Mosaic arthroplasty as an alternative method of treating arthrosis

Vitaly B. Kaliberdenko , Ernest E. Aramyan , Maksim S. Zinchenko

For citation:

Abstract

Mosaic arthroplasty is a modern and effective method of treating arthrosis, especially in cases where traditional methods of conservative therapy do not bring proper results. This surgical approach consists in replacing damaged areas of cartilage with healthy fragments, which helps restore joint function and improve the patient's quality of life. The mosaic arthroplasty method has several key advantages. Firstly, it allows you to avoid a complete replacement of the joint and preserve its anatomy. Secondly, the procedure can be performed in a minimally invasive way, which shortens the rehabilitation period. In addition, mosaic arthroplasty can be performed in the early stages of the disease, which makes it available to a wider range of patients. However, like any surgical method, mosaic arthroplasty has its contraindications and risks. A preliminary assessment of the patient's condition and clinical training are required. Rehabilitation after surgery, which includes physical therapy and rehabilitation measures, remains also an important point.
Keywords: mosaic arthroplasty, joint restoration, osteoarthritis.

Портал CON-MED.RU:
https://con-med.ru/magazines/klinicheskiy_razbor_v_obshchey_meditsine/klinicheskiy_razbor_v_obshchey_meditsine-01-2025/mozaichnaya_artroplastika_kak_alternativnyy_metod_lecheniya_artrozov/

References

1. Bruns J, Werner M, Habermann C. Osteochondritisdissecans: etiology, pathology, and imaging with a special focus on the knee joint. Cartilage 2018;9(4):346-62. DOI: 10.1177/1947603517715736

2. Juneau C, Paine R, Chicas E et al. Current concepts in treatment of patellofemoralosteochondritisdissecans. Int J Sports PhysTher 2016;11(6):903-25.

3. Ridley TJ, Rud CT, Macalena JA. Patellofemoral articulating osteo-chondral (Kissing) lesion treated with autologous chondrocyte implantation: a case report. J Orthop Case Rep 2017;7(3):41-4. DOI: 10.13107/jocr.2250-0685.798

4. Harris BN, Bhuskute AA, Rao S et al. Primary surgery for advanced-stage laryngeal cancer: a stage and subsite-specific survival analysis. Head&neck 2016;38(9):1380-6.

5. Котельников Г.П., Ларцев Ю.В., Кудашев Д.С. и др. Мозаичная хондропластика в лечении больных с деструктивно-дистрофическими и посттравматическими поражениями гиалинового хряща в коленном суставе – экспериментальные и клинические аспекты. Фундаментальные исследования. 2013;(9-2):252-5.

Kotelnikov G.P., Lartsev Yu.V., Kudashev D.S. et al. Mosaic chondroplasty in the treatment of patients with destructive dystrophic and post-traumatic lesions of hyaline cartilage in the knee joint – experimental and clinical aspects. Fundamental Research. 2013;(9-2):252-5 (in Russian).

6. Котельников Г.П., Ларцев Ю.В., Кудашев Д.С. и др. Оперативное лечение хондральных дефектов коленного сустава и новый взгляд на роль и место мозаичной аутохондропластики. Наука и инновации в медицине. 2024;9(3):222-30. DOI: 10.35693/SIM553365

Kotelnikov G.P., Lartsev Yu.V., Kudashev D.S. et al. Surgical treatment of chondral knee joint defects and a new look at the role and place of mosaic autochondroplasty. Science and Innovation in Medicine. 2024;9(3):222-30. DOI: 10.35693/SIM553365 (in Russian).

7. Kunz M, Waldman SD, Rudan JF et al. Computer-assisted mosaic arthroplasty using patient-specific instrument guides. Knee Surg Sports Traumatol Arthrosc 2012;20(5):857-61. DOI: 10.1007/s00167-011-1638-2

8. Richter DL, Schenck RC Jr, Wascher DC, Treme G. Knee articular cartilage repair and restoration techniques: a review of the literature. SportsHealth 2016;8(2):153-60. DOI: 10.1177/1941738115611350

9. Загородний Н.В., Воротников А.А., Айрапетов Г.А., Васюков В.А. Комплексный подход к хирургическому лечению хондральных и остеохондральных дефектов коленного сустава. Opinion Leader. 2021;44(3):28-35.

Zagorodny N.V., Vorotnikov A.A., Airapetov G.A., Vasyukov V.A. An integrated approach to surgical treatment of chondral and osteochondral defects of the knee joint. Opinion Leader. 2021;44(3):28-35 (in Russian).

