Einführung - Diagnostik und operative Therapie von
          Gelenkknorpelschäden

Matthias Reinhard Steinwachs; Ute Guhlke-Steinwachs; Marcus Mumme

doi:10.1055/s-0033-1358575

Sportphysio, Table of Contents

Sportphysio 2013; 01(01): 9-15
DOI: 10.1055/s-0033-1358575

Sportphysio Focus

Knorpel und Sport

Georg Thieme Verlag KG Stuttgart · New York

Einführung - Diagnostik und operative Therapie von Gelenkknorpelschäden

Authors

Matthias Reinhard Steinwachs

¹Schulthess Klinik, Lengghalde 2, CH-8008 Zürich, Phone: +41443857490
Ute Guhlke-Steinwachs
Marcus Mumme

Abstract

Zusammenfassung

Return to Sport Nach der Diagnose Knorpelschaden im Kniegelenk fürchten viele Sportler, ihren Sport nicht mehr oder nur noch reduziert ausüben zu können. Wie eine exakte Diagnostik, neue OP-Techniken und der richtige Zeitpunkt für Abhilfe sorgen, weiß Matthias Steinwachs, der Züricher FIFA-Experte für Knorpelverletzungen und -regeneration.

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References

Literatur
1 Anderer U, Libera J. In vitro engineering of human autogenous cartilage. J Bone Miner Res 2002; 1420-1429
2 Behrens P. Matrixgekoppelte Mikrofrakturierung. Arthroskopie 2005; 18: 193-197
3 Brittberg M, Lindahl A, Nilsson A et al. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 1994; 331: 889-895
4 Buckwalter JA, Mankin HJ, Grodzinsky AJ. Articular cartilage and osteoarthritis. Instr Course Lect 2005; 54: 465-80
5 Dorotka R, Bindreiter U, Macfelda K et al. Marrow stimulation and chondrocyte transplantation using a collagen matrix for cartilage repair. Osteoarthritis Cartilage 2005; 13 (8) 655-64
6 Fuller JA, Ghadially FN. Ultrastructural observations on surgically produced partial-thickness defects in articular cartilage. Clin Orthop 1972; 86: 193-205
7 Gille J, Schuseil E, Wimmer J et al. Mid-term results of Autologous Matrix-Induced Chondrogenesis for treatment of focal cartilage defects in the knee. Knee Surg Sports Traumatol Arthrosc 2010; 1456-64
8 Grande DA, Pitman MI, Peterson L et al. The repair of experimentally produced defects in rabbit articular cartilage by autologous chondrocyte transplantation. J Orthop Res 1989; 7 (2) 208-218
9 Hunziker EB. Articular cartilage structure in humans and experimental animals. In: Kuettner KE, Schleyerbach R, Peyron JG, et al. eds. Articular Cartilage and Osteoarthritis. New York: Raven Press; 1992
10 IKDC-Score. International Cartilage Repair Society ICRS-Newsletter 1999
11 Jeffery AK, Blunn GW, Archer CW et al. Three dimensional collagen architecture in bovine articular cartilage. J Bone Joint Surg Br 1991; 73: 795-801
12 Kim HK, Moran ME, Salter RB. The potential for regeneration of articular cartilage in defects created by chondral shaving and subchondral abrasion. An experimental investigation in rabbits. J Bone Joint Surg Am 1991; 73 (9) 1301-15
13 Knutsen G, Drogset JO, Engebretsen L et al. A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am 2007; 89 (10) 2105-12
14 Kreuz PC, Erggelet C, Steinwachs MR et al. Is microfracture of chondral defects in the knee associated with different results in patients aged 40 years or younger?. Arthroscopy 2006; 22 (11) 1180-6
15 Kreuz PC, Steinwachs MR, Erggelet C et al. Results after microfracture of full-thickness chondral defects in different compartments in the knee. Osteoarthritis Cartilage 2006; 14 (11) 1119-25
16 Leunig M, Tibor LM, Naal FD et al. Surgical technique: Second-generation bone marrow stimulation via surgical dislocation to treat hip cartilage lesions. Clin Orthop Relat Res 2012; 470 (12) 3421-31
17 Mankin HJ. The response of articular cartilage to mechanical injury. J Bone Joint Surg 1982; 64A: 460-466
18 Mankin HJ. The response of articular cartilage to mechanical injury. J Bone Joint Surg 1982; 64A: 460-466
19 Meyer U, Wiesmann HP, Libera J et al. Cartilage defect regeneration by ex vivo engineered autologous microtissue-preliminary results. In Vivo 2012; Mar-Apr 26 (2) 251-7
20 Mithoefer K, McAdams T, Williams RJ et al. Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. Am J Sports Med 2009; 37 (10) 2053-63
21 Moseley JB. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 2002; 347: 81-88
