[Combinations of different cartilage resurfacing techniques].
OBJECTIVE
The aim of this work was to control the results after simultaneous use of different modern resurfacing techniques.


METHODS
We examined the patients who were subjected to different cartilage repair methods using the ICRS score (anterograde drilling, autologous chondrocytes transplantation, OATS, refixation with resorbable pins, spongious bone grafting, HTO).


RESULTS
In two cases the combination of different cartilage regenerative methods in a one-step technique produced a good reconstruction of the joint surface with good clinical outcome. With the implantation of carbon plaques, osteolysis of the spongious bone in combination with an incomplete defect filling can be observed. The therapy must be individual and take the clinical, radiological and intraoperative findings into consideration.


CONCLUSIONS
The combination of different resurfacing techniques may have success only if the biomechanical properties of the joint with axial malpositioning and ligament instabilities are considered and treated as well. New prospects are offered particularly for young patients with extensive cartilage damage and without other therapeutic options.
Steinwachs
M R
MR
Klinik für Orthopädie, Department für Orthopädie und Traumatologie, Universitätskliniken Freiburg.
Kreuz
P C
PC
D000328:Adult; D017760:Bone Malalignment / Q000473:pathology / Q000601:surgery; D001858:Bone Nails; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation*; D002358:Cartilage, Articular / Q000473:pathology / Q000601:surgery*; D019902:Chondrocytes / Q000637:transplantation*; D003131:Combined Modality Therapy; D005260:Female; D005269:Femur / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000473:pathology / Q000601:surgery*; D008297:Male; D008592:Menisci, Tibial / Q000473:pathology / Q000601:surgery; D010008:Osteochondritis Dissecans / Q000473:pathology / Q000601:surgery; D010027:Osteotomy; D013977:Tibia / Q000473:pathology / Q000601:surgery; D000070600:Tibial Meniscus Injuries