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| Comparison of clinical characteristics and differences in the treatment of cartilage injuries of the knee and ankle joints |
| MO Yafeng1 ZHOU Fengzhen2 ZHOU Kun1 TANG Yanghua1 |
1.Department of Orthopedics, Xiaoshan District Hospital of Traditional Chinese Medicine Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University, Zhejiang Province, Hangzhou 311200, China;
2.Operating Room, Xiaoshan District Hospital of Traditional Chinese Medicine Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University, Zhejiang Province, Hangzhou 311200, China |
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Abstract The knee and ankle joints are the main weight-bearing joints of the human body and have a high incidence of articular cartilage injury, which is prone to varying degrees of joint pain and functional impairment. The treatment of cartilage injuries in the knee and ankle joints is often not differentiated in clinical practice. This paper summarizes and analyzes the anatomical structure, composition, molecular biology, and biomechanics of the knee and ankle joints, hoping to provide some reference for precise clinical treatment. The relevant literatures were searched, collected, and organized in Chinese and English databases through a combination of subject terms and free words, and significant differences were found in the clinical characteristics of knee and ankle cartilage, leading to differences in disease incidence and related treatment measures.
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[1] Guermazi A，Hayashi D，Roemer FW，et al. Brief Report：Partial-and Full-Thickness Focal Cartilage Defects Contribute Equally to Development of New Cartilage Damage in Knee Osteoarthritis：The Multicenter Osteoarthritis Study [J]. Arthritis Rheumatol，2017，69（3）：560-564.
[2] Rungprai C，Tennant JN，Gentry RD，et al. Management of Osteochondral Lesions of the Talar Dome [J]. Open Orthop J，2017，11：743-761.
[3] Akpancar S，Gül D. Comparison of Platelet Rich Plasma and Prolotherapy in the Management of Osteochondral Lesions of the Talus：A Retrospective Cohort Study [J]. Med Sci Monit，2019，25：5640-5647.
[4] Oláh T，Cai X，Michaelis JC，et al. Comparative anatomy and morphology of the knee in translational models for articular cartilage disorders.Part I：Large animals [J]. Ann Anat，2021， 235：151680.
[5] Fox AJ，Wanivenhaus F，Burge AJ，et al. The human meniscus：a review of anatomy，function，injury，and advances in treatment [J]. Clin Anat，2015，28（2）：269-287.
[6] Chevrier A，Kouao AS，Picard G，et al. Interspecies comparison of subchondral bone properties important for cartilage repair [J]. J Orthop Res，2015，33（1）：63-70.
[7] Hirschmann MT，Müller W. Complex function of the knee joint：the current understanding of the knee [J]. Knee Surg Sports Traumatol Arthrosc，2015，23（10）：2780-2788.
[8] Manganaro D，Alsayouri K. Anatomy， Bony Pelvis and Lower Limb，Ankle Joint [M]. Treasure Island：Statpearls，2021.
[9] Cher WL，Utturkar GM，Spritzer CE，et al. An analysis of changes in in vivo cartilage thickness of the healthy ankle following dynamic activity [J]. J Biomech，2016，49（13）：3026-3030.
[10] Dang Y，Cole AA，Homandberg GA. Comparison of the catabolic effects of fibronectin fragments in human knee and ankle cartilages [J]. Osteoarthritis Cartilage，2003，11（7）：538-547.
[11] Aurich M，Hofmann GO，Rolauffs B. Differences in type Ⅱ collagen turnover of osteoarthritic human knee and ankle joints [J]. Int Orthop，2017，41（5）：999-1005.
[12] Collins JA，Arbeeva L，Chubinskaya S，et al. Articular chondrocytes isolated from the knee and ankle joints of human tissue donors demonstrate similar redox-regulated MAP kinase and Akt signaling [J]. Osteoarthritis Cartilage，2019， 27（4）：703-711.
[13] Treppo S，Koepp H，Quan EC，et al. Comparison of biomechanical and biochemical properties of cartilage from human knee and ankle pairs [J]. J Orthop Res，2000，18（5）：739-748.
[14] Patwari P，Cook MN，DiMicco MA，et al. Proteoglycan degradation after injurious compression of bovine and human articular cartilage in vitro：interaction with exogenous cytokines [J]. Arthritis Rheum，2003，48（5）：1292-1301.
[15] Gunther KP，Sturmer T，Sauerland S. Prevalence of generalised osteoarthritis in patients with advanced hip and knee osteoarthritis：the Ulm Osteoarthritis Study [J]. Ann Rheum Dis，1998，57（12）：717-723.
[16] Delco ML，Kennedy JG，Bonassar LJ，et al. Post-traumatic osteoarthritis of the ankle：a distinct clinical entity requiring new research approaches [J]. J Orthop Res，2017，35（3）：440-453.
[17] Kwoh CK，Roemer FW，Hannon MJ，et al. Effect of oral glucosamine on joint structure in individuals with chronic knee pain：a randomized，placebo-controlled clinical trial [J]. Arthritis Rheumatol，2014，66（4）：930-939.
[18] Bruyère O，Altman RD，Reginster JY. Efficacy and safety of glucosamine sulfate in the management of osteoarthritis：Evidence from real-life setting trials and surveys [J]. Semin Arthritis Rheum，2016，45（4S）：S12-S17.
