{"id":10036,"date":"2023-12-06T11:09:22","date_gmt":"2023-12-06T10:09:22","guid":{"rendered":"https:\/\/www.orthopaediezentrum-muenchenost.de\/?p=10036"},"modified":"2025-05-31T21:50:38","modified_gmt":"2025-05-31T19:50:38","slug":"focus-on-cartilage-damage","status":"publish","type":"post","link":"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/focus-on-cartilage-damage\/","title":{"rendered":"Focus on cartilage damage"},"content":{"rendered":"<div  class='flex_column av-8so4tf-4f6b30c8ba7b11f8caed97c3bbab8ee7 av_one_full  avia-builder-el-0  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-71qtw3-43fb1eb8e3058a5c3e7851215c71f4d1\">\n.avia-image-container.av-71qtw3-43fb1eb8e3058a5c3e7851215c71f4d1 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-71qtw3-43fb1eb8e3058a5c3e7851215c71f4d1 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-71qtw3-43fb1eb8e3058a5c3e7851215c71f4d1 av-styling- avia_animated_image av-animated-when-visible-95 right-to-left avia-align-center  avia-builder-el-1  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-10040 avia-img-lazy-loading-not-10040 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus.jpg\" alt='Knorpelsch\u00e4den im Knie sind weit verbreitet, und das nicht nur bei \u00e4lteren Menschen. Auch j\u00fcngere Altersgruppen haben mit Arthrose Probleme. Jahrelang zur\u00fcckliegende Verletzungen bei Sportlern   k\u00f6nnen oft Ausl\u00f6ser f\u00fcr massive Knorpelsch\u00e4den sein. \nSo war es auch der Fall bei Herbert Brenner. Patient im Orthop\u00e4diezentrum M\u00fcnchen Ost und seine Erfolgsgeschichte ist in Focus Gesundheit erschienen. In der aktuellen Ausgabe 5\/2023 nachzulesen.  Der 52j\u00e4hrige verletzte sich vor 20 Jahren beim Eishockeyspielen und hatte als Folge davon mit einer Arthrose dritten Grades im Knie zu k\u00e4mpfen, die jeden Schritt zur Qual machte.\nDer modernen Knorpelmedizin und OZMO Experten Prof. Peter Diehl verdankt Herbert Brenner, dass ihm ein Kunstgelenk erspart blieb und er heute wieder Sport treiben kann.\nMit am besten erprobt und mittlerweile Goldstandard ist das Anz\u00fcchten und Verpflanzen von k\u00f6rpereigenen Zellen, die sogenannte Autologe Chondrozyten-Transplantation, (ACT) vor allem, wenn es um gr\u00f6\u00dfere Areale des Gelenkpuffers geht bis zu zehn Quadratzentimeter k\u00f6nnen ersetzt werden.\nDie ACT- Operation wird seit den 90er Jahren durchgef\u00fchrt und hat sich im Laufe der Zeit immer weiterentwickelt. Die Methode erfolgt in mehreren Schritten. Zun\u00e4chst wird dem Patienten bei einer Gelenkspiegelung gesundes Gewebe aus einem kaum belasteten Bereich des Knies entnommen. Die daraus isolierten Zellen werden dann im Labor vermehrt, um gen\u00fcgend Ausbeute f\u00fcr die Behandlung zu erhalten. Dieser Prozess kann einige Wochen dauern. Sobald gen\u00fcgend Zellen vorhanden sind, werden sie in das gesch\u00e4digte Kniegelenk implantiert, und zwar passgenau in die vorbereitete L\u00e4sion. Das geschieht entweder arthroskopisch oder \u00fcber eine kleine Gelenk\u00f6ffnung.  Der Eingriff dauert maximal eine Stunde und wird unter Lokalan\u00e4sthesie durchgef\u00fchrt.  Der gro\u00dfe Vorteil der Methode ist, dass an dieser Stelle die k\u00f6rpereigenen Zellen helfen, durch ihre potenzielle Regenerationsf\u00e4higkeit neuen Knorpel zu bilden und vor allem auch den gesch\u00e4digten Knorpel zu reparieren. Im Anschluss an die OP erhalten die Patienten Kr\u00fccken, starten aber schon gleich mit einer sanften Mobilisierung. Nach f\u00fcnf bis sechs Wochen k\u00f6nnen die Patienten wieder zum Teil belasten, nach drei Monaten ist die Festigkeit erreicht. Leichter Sport ist dann wieder erlaubt. F\u00fcrs Joggen gibt es meist nach 6 Monaten das ok und f\u00fcr Fu\u00dfball oder Skifahren nach einem Jahr. \nEin weiterer Vorteil von ACT ist, dass das Risiko von Absto\u00dfungsreaktionen oder anderen Komplikationen verringert wird. Da die Zellen aus dem eigenen K\u00f6rper des Patienten stammen, ist eine Absto\u00dfung unwahrscheinlich.