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2018, Número 4

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Ortho-tips 2018; 14 (4)


Reparación del cartílago articular en la rodilla

Villalobos CE, Ibarra PLJC

Idioma: Español
Referencias bibliográficas: 20
Paginas: 197-205
Archivo PDF: 128.22 Kb.


RESUMEN

Las lesiones del cartílago articular han sido encontradas hasta en 61% de los pacientes que se han sometido a artroscopia de la rodilla. Sin embargo, existe controversia sobre cuál es el mejor tratamiento a utilizar en cuanto a tipo de tejido de reparación, evolución clínica y costo-beneficio. En esta revisión abordamos los criterios de diagnóstico de las lesiones de cartílago articular y del tejido de reparación, los diferentes tratamientos disponibles y la evidencia del análisis económico del beneficio obtenido.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Villalobos E, Acuña M, Izaguirre A, Ibarra C. Functional and pain relief outcomes in a 3-6 years follow-up after microfracture of the knee. Nuevo Orleans: Proceedings - American Academy of Orthopedic Surgeons Annual Meeting; 2010.

  2. Mithoefer K, Scopp JM, Mandelbaum BR. Articular cartilage repair in athletes. Instr Course Lect. 2007; 56: 457-468.

  3. Getgood A, Brooks R, Fortier L, Rushton N. Articular cartilage tissue engineering: today´s research, tomorrow’s practice? J Bone Joint Surg Br. 2009; 91 (5): 565-576.

  4. Mithoefer K, McAdamas TR, Scopp JM, Mandelbaum BR. Emerging options for treatment of articular cartilage injury in the athlete. Clin Sports Med. 2009; 28 (1): 25-40.

  5. Buckwalter JA, Mankin HJ, Grodzinsky AJ. Articular cartilage and osteoarthritis. Instr Course Lect. 2005; 54: 465-480.

  6. Mithoefer K, Williams RJ 3rd, Warren RF, Potter HG, Spock CR, Jones EC, et al. The microfracture technique for the treatment of articular cartilage lesions in the knee. A prospective cohort study. J Bone Joint Surg Am. 2005; 87 (9): 1911-1920.

  7. Bentley G, Biant LC, Carrington RW, Akmal M, Goldberg A, Williams AM, et al. A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. J Bone Joint Surg Br. 2003; 85 (2): 223-230.

  8. Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994; 331 (14): 889-895.

  9. Knutsen G, Engebretsen L, Ludvigsen TC, Drogset JO, Grontvedt T, Solheim E, et al. Autologous chondrocyte implantation compared with microfracture in the knee. A randomized trial. J Bone Joint Surg Am. 2004; 86-A (3): 455-464.

  10. Knutsen G, Drogset JO, Engebretsen L, Grontvedt T, Isaksen V, Ludvigsen TC, et al. A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am. 2007; 89 (10): 2105-2112.

  11. Saris DB, Vanlauwe J, Victor J, Haspl M, Bohnsack M, Fortems Y, et al. Characterized chondrocyte implantation results in better structural repair when treating symptomatic cartilage defects of the knee in a randomized controlled trial versus microfracture. Am J Sports Med. 2008; 36 (2): 235-246.

  12. Masri M, Lombardero G, Velasquillo C, Martinez V, Neri R, Villegas H, et al. Matrix-encapsulation cell-seeding technique to prevent cell detachment during arthroscopic implantation of matrix-induced autologous chondrocytes. Arthroscopy. 2007; 23 (8): 877-883.

  13. Marcacci M, Zaffagnini S, Kon E, Visani A, Iacono F, Loreti I. Arthroscopic autologous chondrocyte transplantation: technical note. Knee Surg Sports Traumatol Arthrosc. 2002; 10: 154-159.

  14. Welsch GH, Trattnig S, Domayer S, Marlovits S. Multimodal approach in the use of clinical scoring, morphological MRI and biochemical T2-mapping and diffusion- weighted imaging in their ability to assess differences between cartilage repair tissue after microfracture therapy and matrix-associated autologous chondrocyte transplantation: a pilot study. Osteoarthritis and Cartilage. 2009; 17: 1219-1227.

  15. Villalobos FE, Velasquillo C, Martínez V, Lecona H, Reyes B, Estrada E, et al. Results of the experimental repair of osteochondral lesions in a pig model using tissue engineering. Acta Ortop Mex. 2007; 21 (4): 217-223.

  16. Ibarra C, Villalobos E, Velasquillo C, Izaguirre A, Martínez V, Pérez F, et al. Hospital based technology for a tissue engineering chondral repair model. Nuevo Orleans: Proceedings - American Academy of Orthopedic Surgeons Annual Meeting; 2010.

  17. Ibarra C, Izaguirre A, Villalobos E, Masri M, Lombardero G, Martinez V, et al. Follow-up of a new arthroscopic technique for implantation of matrix-encapsulated autologous chondrocytes in the knee. Arthroscopy. 2014; 30 (6): 715-723.

  18. Villalobos E. Evaluación clínica y por imagen con mapeo en t2 por resonancia magnética del trasplante de condrocitos autólogos vs. microfracturas para la reparación de cartílago articular en rodilla. Ensayo clínico controlado [Tesis de Maestría en Ciencias Médicas]. México: UNAM; 2013.

  19. Mistry H, Connock M, Pink J, Shyangdan D, Clar C, Royle P, et al. Autologous chondrocyte implantation in the knee: systematic review and economic evaluation. Health Technol Assess. 2017; 21 (6): 1-294.

  20. Schrock JB, Kraeutler MJ, Houck DA, McQueen MB, McCarty EC. A cost-effectiveness analysis of surgical treatment modalities for chondral lesions of the knee: microfracture, osteochondral autograft transplantation, and autologous chondrocyte implantation. Orthop J Sports Med. 2017; 5 (5): 2325967117704634.




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