全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2018 

膝关节自体软骨细胞移植术后康复的研究进展

DOI: doi:10.7507/1002-1892.201801034

Keywords: 膝关节, 软骨缺损, 软骨修复, 自体软骨细胞移植术, 康复

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的 总结膝关节自体软骨细胞移植术(autologous chondrocyte implantation,ACI)术后康复的研究进展。 方法 查阅近年来国内外 ACI 术后康复相关的基础及临床研究,并进行总结分析。 结果 研究表明,ACI 术后移植物成熟分为 4 个阶段:增生期(术后 0~6 周)、过渡期(术后 6~12 周)、重塑期(术后 12~26 周)、成熟期(术后 26 周~2 年)。为了避免早期移植物损伤,适当刺激移植物和骨骼的整合过程,更快恢复关节功能,临床需针对术后不同阶段移植物的生物力学特性设计康复锻炼方案,主要体现在术后负重、运动范围、康复训练方式的过渡和调整。 结论 膝关节 ACI 术后应科学地逐步增加负重和运动范围,在不同阶段可借助相应的康复锻炼手段。但目前相关研究的证据等级较低,仍需更高质量、更大样本量的随机对照试验,进一步探讨完善康复方案

References

[1]  1. Welch T, Mandelbaum B, Tom M. Autologous chondrocyte implantation: Past, Present, and Future. Sports Med Arthrosc, 2016, 24(2): 85-91.
[2]  25. Yazdi H, Mallakzadeh M, Sadat Farshidfar S, et al. The effect of tibial rotation on knee medial and lateral compartment contact pressure. Knee Surg Sports Traumatol Arthrosc, 2016, 24(1): 79-83.
[3]  30. Knapik DM, Harris JD, Pangrazzi G, et al. The basic science of continuous passive motion in promoting knee health: a systematic review of studies in a rabbit model. J Arthroscopic and Related Surgery, 2013, 29(10): 1722-1731.
[4]  38. Yamaguchi S, Aoyama T, Ito A, et al. The effect of exercise on the early stages of mesenchymal stromal cell-induced cartilage repair in a rat osteochondral defect model. PLoS One, 2016, 11(3): e0151580.
[5]  39. Wondrasch B, Risberg MA, Zak L, et al. Effect of accelerated weightbearing after matrix-associated autologous chondrocyte implantation on the femoral condyle: a prospective, randomized controlled study presenting MRI-based and clinical outcomes after 5 years. Am J Sports Med, 2015, 43(1): 146-153.
[6]  41. Fremerey RW, Lobenhoffer P, Zeichen J, et al. Proprioception after rehabilitation and reconstruction in knees with deficiency of the anterior cruciate ligament: a prospective, longitudinal study. J Bone Joint Surg (Br), 2000, 82(6): 801-806.
[7]  47. Henkelmann R, Schneider S, Muller D, et al. Outcome of patients after lower limb fracture with partial weight bearing postoperatively treated with or without anti-gravity treadmill (alter G?) during six weeks of rehabilitation-a protocol of a prospective randomized trial. BMC Musculoskeletal Disorders, 2017, 18(1): 104.
[8]  48. Hambly K, Poomsalood S, Mundy E. Return to running following knee osteochondral repair using an anti-gravity treadmill: a case report. Phys Ther Sport, 2017, 26: 35-40.
[9]  3. Ebert JR, Smith A, Edwards PK, et al. Factors predictive of outcome 5 years after matrix-induced autologous chondrocyte implantation in the tibiofemoral joint. Am J Sports Med, 2013, 41(6): 1245-1254.
[10]  5. Theodoropoulos JS, DeCroos AJN, Petrera M, et al. Mechanical stimulation enhances integration in an in vitro model of cartilage repair. Knee Surg Sports Traumatol Arthrosc, 2016, 24(6): 2055-2064.
[11]  10. Breinan HA, Minas T, Barone L, et al. Histological evaluation of the course of healing of canine articular cartilage defects treated with cultured sutologous chondrocytes. Tissue Engineering, 1998, 4(1): 101-113.
[12]  11. Hirschmüller A, Baur H, Braun S, et al. Rehabilitation after autologous chondrocyte implantation for isolated cartilage defects of the knee. Am J Sports Med, 2011, 39(12): 2686-2696.
[13]  12. Xu L, Li Z, Lei L, et al. Spatial and temporal changes of subchondral bone proceed to articular cartilage degeneration in rats subjected to knee immobilization. Microsc Res Tech, 2016, 79(3): 209-218.
[14]  13. Ni GX, Zhou YZ, Chen W, et al. Different responses of articular cartilage to strenuous running and joint immobilization. Connect Tissue Res, 2016, 57(2): 143-151.
[15]  14. Nagai M, Aoyama T, Ito A, et al. Alteration of cartilage surface collagen fibers differs locally after immobilization of knee joints in rats. J Anat, 2015, 226(5): 447-457.
[16]  15. Campbell TM, Reilly K, Laneuville O, et al. Bone replaces articular cartilage in the rat knee joint after prolonged immobilization. Bone, 2017, 106: 42-51.