\nDie Erfolgsaussichten sind deshalb sehr gut. Die Knorpelzellentransplantation hat sich bei gr\u00f6\u00dferen Knorpelsch\u00e4den an Knie oder Sprunggelenk bew\u00e4hrt. Aber auch an H\u00fcfte, Schulter oder Ellenbogen funktioniert der Eingriff hervorragend. Die behandelten Patienten berichten schon kurz nach dem Eingriff \u00fcber Fortschritte. Haben die transplantierten Knorpelzellen nach Monaten im Gelenk gen\u00fcgend frische Masse an Knorpeln entstehen lassen, ist dieses wieder fast so belastbar wie im gesunden Zustand.\nPatient Herbert Brenner freut sich heute, nach seiner erfolgreichen Transplantation eben wieder Sport treiben zu k\u00f6nnen und das beschwerdefrei. \nDer Eingriff klingt nicht nur sehr anspruchsvoll, er ist es auch, deshalb \u00fcbernehmen die Krankenkassen die Therapie nur in daf\u00fcr vorgesehenen Zentren. Aber, und das zeugt vom guten Ruf der Therapie seit 2023 auch in schweren F\u00e4llen ambulant.  Ganz wichtig ist, vorab zu kl\u00e4ren, ob sich der Patient f\u00fcr die ACT-Methode eignet. Das h\u00e4ngt von verschiedenen Faktoren ab, wie dem Ausma\u00df des Knorpelschadens, dem Alter des Patienten und anderen individuellen Faktoren.  \nAls Fazit kann man auf jeden Fall sagen, die Therapie mit k\u00f6rpereigenen Zellen ist eine vielversprechende Behandlungsmethode f\u00fcr Knorpelsch\u00e4den in Knie, Schulter, H\u00fcfte oder Ellenbogen. Durch die Verwendung von k\u00f6rpereigenen Zellen kann der gesch\u00e4digte Knorpel im Knie regeneriert und die Funktion des Kniegelenks verbessert werden. Allerdings sollte die Behandlung fr\u00fchzeitig erfolgen. Sind die Gelenke bereits sehr stark und auf beiden Seiten gesch\u00e4digt, ist es oft zu sp\u00e4t f\u00fcr die biologische Knorpelregeneration. \nSprechen Sie uns sehr gerne auf die ACT-Methode an, mit der OZMO-Patient Herbert Brenner ein k\u00fcnstliches Gelenk erspart blieb.\nSeine Erfolgsgeschichte jetzt nachzulesen in Focus Gesundheit, Heft 5\/2023' title='ozmo-nl-knorpelschaden-im-focus'  height=\"600\" width=\"1310\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus.jpg 1310w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus-300x137.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus-1030x472.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus-768x352.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2023\/08\/ozmo-nl-knorpelschaden-im-focus-705x323.jpg 705w\" sizes=\"(max-width: 1310px) 100vw, 1310px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l18rvgkm-7ebecd74004f5065cb3f586774870621\">\n#top .av-special-heading.av-l18rvgkm-7ebecd74004f5065cb3f586774870621{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-l18rvgkm-7ebecd74004f5065cb3f586774870621 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-l18rvgkm-7ebecd74004f5065cb3f586774870621 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-l18rvgkm-7ebecd74004f5065cb3f586774870621 av-special-heading-h1 blockquote modern-quote  avia-builder-el-2  el_after_av_image  el_before_av_heading '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Cartilage damage &#8211; Focus Health<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-25aoa4-2063ec687677e6d74b9784f2c9885d9b\">\n#top .av-special-heading.av-25aoa4-2063ec687677e6d74b9784f2c9885d9b{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-25aoa4-2063ec687677e6d74b9784f2c9885d9b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-25aoa4-2063ec687677e6d74b9784f2c9885d9b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-25aoa4-2063ec687677e6d74b9784f2c9885d9b av-special-heading-h2 blockquote modern-quote  avia-builder-el-3  el_after_av_heading  el_before_av_hr '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Technical paper by Prof. Dr. med. habil. Peter Diehl<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6klrdv-d1635bca2121687be4bb6ea3ad14708e\">\n#top .hr.av-6klrdv-d1635bca2121687be4bb6ea3ad14708e{\nmargin-top:15px;\nmargin-bottom:15px;\n}\n.hr.av-6klrdv-d1635bca2121687be4bb6ea3ad14708e .hr-inner{\nwidth:200px;\nborder-color:#004225;\n}\n<\/style>\n<div  class='hr av-6klrdv-d1635bca2121687be4bb6ea3ad14708e hr-custom  avia-builder-el-4  el_after_av_heading  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-337c1q-db2d42bee026bf0057305232c31378d2 