Feb 13

Opciones quirúrgicas ortopédicas para la reparación y restauración del cartílago articular

Orthopedic Surgical Options for Joint Cartilage Repair and Restoration


Este artículo es originalmente publicado en:




Ruta DJ1, Villarreal AD2, Richardson DR2.


Todos los derechos reservados para:


Copyright © 2016 Elsevier Inc. All rights reserved.




The limited natural capacity for articular cartilage to regenerate has led to a continuously broadening array of surgical interventions. Used once patients’ symptoms are not relieved by nonoperative management, these share the goals of joint preservation and restoration. Techniques include bone marrow stimulation, whole-tissue transplantation, and cell-based strategies, each with its own variations. Many of these interventions are performed arthroscopically or with extended-portal techniques. Indications, operative techniques, unique benefits, and limitations are presented.



La limitada capacidad natural para el cartílago articular para regenerarse ha llevado a una amplia gama de intervenciones quirúrgicas. Usados una vez que los síntomas de los pacientes no son aliviados por el manejo no quirúrgico, estos comparten las metas de preservación y restauración articular. Las técnicas incluyen la estimulación de la médula ósea, el trasplante de tejido entero y las estrategias basadas en células, cada una con sus propias variaciones. Muchas de estas intervenciones se realizan artroscópicamente o con técnicas de portal extendido. Se presentan indicaciones, técnicas operativas, beneficios únicos y limitaciones.

Aloinjerto; Cartílago articular; Autoinjerto; Implantación de condrocitos autólogos (ACI); Partículas juveniles; Microfractura; OAT; Osteocondral



Allograft; Articular cartilage; Autograft; Autologous chondrocyte implantation (ACI); Juvenile particulated; Microfracture; OAT; Osteochondral

PMID: 27788899  DOI:   10.1016/j.pmr.2016.06.007
[PubMed – in process]


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