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O uso do transplante osteocondral a fresco no tratamento das lesões osteocondrais do joelho Use of fresh osteochondral transplants for treating osteochondral knee lesions

By Luís Eduardo Passarelli Tírico and Marco Kawamura Demange

Abstract

O tratamento das lesões condrais e osteocondrais do joelho em pacientes jovens ainda permanece um desafio para os ortopedistas. As técnicas de reparo atualmente disponíveis no Brasil, como o desbridamento, microfraturas e transplante osteocondral autólogo são insuficientes nos tratamentos de lesões condrais e osteocondrais grandes. O transplante osteocondral homólogo a fresco (TOF) na articulação do joelho vem sendo usado nos Estados Unidos com excelentes resultados. Este artigo tem o intuito de revisar a ciência básica, indicações, técnicas cirúrgicas, possíveis complicações e descrever a técnica de transplante osteocondral homólogo a fresco na articulação do joelho realizada no Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Universidade de São Paulo.<br>Treatment of chondral and osteochondral knee lesions in young patients remains a challenge for orthopedic surgeons. The repair techniques currently available in Brazil, such as debridement, microfracture and autologous osteochondral transplantation are insufficient for treating large chondral and osteochondral lesions. Fresh homologous osteochondral transplants have been used in the knee joint in the United States with excellent results. This article had the aims of reviewing the basic science, indi cations, surgical techniques and possible complications and describing the technique of fresh homologous osteochondral transplantation in the knee joint, performed in the Institute of Orthopedics and Traumatology, Hospital das Clinicas, Univer sity of São Paulo

Topics: Joelho, Cartilagem, Osteoartrite, Transplante Homólogo, Knee, Cartilage, Osteoarthritis, Transplantation, Homologous, Orthopedic surgery, RD701-811, Surgery, RD1-811, Medicine, R, DOAJ:Surgery, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: Sociedade Brasileira de Ortopedia e Traumatologia
Year: 2012
OAI identifier: oai:doaj.org/article:7725620444dd488886be92fd32a3da9b
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