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Osteochondral and Meniscal Allograft Transplantation in the Football (Soccer) Player

机译：足球（足球）运动员的骨软骨和半月板同种异体移植

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摘要

Knee injuries are common in football, frequently involving damage to the meniscus and articular cartilage. These injuries can cause significant disability, result in loss of playing time, and predispose players to osteoarthritis. Osteochondral allografting is an increasingly popular treatment option for osteoarticular lesions in athletes. Osteochondral allografts provide mature, orthotopic hyaline cartilage on an osseous scaffold that serves as an attachment vehicle, which is rapidly replaced via creeping substitution, leading to reliable graft integration that allows for simplified rehabilitation and accelerated return to sport. The indications for meniscal replacement in football players are currently still evolving. Meniscus allografts offer potential functional, analgesic, and chondroprotective benefits in the meniscectomized knee. In the player at the end of his or her professional/competitive career, meniscal allografts can play a role in averting progression of chondropenia and facilitating knee function and an active lifestyle. This article is intended to present a concise overview of the limited published results for osteochondral and meniscal allografting in the athletic population and to provide a practical treatment algorithm that is of relevance to the clinician as well as the patient/football player, based on current consensus of opinion.
机译：膝盖受伤在足球中很常见，经常会损伤半月板和关节软骨。这些伤害可能导致严重的残疾，导致比赛时间减少，并使运动员容易患骨关节炎。骨软骨同种异体移植是运动员骨关节病变越来越受欢迎的治疗选择。骨软骨同种异体移植物在骨质支架上提供成熟的原位透明软骨，该骨质作为附着载体，可通过爬行替代迅速替换，从而实现可靠的移植物整合，从而简化了康复过程并加速了运动的恢复。足球运动员半月板置换的指征目前仍在发展。半月板同种异体移植可在半月板切除的膝盖中提供潜在的功能，止痛和软骨保护作用。在职业生涯或竞技生涯结束时，半月板同种异体移植可在避免软骨发育不良，促进膝关节功能和积极的生活方式方面发挥作用。本文旨在根据目前的共识简要概述运动人群中骨软骨和半月板同种异体移植的有限公开结果，并提供一种与临床医生以及患者/足球运动员相关的实用治疗算法意见。

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