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Cartilage damage in the knee is common<\/strong>, and not just in older people. Younger age groups also have problems with osteoarthritis. Injuries in athletes that occurred years ago can often be the trigger for massive cartilage damage. This was also the case with Herbert Brenner. Patient at the Orthopedic Center Munich East and his success story was published in Focus Gesundheit. To be read in the current issue 5\/2023. The 52-year-old injured himself 20 years ago playing ice hockey and, as a result, struggled with third-degree osteoarthritis in his knee that made every step a pain. Thanks to <strong>modern cartilage medicine and OZMO expert<\/strong> Prof. Peter Diehl, Herbert Brenner was spared the need for an artificial joint and can now play sports again.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ljrl99mb-d4113f730c6108c3a33c35fb9154a401\">\n#top .av-special-heading.av-ljrl99mb-d4113f730c6108c3a33c35fb9154a401{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ljrl99mb-d4113f730c6108c3a33c35fb9154a401 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ljrl99mb-d4113f730c6108c3a33c35fb9154a401 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ljrl99mb-d4113f730c6108c3a33c35fb9154a401 av-special-heading-h3 blockquote modern-quote  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Gold standard: the body\u2019s own cells<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-tep7n7-c5c0abbdeb691bca01d431a8b2c7f5e7 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>One of the best tested and now the gold standard is the <strong>cultivation and transplantation of the body&#8217;s own cells<\/strong>, known as autologous chondrocyte transplantation (ACT), which can replace up to ten square centimeters, especially when it comes to larger areas of the joint buffer.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ljrla9cq-9aedca3af42c0721bccf14611a68180e\">\n#top .av-special-heading.av-ljrla9cq-9aedca3af42c0721bccf14611a68180e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ljrla9cq-9aedca3af42c0721bccf14611a68180e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ljrla9cq-9aedca3af42c0721bccf14611a68180e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ljrla9cq-9aedca3af42c0721bccf14611a68180e av-special-heading-h3 blockquote modern-quote  avia-builder-el-8  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >ACT- Surgery: Autologous Chondrocyte Transplantation<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-ljrlb1s5-5ae59f3ac51ba1257f2d5f0eade4f38a '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>ACT surgery<\/strong> has been performed since the 1990s and has continued to evolve over time. The method is carried out in several steps. First, healthy tissue is removed from an area of the knee that is barely exposed to stress during an arthroscopy. The cells isolated from these are then multiplied in the laboratory to obtain sufficient yield for treatment. This process may take a few weeks. Once sufficient cells are available, they are implanted into the damaged knee joint, precisely fitting into the prepared lesion. This is done either arthroscopically or through a small joint opening. The procedure takes a maximum of one hour and is performed under local anesthesia. The great <strong>advantage of the method is that at this point the body&#8217;s own cells<\/strong> help to form new cartilage through their potential regenerative capacity and, above all, to repair the damaged cartilage. Following surgery, patients receive crutches, but start right away with gentle mobilization. After five to six weeks, patients can resume partial weight-bearing, and after three months, strength is achieved. Light sports are then allowed again. For jogging there is usually the ok after 6 months and for soccer or skiing after a year.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-llcwmikm-d823e46fd617e2ba528403fdc1f5908f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Another benefit of ACT is that it reduces the risk of rejection or other complications. Since the cells come from the patient&#8217;s own body, rejection is unlikely.