10. Hoffman JK, Geraghty S, Protzman NM. Articular cartilage repair using marrow stimulation augmented with a viable chondral allograft: 9-month postoperative histological evaluation. CaseRepOrthop 2015;2015:617365. DOI: 10.1155/2015/617365

11. Божокин М.С., Божкова С.А., Нетылько Г.И. Возможности современных клеточных технологий для восстановления поврежденого суставного хряща (аналитический обзор литературы). Травматология и ортопедия России. 2016;22(3):122-34. DOI: 10.21823/2311-2905-2016-22-3-122-134

Bozhokin M.S., Bozhkova S.A., Netylko G.I. Possibilities of modern cellular technologies for restoration of damaged articular cartilage (analytical literature review). Traumatology and orthopedics of Russia. 2016;22(3):122-34. DOI: 10.21823/2311-2905-2016-22-3-122-134 (in Russian).

12. Matsuda S, Kaku N, Tabata T, Tsumura H. Progressive Osteolysis with Hematoma Following Revision Total Hip Arthroplasty using Hydroxyapatite Mesh: A Case Report. J Orthop Case Rep 2018;8(4):25-8. DOI: 10.13107/jocr.2250-0685.1142

13. Гаркави А.В., Блоков М.Ю. Артроскопическая хондропластика локальных хрящевых дефектов коленного сустава с использованием коллагеновой мембраны Chondro-Gide. Кафедра травматологии и ортопедии. 2015;(3):4-7.

Garkavi A.V., Yablokov M.Y. Arthroscopic chondroplasty of local cartilaginous defects of the knee joint using a Chondrogide collagen membrane. Department of Traumatology and Orthopedics. 2015;(3):4-7 (in Russian).

14. Filardo G, Kon E, Roffi A et al. Scaffold-based repair for cartilage healing: a systematic review and technical note. Arthroscopy 2013; 29(1):174-86.

15. Vinokurov VA, Norkin IA. Surgical correction of joint deformities and hyaline cartilage regeneration. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 2015;3(4):37-43. DOI: 10.17816/ PTORS3437-43

16. Becher C, Ettinger M, Ezechieli M et al. Repair of retropatellar cartilage defects in the knee with microfracture and a cell-free polymer-based implant. Arch Orthop Trauma Surg 2015;135(7):1003-1010. DOI: 10.1007/s00402-015-2235-5

17. Hurtig M, Pearce S, Warren S et al. Arthroscopic mosaic arthroplasty in the equine third carpal bone. Vet Surg 2001;30(3):228-39. DOI: 10.1053/jvet.2001.23348

18. Erggelet C, Vavken P. Microfracture for the treatment of cartilage defects in the knee joint – A golden standard? J Clin Orthop Trauma 2016;7(3):145-52. DOI: 10.1016/j.jcot.2016.06.015

19. Huang BJ, Hu JC, Athanasiou KA. Cell-based tissue engineering strategies used in the clinical repair of articular cartilage. Biomaterials 2016;98:1-22. DOI: 10.1016/j.biomaterials.2016.04.018

20. Айрапетов Г.А. Сравнительный анализ результатов лечения остеохондральных повреждений коленного сустава у спортсменов (проспективное, рандомизированное исследование). Спортивная медицина: наука и практика. 2019;9(2):79-84. DOI: 10.17238/ ISSN2223-2524.2019.2.79

Airapetov G.A. Comparative analysis of the results of treatment of osteochondral knee joint injuries in athletes (prospective, randomized trial). Sports medicine: science and practice. 2019;9(2):79-84. DOI: 10.17238/ISSN 2223-2524.2019.2.79 (in Russian).

21. Куляба Т.А., Банцер С.А., Трачук П.А. и др. Эффективность различных хирургических методик при лечении локальных повреждений хряща коленного сустава (обзор литературы). Травматология и ортопедия России. 2020;26(3):170-81. DOI: 10.21823/2311-2905-2020-26-3-170-181

Kulyaba T.A., Banzer S.A., Trachuk P.A. et al. The effectiveness of various surgical techniques in the treatment of local cartilage injuries of the knee joint (literature review). Traumatology and orthopedics of Russia. 2020;26(3):170-81. DOI: 10.21823/2311-2905-2020-26-3-170-181 (in Russian).

22. Gille J, Behrens P, Volpi P et al. Outcome of autologous matrix induced chondrogenesis (AMIC) in cartilage knee surgery: data of the AMIC Registry. Arch Orthop Trauma Surg 2013;133(1):87-93.

23. Sebastyan S, Kunz M, Stewart AJ, Bardana DD. Image-guided techniques improve accuracy of mosaic arthroplasty. Int J Comput Assist Radiol Surg 2016;11(2):261-9. DOI: 10.1007/s11548-015-1249-3

For citation:Kaliberdenko V.B., Aramyan E. E., Zinchenko M.S. Mosaic arthroplasty as an alternative method of treating arthrosis. Clinical review for general practice. 2025; 6 (1): 88–92 (In Russ.). DOI: 10.47407/kr2024.6.1.00555

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Clinical review for general practice