[17]  26. Toonstra JL, Howell D, English RA, et al. Patient experiences of recovery after autologous chondrocyte implantation: a qualitative study. J Athl Train, 2016, 51(12): 1028-1036.
[18]  27. Matassi F, Duerinckx J, Vandenneucker H, et al. Range of motion after total knee arthroplasty: the effect of a preoperative home exercise program. Knee Surg Sports Traumatol Arthrosc, 2014, 22(3): 703-709.
[19]  28. Grindem H, Granan LP, Risberg MA, et al. How does a combined preoperative and postoperative rehabilitation programme influence the outcome of ACL reconstruction 2 years after surgery? A comparison between patients in the Delaware-Oslo ACL Cohort and the Norwegian National Knee Ligament Registry. Br J Sports Med, 2015, 49(6): 385-389.
[20]  31. Hambly K, Silvers HJ, Steinwachs M. Rehabilitation after articular cartilage repair of the knee in the football (soccer) player. Cartilage, 2011, 3(1_suppl): 50S-56S.
[21]  32. Ebert JR, Fallon M, Wood DJ, et al. A prospective clinical and radiological evaluation at 5 years after arthroscopic matrix-induced autologous chondrocyte implantation. Am J Sports Med, 2017, 45(1): 59-69.
[22]  33. Nagase H, Kashiwagi M. Aggrecanases and cartilage matrix degradation. Arthritis Res Ther, 2003, 5(2): 94-103.
[23]  36. Sophie H, Jodie McClelland P, Benjamin M, et al. Effectiveness of aquatic exercise in improving lower limb strength in musculoskeletal conditions: a systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 2017, 98(1): 173-186.
[24]  2. Hinckel BB, Gomoll AH. Autologous chondrocytes and next-generation matrix-based autologous chondrocyte implantation. Clin Sports Med, 2017, 36(3): 525-548.
[25]  4. Edwards PK, Ackland TR, Ebert JR. Accelerated weightbearing rehabilitation after matrix-induced autologous chondrocyte implantation in the tibiofemoral joint. Am J Sports Med, 2013, 41(10): 2314-2324.
[26]  6. Vaca-Gonzalez JJ, Guevara JM, Moncayo MA, et al. Biophysical stimuli: A review of electrical and mechanical stimulation in hyaline cartilage. Cartilage, 2017. [Epub ahead of print].
[27]  7. Niethammer TR, Safi E, Ficklscherer A, et al. Graft maturation of autologous chondrocyte implantation: magnetic resonance investigation with T2 mapping. Am J Sports Med, 2014, 42(9): 2199-2204.
[28]  8. Elder SH, Kimura JH, Soslowsky LJ, et al. Effect of compressive loading on chondrocyte differentiation in agarose cultures of chick limb-bud cells. J Orthop Res, 2000, 18(1): 78-86.
[29]  9. Edwards PK, Ackland T, Ebert JR. Clinical rehabilitation guidelines for matrix-induced autologous chondrocyte implantation on the tibiofemoral joint. J Orthop Sports Phys Ther, 2014, 44(2): 102-119.
[30]  16. Nomura M, Sakitani N, Iwasawa H, et al. Thinning of articular cartilage after joint unloading or immobilization. An experimental investigation of the pathogenesis in mice. Osteoarthritis and Cartilage, 2017, 25(5): 727-736.
[31]  17. Nagai M, Ito A, Tajino J, et al. Remobilization causes site-specific cyst formation in immobilization-induced knee cartilage degeneration in an immobilized rat model. J Anat, 2016, 228(6): 929-939.
[32]  18. Dewan AK, Gibson MA, Elisseeff JH, et al. Evolution of autologous chondrocyte repair and comparison to other cartilage repair techniques. BioMed Research International, 2014, 2014(4): 1-11.
[33]  19. Minas T, Peterson L. Advanced techniques in autologous chondrocyte transplantation. Clin Sports Med, 1999, 18(1): 13-44.
[34]  20. Robertson WB, Fick D, Wood DJ, et al. MRI and clinical evaluation of collagen-covered autologous chondrocyte implantation (CACI) at two years. The Knee, 2007, 14(2): 117-127.
[35]  21. Ebert JR, Fallon M, Robertson WB, et al. Radiological assessment of accelerated versus traditional approaches to postoperative rehabilitation following matrix-induced autologous chondrocyte implantation. Cartilage, 2010, 2(1): 60-72.
