2013, Number 1
Lesions of the cartilage of the knee
Álvarez LA, García LY, López LG, López LM
Language: Spanish
References: 47
Page: 103-113
PDF size: 169.81 Kb.
ABSTRACT
Background: lesions of the cartilage of the knee cause pain and progressive loss of
the functional capacity of the joint. The treatment for the disease is difficult because of
the poor biological capacity of cartilages to heal.
Development: we looked through
more than 300 articles related to the topic, 44 of which are from the last five years.
Aspects related to the common characteristics of the patients that have lesions of the
cartilage were discussed, and how to decide and suggest the different treatments
according to the common factors of the lesion and of the patient as well. Techniques
such as: arthroscopic debridement, autologous transplantation of chondrocytes
associated to scaffolds and synthetic arrays were tackled. In each case, the
advantages and disadvantages were analyzed, as well as the specific indications to
each procedure based on reports from the international literature.
Conclusions: the
treatment of patients with lesions of the cartilage of the knee depends on some factors
that combine those related to the common characteristics of the patient and the
training of the doctor. Timely and effective operation in patients with the disease
reduces the symptoms and the need to use more complex surgical techniques.
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