Editorial Commentary: Cartilage Restoration-What Is Currently Available?
Journal
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
ISSN: 1526-3231
Titre abrégé: Arthroscopy
Pays: United States
ID NLM: 8506498
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
23
03
2020
revised:
03
04
2020
accepted:
04
04
2020
entrez:
7
6
2020
pubmed:
7
6
2020
medline:
17
6
2020
Statut:
ppublish
Résumé
In the past 30 years, bone marrow stimulation techniques such as microfracture (MF) have become a popular method to treat symptomatic focal articular cartilage lesions. Nonetheless, recent studies have not shown good long-term clinical outcomes, and MF has produced alterations in the subchondral bone architecture with degenerative changes. Autologous chondrocyte implantation (ACI) has shown good results at 20 years. Second- and third-generation ACI has shown superiority to MF and fewer complications than first-generation ACI. Each treatment option has its advantages and disadvantages. Recent research has shown that better filling of cartilage tissue occurs in patients treated with MF and collagen augmentation than in those treated with MF alone. Research from our clinic has shown that Hyaff scaffold combined with bone marrow aspirate concentrate in a 1-step technique yielded good results in patients with 10 years' follow-up. We believe that high-quality randomized controlled trials are necessary to directly compare all cartilage restoration procedures.
Identifiants
pubmed: 32503774
pii: S0749-8063(20)30309-1
doi: 10.1016/j.arthro.2020.04.001
pii:
doi:
Types de publication
Editorial
Comment
Langues
eng
Sous-ensembles de citation
IM
Pagination
1625-1628Commentaires et corrections
Type : CommentOn
Informations de copyright
Copyright © 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.