22 Mow VC, Proctor CS, Kelly MA. Biomechanics of articular cartilage. In: Nordin M, Frankel VH, eds. Basic biomechanics of the musculo-skeletal system. Ed 2.. Philadelphia: PA Lea & Febinger; 1989
23 Niemeyer P, Andereya S, Angele P et al. Autologous chondrocyte implantation (ACI) for cartilage defects of the knee: a guideline by the working group „Tissue Regeneration“ of the German Society of Orthopaedic Surgery and Traumatology (DGOU). Z Orthop Unfall 2013; Feb 151 (1) 38-47
24 Niemeyer P, Pestka JM, Kreuz PC et al. Characteristic complications after autologous chondrocyte implantation for cartilage defects of the knee joint. Am J Sports Med 2008; 2091-2099
25 Niemeyer P, Salzmann G, Steinwachs M et al. Presence of subchondral bone marrow edema at the time of treatment represents a negative prognostic factor for early outcome after autologous chondrocyte implantation. Arch Orthop Trauma Surg 2010; 977-83
26 Outerbridge RE. The etiology of chondromalacia patellae. J.Bone Jt.Surg 1961; B-43: 752-757
27 Peterson L, Vasiliadis HS, Brittberg M et al. Autologous chondrocyte implantation: a long-term follow-up. Am J Sports Med 2010; 38: 1117-1124
28 Recht MP, Resnick D. Magnetic resonance imaging of articular cartilage: an overview. Top Magn Reson Imaging 1998; 9 (6) 328-36
29 Roemer FW, Crema MD, Trattnig S et al. Advances in imaging of osteoarthritis and cartilage. Radiology 2011; Aug 260 (2) 332-54
30 Saris DB, Vanlauwe J, Victor J et al. Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. AJSM 2009; 37 Suppl 1 10S-19S
31 Saris DB, Vanlauwe J, Victor J et al. Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. AJSM 2009; 37 Suppl 1 10S-19S
32 Sellam J, Berenbaum F. The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis. Nat Rev Rheumatol 2010; Nov 6 (11) 625-35
33 Shapiro F, Koide S, Glimcher MJ. Cell origin and differentiation in the repair of full-thickness defects of articular cartilage. J Bone Joint Surg (A) 1993; 75 (4) 532-53
34 Sokolove J, Lepus CM. Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretations. Ther Adv Musculoskelet Dis 2013; Apr 5 (2) 77-94
35 Sprague NF 3rd. Arthroscopic debridement for regeneration knee joint disease. Clin Orthop 1981; 160: 118-23
36 Sprague NF 3rd. Arthroscopic debridement for regeneration knee joint disease. Clin Orthop 1981; 160: 118-23
37 Steadman JR, Rodkey WG, Briggs KK. Microfracture to treat full-thickness chondral defects: surgical technique, rehabilitation and outcomes. J Knee Surg 2002; 15 (3) 170-176
38 Steinwachs M, Kreuz PC. Autologous chondrocyte implantation in chondral defects of the knee with a type I/III collagen membrane: a prospective study with a 3-year follow-up. Arthroscopy 2007; 23 (4) 381-387
39 Steinwachs MR. Grundlagen der Arthrose-Entwicklung. In: Jerosch J, Heisel J, Hrsg. Management der Arthrose. Köln: Dt. Ärzteverlag; 2010
40 Steinwachs MR, Engebretsen L, Brophy RH. Scientific Evidence Base for Cartilage Injury and Repair in the Athlete. Cartilage January 2012; 3: 11S-17S
41 Steinwachs MR, Erggelet C, Lahm A et al. Clinical and cell biology aspects of autologous chondrocytes transplantation. Unfallchirurg 1999; 102 (11) 855-60
42 Steinwachs MR, Guggi T, Kreuz PC. Marrow stimulation Technique. Injury 2008; 39S1: 26-31
43 Steinwachs MR, Kreuz PC, Krause S et al. Klinische Ergebnisse nach Mikrofrakturierung bei der Behandlung von Gelenkknorpeldefekten. Sportortho & Sporttrauma 2003; 19: 291-294
44 Steinwachs MR, Waibl B, Niemeyer P et al. Use of human progenitor cells in the treatment of cartilage damage. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2011; 54 (7) 797-802
45 Valderrabano V, Miska M, Leumann A et al. Reconstruction of osteochondral lesions of the talus with autologous spongiosa grafts and autologous matrix-induced chondrogenesis. Am J Sports Med 2013; Mar 41 (3) 519-27
46 Vasara AI, Nieminen MT, Jurvelin JS et al. Indentation stiffness of repair tissue after autologous chondrocyte transplantationXXX. Clin Orthop Relat Res 2005; 433: 233-42
47 Welsch GH, Mamisch TC, Zak L et al. Morphological and biochemical T2 evaluation of cartilage repair tissue based on a hybrid double echo at steady state (DESS-T2d) approach. J Magn Reson Imaging 2011; Oct 34 (4) 895-903