[19] Hochberg MC，Martel-Pelletier J，Monfort J，et al. Combined chondroitin sulfate and glucosamine for painful knee osteoarthritis：a multicentre，randomised，double-blind，noninferiority trial versus celecoxib [J]. Ann Rheum Dis，2016，75（1）：37-44.
[20] Qi SS，Shao ML，Sun Z，et al. Chondroitin Sulfate Alleviates Diabetic Osteoporosis and Repairs Bone Microstructure via Anti-Oxidation，Anti-Inflammation，and Regulating Bone Metabolism [J]. Front Endocrinol （Lausanne），2021，12：759843.
[21] 郭睿博，孔亮，张璐，等.雷公藤甲素联合硫酸软骨素脂质体对关节炎大鼠的治疗作用[J].中国药理学通报，2021， 37（7）：991-996.
[22] 邱元洲，高彦军，王士波，等.关节镜下微骨折联合自体富血小板血浆治疗Hepple Ⅲ～Ⅳ型距骨骨软骨损伤[J].实用骨科杂志，2020，26（2）：90-92.
[23] Moen M，Weir A，Bakker E，et al. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee：an updated systematic review and meta-analysis [J]. Osteoarthritis Cartilage，2016，24：S520-S521.
[24] 李彦林，王国梁，曹斌，等.玻璃酸钠与膝骨关节炎患者关节液中基质细胞衍生因子1和基质金属蛋白酶3，9，13水平的相关性[J].中国组织工程研究，2012，16（7）：1323-1326.
[25] 许磊，韩晓强，张锦涛，等.关节软骨细胞周围透明质酸产生，转化和功能特征[J].中国组织工程研究，2022，26（5）：800-806.
[26] 中华医学会骨科学分会关节外科学组.中国骨关节炎疼痛管理临床实践指南（2020年版）[J].中华骨科杂志，2020， 40（8）：469-476.
[27] 卢小冬，林如辉，陈文列，等.透骨消痛胶囊对早期骨关节炎软骨细胞超微结构与软骨基质的影响[J].康复学报，2017，27（2）：33-39.
[28] Zhou GS，Li XF，Guan GH. Effects of Bushen Zhuangjin decoction containing serum on the apoptosis of chondrocytes induced by mechanics stimulus [J]. Chin J Integr Trad West Med，2012，32 （6）：789-792.
[29] 孙亮亮，章煌杰，鲁琛，等.补肾活血中药“杜仲-当归”治疗骨性关节炎的作用及机制研究[J].中华中医药学刊，2019，37（11）：2639-2644.
[30] 陈强，索岩，林楠.“杜仲-当归”介导Wnt/β-catenin信号转导调控MMP-13表达防治关节炎的作用机制研究[J].中国现代应用药学，2021，38（7）：9.
[31] 唐芳，马武开，周静，等.温经通络方对兔膝骨关节软骨细胞中β-catenin、Axin及GSK-3β蛋白表达水平的影响[J].中华中医药杂志，2020，35（4）：1747-1750.
[32] Sastre-Perona A，Santisteban P. Wnt-independent role of betacatenin in thyroid cell proliferation and differentiation [J]. Mol Endocrinol，2014，28（5）：681-695.
[33] Hannon CP，Murawski CD，Fansa AM，et al. Osteochondral lesions of the talus：Aspects of current management [J]. Bone Joint J，2014，96-B（2）：164-171.
[34] Medda S，Al’Khafaji IM，Scott AT. Ankle Arthroscopy With Microfracture for Osteochondral Defects of the Talus [J]. Arthrosc Tech，2017，6（1）：e167-e174.
[35] Tan H，Li A，Qiu X，et al. Operative treatments for osteochondral lesions of the talus in adults：A systematic review and meta-analysis [J]. Medicine （Baltimore），2021，100（25）：e26330.
[36] 张伟，赵秀泉，季海龙.补肾活血中药联合关节镜下自体骨软骨移植修复术治疗膝骨关节炎软骨缺损疗效观察及对血清β连环素，Diekkopf-1的影响[J].河北中医，2021，43（4）：621-625.
[37] Anders S，Grifka J. Chirurgische Therapie fokaler Knorpelsch?覿den am Knie：Indikationen，Techniken，Modifikationen，Ergebnisse [Surgical treatment of focal cartilage defects in the knee：Indications，techniques，modifications and results] [J]. Orthopade，2022，51（2）：151-164.
[38] 梁钰，李强，郭艾，等.半月板部分切除和非手术治疗膝内侧半月板退行性损伤的对比研究[J].临床和实验医学杂志，2020，19（2）：205-209.
[39] Bisson LJ，Kluczynski MA，Wind WM，et al. Observation Versus Debridement of Unstable Chondral Lesions During Partial Meniscectomy：Analysis of Patient Outcomes and Degenerative Joint Disease at 5 Years in the Chondral Lesions And Meniscus Procedures （ChAMP） Randomized Controlled Trial [J]. J Bone Joint Surg Am，2021，103（17）：1569-1577.
[40] Kluyskens L，Debieux P，Wong KL，et al. Biomaterials for meniscus and cartilage in knee surgery：state of the art [J]. J ISAKOS，2022，7（2）：67-77. |
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