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Erschienen in: Trauma und Berufskrankheit 3/2014

01.09.2014 | Leitthema

Osteochondrose des Talus

Wann ist sie behandlungsbedürftig?

verfasst von: Dr. D. Hensler, J. Gabel, A. Imhoff, V. Bühren

Erschienen in: Trauma und Berufskrankheit | Ausgabe 3/2014

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Zusammenfassung

Hintergrund

Die osteochondrale Läsion (OCL) ist eine häufig diagnostizierte Läsion und beeinflusst die Lebensqualität des Patienten. Zudem kann die Läsion, bedingt durch die fehlende Kongruenz des Gelenkknorpels in fortgeschrittenen Stadien sowie die fehlenden Regenerationsfähigkeit des hyalinen Knorpels, zu einer frühzeitigen Arthrose führen. Daher besteht häufig die Notwendigkeit einer operativen Therapie. Konservative Behandlungsoptionen sind lediglich in frühen Stadien der OCL erfolgversprechend.

Therapie

Zu den operativen Therapieoptionen zählen neben den stammzellrekrutierenden Verfahren die Knochen-Knorpel-Transplantation sowie die autologe Chrondrozytentransplantation. Die Knochen-Knorpel-Transplantation ist das einzige Verfahren, das den Defekt mit hyalinem, vitalem Knorpel deckt. Hierbei ist die Entnahmemorbidität zu beachten, ebenso der Body-Mass-Index des Patienten. Stammzellrekrutierende Verfahren wie auch die autologe Chondrozytentransplantation führen häufig zu faserknorpeligem, funktionell minderwertigem Gewebe.
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Metadaten
Titel
Osteochondrose des Talus
Wann ist sie behandlungsbedürftig?
verfasst von
Dr. D. Hensler
J. Gabel
A. Imhoff
V. Bühren
Publikationsdatum
01.09.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Trauma und Berufskrankheit / Ausgabe 3/2014
Print ISSN: 1436-6274
Elektronische ISSN: 1436-6282
DOI
https://doi.org/10.1007/s10039-014-2132-0

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