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ljrlb8pe-4c6cc094332fd8c7e7a3066eae6df822\">\n#top .av-special-heading.av-ljrlb8pe-4c6cc094332fd8c7e7a3066eae6df822{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ljrlb8pe-4c6cc094332fd8c7e7a3066eae6df822 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ljrlb8pe-4c6cc094332fd8c7e7a3066eae6df822 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ljrlb8pe-4c6cc094332fd8c7e7a3066eae6df822 av-special-heading-h3 blockquote modern-quote  avia-builder-el-11  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Cartilage cell transplantation has proven successful<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-ljrlday6-d2d1e7881342a5b13bd7e7f64bfae6b0 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The prospects of success are therefore very good. Cartilage cell transplantation has proven effective for major cartilage damage to the knee or ankle. However, the procedure also works excellently on the hip, shoulder or elbow. Patients treated report progress shortly after the procedure. If, after months, the transplanted cartilage cells have produced a sufficient mass of fresh cartilage in the joint, it is almost as resilient as in the healthy state.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-llcwo1qn-e89af9cc16fd6209e9fd5722db41a111 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Today, patient Herbert Brenner is happy to be able to do sports again after his successful transplantation and to do so without any complaints.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-llcwob9s-c84f89a688e3f6a6641e2521d3bb90fe '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The procedure not only sounds very demanding, it is, which is why health insurance companies cover the therapy only in designated centers. But, and this testifies to the good reputation of the therapy since 2023 also in severe cases outpatient. It is very important to clarify in advance whether the patient is suitable for the ACT method. This depends on various factors, such as the extent of cartilage damage, the patient&#8217;s age and other individual factors.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-llcwoisb-0a017201832078b75b13ed60e5248519\">\n#top .av-special-heading.av-llcwoisb-0a017201832078b75b13ed60e5248519{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-llcwoisb-0a017201832078b75b13ed60e5248519 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-llcwoisb-0a017201832078b75b13ed60e5248519 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-llcwoisb-0a017201832078b75b13ed60e5248519 av-special-heading-h2 blockquote modern-quote  avia-builder-el-15  el_after_av_textblock  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Conclusion: Therapy with the body\u2019s own cells is promising<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-llcwoxul-237ad6de64fda28abdf6e0065936a838 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>As a conclusion, one can definitely say that therapy with the body&#8217;s own cells is a promising treatment method for cartilage damage in the knee, shoulder, hip or elbow. By using the body&#8217;s own cells, the damaged cartilage in the knee can be regenerated and the function of the knee joint can be improved. However, treatment should be carried out at an early stage. If the joints are already very badly damaged and on both sides, it is often too late for biological cartilage regeneration.<\/p>\n<p>Please feel free to contact us about the ACT method, which saved OZMO patient Herbert Brenner from having to have an artificial joint.<\/p>\n<p>His success story can now be read in Focus Gesundheit, issue 5\/2023<\/p>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":10042,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[57],"tags":[],"class_list":["post-10036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newsletter-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cartilage damage in focus \u00bb Blog | OZMO<\/title>\n<meta name=\"description\" content=\"Cartilage damage in focus - 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