damaged articular cartilage and osteoarthritis – surgical treatment

MUDr. Eduard Šťastný, Ph.D., prof. MUDr. Tomáš Trč, CSc., MBA, MUDr. Theodoros Philippou,, MUDr. Jaromír Přidal, MUDr. Daniel Bělík, MBA

Klinika dětské a dospělé ortopedie a traumatologie 2. lékařské fakulty Univerzity Karlovy v Praze

a Fakultní nemocnice v Motole

In relation to the article about conservative treatment of arthrosis, the authors describe the possibilities of surgical treatment ofpost-traumatic and degenerative chondral defects. Abrasive methods used since the 1960s are still being used to the present timewith a short-term improvement in a clinical condition. This methods additionally function as bone marrow stimulating performanceagents when used for transplantations. Transplantation is preferred in focal post-traumatic cartilage flat defects or in mildto moderate arthrosis of lower limb joints in younger individuals. The transplanted cartilaginous defect contains connective tissue,hyaline cartilage-like tissue and, in the case of mosaicplasty, a combination of both of these with hyaline cartilage on the surface ofthe transplanted blocks. In case of correct joint biomechanics there is a mid-term clinical improvement in patients in comparisonwith abrasive arthroplasty. Implantation of artificial joint replacements is preferred for severe destruction of the joint surface.

Keywords: osteoarthosis, arthroscopy, abrasive arthroplasty, cartilage transplantation, osteotomy, total joint replacement

Published: March 1, 2018  Show citation