Academic Journal

Subchondral bone: An emerging target for the treatment of articular surface lesions of the knee

التفاصيل البيبلوغرافية
العنوان: Subchondral bone: An emerging target for the treatment of articular surface lesions of the knee
المؤلفون: Alessandro Sangiorgio, Luca Andriolo, Wayne Gersoff, Elizaveta Kon, Norimasa Nakamura, Stefan Nehrer, Francesca Vannini, Giuseppe Filardo
المصدر: Journal of Experimental Orthopaedics, Vol 11, Iss 3, Pp n/a-n/a (2024)
بيانات النشر: Wiley, 2024.
سنة النشر: 2024
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: allograft, articular surface lesion, cartilage, subchondral bone, surgery, Orthopedic surgery, RD701-811
الوصف: Abstract Purpose When dealing with the health status of the knee articular surface, the entire osteochondral unit has gained increasing attention, and in particular the subchondral bone, which plays a key role in the integrity of the osteochondral unit. The aim of this article was to discuss the current evidence on the role of the subchondral bone. Methods Experts from different geographical regions were involved in performing a review on highly discussed topics about the subchondral bone, ranging from its etiopathogenetic role in joint degeneration processes to its prognostic role in chondral and osteochondral defects, up to treatment strategies to address both the subchondral bone and the articular surface. Discussion Subchondral bone has a central role both from an aetiologic point of view and as a diagnostic tool, and its status was found to be relevant also as a prognostic factor in the follow‐up of chondral treatment. Finally, the recognition of its importance in the natural history of these lesions led to consider subchondral bone as a treatment target, with the development of osteochondral scaffolds and procedures to specifically address osteochondral lesions. Conclusion Subchondral bone plays a central role in articular surface lesions from different points of view. Several aspects still need to be understood, but a growing interest in subchondral bone is to be expected in the upcoming future towards the optimization of joint preservation strategies. Level of Evidence Level V, expert opinion.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2197-1153
Relation: https://doaj.org/toc/2197-1153
DOI: 10.1002/jeo2.12098
URL الوصول: https://doaj.org/article/04beaefd3254456592e341c1f80cacc3
رقم الانضمام: edsdoj.04beaefd3254456592e341c1f80cacc3
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:21971153
DOI:10.1002/jeo2.12098