Nachbehandlung nach Knorpeltherapie am Kniegelenk – eine Empfehlung der AG Klinische Geweberegeneration der DGOU

Zusammenfassung

Die erste Nachbehandlungsempfehlung der AG Klinische Geweberegeneration der DGOU stammt aus dem Jahr 2012. Neue wissenschaftliche Evidenz und veränderte Rahmenbedingungen machten eine Aktualisierung der Nachbehandlungsempfehlungen nach Knorpeltherapie erforderlich.

Im Rahmen einer mehrstufigen Mitgliederbefragung wurde ein Konsensus erzielt, der gemeinsam mit der wissenschaftlichen Evidenz die Basis für die vorliegende Nachbehandlungsempfehlung gibt.

Das maßgebliche Kriterium für die Nachbehandlung ist weiterhin die Defektlokalisation. Dabei wird zwischen femorotibialen und patellofemoralen Defekten unterschieden. Zudem werden nun auch weiterführende Kriterien bez. der Knorpeldefekte berücksichtigt (stabiler Knorpelrand, Lage außerhalb der Hauptbelastungszone) und auf die unterschiedlichen Verfahren der Knorpeltherapie (z. B. osteochondrale Transplantation, Minced Cartilage) eingegangen.

Die vorliegende aktualisierte Nachbehandlungsempfehlung beinhaltet unterschiedliche Aspekte der Nachbehandlung, beginnend vom frühen perioperativen Management bis zur Sportfreigabe und Wiederaufnahme von Kontaktsport nach erfolgter Knorpeltherapie.

Schlüsselwörter

Nachbehandlung - Knorpeltherapie - Knie - Rehabilitation

• References

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