Long-term clinical observation on the repair of large articular cartilage defects of the hip and the knee with free autogeneous periosteum

• Published in: Zhongguo xiu fu chong jian wai ke za zhi Vol. 18; no. 1; p. 8
• Main Authors: Yang, Gui-yong, Lu, Shi-bi, Wang, Ji-fang
• Format: Journal Article
• Language: Chinese
• Published: China 01.01.2004
• Subjects: Adolescent; Adult; Cartilage, Articular - injuries; Cartilage, Articular - surgery; Child; Female; Follow-Up Studies; Hip Joint - surgery; Humans; Knee Joint - surgery; Male; Middle Aged; Periosteum - transplantation; Reconstructive Surgical Procedures; Transplantation, Autologous
• ISSN: 1002-1892

To observe the long-term clinical results of repairing large articular cartilage defects of the hip and the knee with free autogeneous periosteum. Based on the results of experimental studies, the authors used free autogeneous periosteum transplantation and postoperative continuous passive motion (CPM) to repair large articular cartilaginous defects in 52 patients from February 1987 to August 1995. Of 37 patients with complete follow-up data, 16 had congenital dislocation of the hip, 6 traumatic arthritis of hip, 1 femoral head destruction following mild infection, 2 ankylosing spondylitis, 6 intra-articular fracture of the knee, 4 arthritis of the knee and 2 stiff knee following joint infection. The patients with dislocation of hip were given relieving traction before operation. The cartilages of pathological changes were excised to bleeding bone. The defects were repaired with periosteum removing from tibia. CPM were immediately applied for 4-6 weeks and no bearing was allowed 6 months after discharge. The