Resumo

ALVAREZ LOPEZ, Alejandro; GARCIA LORENZO, Yenima; LOPEZ LASTRE, Guadalupe  e  LOPEZ LASTRE, Mercedes. Lesions of the cartilage of the knee. AMC [online]. 2013, vol.17, n.1, pp. 103-113. ISSN 1025-0255.

Background: lesions of the cartilage of the knee cause pain and progressive loss of the functional capacity of the joint. The treatment for the disease is difficult because of the poor biological capacity of cartilages to heal. Development: we looked through more than 300 articles related to the topic, 44 of which are from the last five years. Aspects related to the common characteristics of the patients that have lesions of the cartilage were discussed, and how to decide and suggest the different treatments according to the common factors of the lesion and of the patient as well. Techniques such as: arthroscopic debridement, autologous transplantation of chondrocytes associated to scaffolds and synthetic arrays were tackled. In each case, the advantages and disadvantages were analyzed, as well as the specific indications to each procedure based on reports from the international literature. Conclusions: the treatment of patients with lesions of the cartilage of the knee depends on some factors that combine those related to the common characteristics of the patient and the training of the doctor.  Timely and effective operation in patients with the disease reduces the symptoms and the need to use more complex surgical techniques.

Palavras-chave : CARTILAGE DISEASES; KNEE INJURIES [therapy]; SURGICAL PROCEDURES; OPERATIVE; DEBRIDEMENT; REVIEW LITERATURE AS TOPIC.

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