OSTEOCHONDRAL ARTICULAR DEFECTS AND THEIR TREATMENT

Abstract

U radu su navedene specifičnosti u graði i uloga zglobne hrskavice. Razmatrana je uloga pojedinih osnovnih graðevnih jedinica hrskavičnog tkiva te njihova povezanost u održavanju odgovarajućih oblika i funkcije. Oštećenja hrskavice sve su veći problem u ortopediji te su hrskavične lezije prikazane s obzirom na način nastajanja te veličinu, oblik, lokalizaciju i temeljem artroskopskog uvida. Zbog ograničene moći reparacije zglobne hrskvice razvile su se brojne tehnike koje stimuliraju ili potpomažu njezino cijeljenje, te se u radu iznosi njihova podjela i osnovne karakteristike. Zbog dobivenih boljih rezultata, detaljnije su opisane tehnike mikrofrakture, mozaikplastika te transplantacija autolognih hondrocita i njihovo poslijeoperacijsko liječenje.This work indicates the features and roles of articular cartilage. The basic units that constitute cartilage tissue as well as their role in keeping an optimal form and function are considered. Cartilage defects present a growing problem today in orthopaedics and lesions of the articular cartilage are shown considering the way they appear, the size, localisation and the basis of an arthroscopic examination. Due to the fact that articular cartilage has a reduced possibility of reparation, numerous tehniques have been developed which stimulate and help its healing, so in this work their basic characteristics are described. Because of the better result they have shown, the techniques of microfracturing, mosaicplasty and autologous chondrocyte transplantation have been described in a more detailed way as well as their postoperative treatmen

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