[36]  22. Ebert JR, Edwards PK, Fallon M, et al. Two-year outcomes of a randomized trial investigating a 6-week return to full weightbearing after matrix-induced autologous chondrocyte implantation. Am J Sports Med, 2017, 45(4): 838-848.
[37]  23. Werner BC, Cosgrove CT, Gilmore CJ, et al. Accelerated return to sport after osteochondral autograft plug transfer. Orthop J Sports Med, 2017, 5(4): 2325967117702418.
[38]  24. Freedman BR, Sheehan FT, Lerner AL. MRI-based analysis of patellofemoral cartilage contact, thickness, and alignment in extension, and during moderate and deep flexion. The Knee, 2015, 22(5): 405-410.
[39]  29. Brandt KD. Response of joint structures to inactivity and to reloading after immobilization. Arthritis & Rheumatism, 2003, 49(2): 267-271.
[40]  34. Takahashi I, Matsuzaki T, Yoshida S, et al. Differences in cartilage repair between loading and unloading environments in the rat knee. J Jpn Phys Ther Assoc, 2014, 17(1): 22-30.
[41]  35. Farr J, Jaggers R, Lewis H, et al. Evidence-based approach of treatment options for postoperative knee pain. Phys Sportsmed, 2014, 42(2): 58-70.
[42]  37. Callaghan MJ, Guney H, Reeves ND, et al. A knee brace alters patella position in patellofemoral osteoarthritis: a study using weight bearing magnetic resonance imaging. Osteoarthritis Cartilage, 2016, 24(12): 2055-2060.
[43]  40. Demange MK, Helito CP, Helito PV, et al. Effect of muscle contractions on cartilage: morphological and functional magnetic resonance imaging evaluation of the knee after spinal cord injury. Rev Bras Ortop, 2016, 51(5): 541-546.
[44]  42. Wang M, Yuan Z, Ma N, et al. Advances and prospects in stem cells for cartilage regeneration. Stem Cells International, 2017, 2017: 1-16.
[45]  43. Mourcou Q, Fleury A, Diot B, et al. iProprio: a smartphone-based system to measure and improve proprioceptive function. Conf Proc IEEE Eng Med Biol Soc, 2016, 2016: 2622-2625.
[46]  44. Wang P, Liu C, Yang X, et al. Effects of low-level laser therapy on joint pain, synovitis, anabolic, and catabolic factors in a progressive osteoarthritis rabbit model. Lasers Med Sci, 2014, 29(6): 1875-1885.
[47]  45. Tuna S, Balci N, ?z?akar L. The relationship between femoral cartilage thickness and muscle strength in knee osteoarthritis. Clin Rheumatol, 2016, 35(8): 2073-2077.
[48]  46. Cooke MB, Nix C, Greenwood L, et al. No differences between alter G-trainer and active and passive recovery strategies on isokinetic strength, systemic oxidative stress and perceived muscle soreness after exercise-induced muscle damage. J Strength Cond Res, 2018, 32(3): 736-747.
[49]  49. Iijima H, Aoyama T, Ito A, et al. Effects of short-term gentle treadmill walking on subchondral bone in a rat model of instability-induced osteoarthritis. Osteoarthritis and Cartilage, 2015, 23(9): 1563-1574.
[50]  50. Bailey AK, Minshull C, Richardson J, et al. Improvement of outcomes with nonconcurrent strength and cardiovascular-endurance rehabilitation conditioning after ACI surgery to the knee. J Sport Rehabil, 2014, 23(3): 235-243.
[51]  51. Thoma LM, Flanigan DC, Chaudhari AM, et al. Quadriceps femoris strength and sagittal-plane knee biomechanics during stair ascent in individuals with articular cartilage defects in the knee. Journal of Sport Rehabilitation, 2014, 23(3): 259-269.
[52]  52. Ebert JR, Smith A, Edwards PK, et al. The progression of isokinetic knee strength after matrix-induced autologous chondrocyte implantation: implications for rehabilitation and return to activity. J Sport Rehabil, 2014, 23(3): 244-258.
[53]  53. Knarr BA, Higginson JS, Zeni JA. Change in knee contact force with simulated change in body weight. Comput Methods Biomech Biomed Engin, 2016, 19(3): 320-323.
[54]  54. Niethammer TR, Müller PE, Safi E, et al. Early resumption of physical activities leads to inferior clinical outcomes after matrix-based autologous chondrocyte implantation in the knee. Knee Surg Sports Traumatol Arthrosc, 2014, 22(6): 1345-1352.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133