Atualização no diagnóstico e tratamento das lesões condrais do joelho

摘要: The treatment of chondral knee injuries remains a challenge for the orthopedic surgeon, mainly owing to characteristics cartilage tissue, which promote low potential regeneration. Chondral lesions can be caused by metabolic stimulation, or genetic, vascular and traumatic events, are classified according size thickness affected cartilage. Clinical diagnosis difficult, especially due insidious symptoms. Additional tests, as Magnetic Resonance Imaging (MRI), may needed. these usually starts with non-operative management. Surgery should reserved patients detached fragments, blocked range motion, failure treatment. surgical techniques used partial defects Debridement Ablation. These aim improve symptoms, since they do not restore normal structure function For full-thickness (osteochondral lesion), available treatments Abrasion, Drilling, Microfracture, Osteochondral Autologous Allogeneic Transplantation, biological such use Chondrocyte Minced Cartilage stem cells.