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2015 ; 8
(4
): 451-6
Nephropedia Template TP
Curr Rev Musculoskelet Med
2015[Dec]; 8
(4
): 451-6
PMID26411978
show ga
Painful chondral defects of the knee are very difficult problems. The incidence
of these lesions in the general population is not known since there is likely a
high rate of asymptomatic lesions. The rate of lesions found during arthroscopic
exam is highly variable, with reports ranging from 11 to 72 % Aroen (Aroen Am J
Sports Med 32: 211-5, 2004); Curl(Arthroscopy13: 456-60, 1997);
Figueroa(Arthroscopy 23(3):312-5, 2007;); Hjelle(Arthroscopy 18: 730-4, 2002).
Examples of current attempts at cartilage restoration include marrow stimulating
techniques, ostochondral autografts, osteochondral allografts, and autologous
chondrocyte transplantation. Current research in marrow stimulating techniques
has been focused on enhancing and guiding the biology of microfracture and other
traditional techniques. Modern advances in stem cell biology and biotechnology
have provided many avenues for exploration. The purpose of this work is to review
current techniques in marrow stimulating techniques as it relates to chondral
damage of the knee.