Therapie patellofemoraler Knorpelschäden

Zusammenfassung

Patellofemorale Knorpeldefekte sind eine mittlerweile sehr häufige Entität und oft Ursache des vorderen Knieschmerzes beim Sportler. Diese können nach akutem Trauma, insbesondere in Verbindung mit einer Patellaluxation, entstehen. Nichttraumatische Knorpelläsionen sind häufig Folge bestehender Grundpathologien des Patellofemoralgelenks, die jedoch insbesondere bei retropatellaren Knorpeldefekten häufig erst spät symptomatisch werden. Zur Therapie dieser Läsionen steht eine Vielzahl von regenerativen Knorpeltherapieverfahren zur Verfügung. Der Outcome nach Versorgung patellofemoraler Knorpeldefekte ist jedoch den Ergebnissen des Tibiofemoralgelenks oft unterlegen. Von entscheidender Bedeutung für den Therapierfolg ist neben der Wahl der optimalen Knorpelintervention die adäquate Adressierung der Begleitpathologie. In dieser Übersichtsarbeit werden die verschiedenen Techniken der patellofemoralen Knorpeltherapie gegenübergestellt.

Abstract

Anterior knee pain is a frequent symptom in young athletes. Symptomatic patellofemoral cartilage defects can occur after trauma, especially after patellar dislocation. Numerous cartilage repair methods are currently available. Due to co-pathologies, the outcome after patellofemoral cartilage repair is inferior to the treatment of cartilage defects of the tibiofemoral joint. Adequate addressing of coexisting pathologies is essential for treatment success. This review provides an overview of the different techniques of patellofemoral cartilage repair.

Schlüsselwörter

patellofemorales Gelenk - Knorpeldefekt - Knorpeltherapie - Knorpelregeneration

Key words

patellofemoral joint - cartilage defect - cartilage repair - cartilage regeneration

Publication History

Article published online:
02 September 2021

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