自体软骨膜、骨膜游离移植修复软骨缺损治疗骨性关节炎

目的：评价自体软骨膜或骨膜游离移植术修复膝关节大面积软骨缺损，治疗膝关节骨性关节炎的疗效。方法：将髌骨及股骨髁，胫骨平台病损软骨清除，游离移植软骨或骨膜修复软骨缺损，治疗骨性关节炎124例，术后不需外固定，4天后持续被动关节活动器作持续动活动。2周后下床活动，结果：术后平均随访6年，治疗效果满意。结论：采用自体软骨膜，骨膜游离移植修复大面积软骨缺损，治疗骨性关节炎，可取得满意效果。

Treatment of osteoarthritis through repairing cartilage lesion by free auto perichondral and periosteal grafting

Objective To estimate effect of the grafts of free auto perichondrium or periosteum in repairing large areas cartilage lesion and treating osteoarthritis in knee. Methods After clearing damaged cartilage of patella, femoral condyle and tibial plateau, free auto perichondral or periosteal were planted to repair damaged cartilage and treat 124 cases of osteoarthritis. The knee joints were not fixed after resection. 4 days postoperatively the knee joints continued passive motion. 2 weeks later the patients were asked to walk. Results The patients were followed up for 6 years after operation. The results were satisfactory. Conclusion Free auto perichondral or periosteal grafting can repair large areas articular cartilage defect and treat osteoarthritis and achieve satisfactory effects.