By Tom Minas MD MS
A Primer in Cartilage fix and Joint protection of the Knee offers the complete diversity of remedies for a altering, more and more more youthful sufferer inhabitants. Dr. Thomas Minas demonstrates every one technique-from non-surgical to mini-incision overall knee arthroplasty to the hot advancements in tissue biologics-through a step by step technique. This hugely visible, multimedia reference courses you in selecting the top remedy direction for every sufferer. Get merely the knowledge you would like via a technique-focused method and the constant type of a unmarried writer, Dr. Thomas Minas-a prime expert in cartilage fix. sincerely see the nuances and demanding issues of every process with surgical photos and artists' renderings of key events within the working room. choose the easiest remedy path for every sufferer via wide assurance of ideas from non-surgical to mini-incision overall knee arthroplasty. Read more...
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Extra resources for A Primer in Cartilage Repair and Joint Preservation of the Knee
19. Alparslan L, Winalski CS, Boutin RD, Minas T. Postoperative magnetic resonance imaging of articular cartilage repair. Semin Musculoskelet Radiol. 2001;5(4):345–363. 20. Gold GE, Bergman AG, Pauly JM, et al. Magnetic resonance imaging of knee cartilage repair. Top Magn Reson Imaging. 1998; 9(6):377–392. ” In order for a surgeon to have a successful relationship with a patient, the desires, needs, and expectations of the patient must be balanced with what is possible. The surgeon must use his or her best judgment and draw upon the best available evidence and his or her own experience and skills to match these goals.
Follow-up was short (1 year). The natural history of an untreated chondral injury is not yet known, although most agree that even small lesions (<1 cm2) likely will progress very slowly,19 with greater than 50% developing osteoarthritis over a 14-year follow-up. Marrow stimulation techniques, such as drilling, abrasion arthroplasty, and microfracture, attempt to induce a reparative response by perforating the subchondral bone after radical debridement of damaged cartilage and removing the tidemark “calcified” zone to enhance integration of repair tissue.
High-quality outcomes research is needed to provide a better understanding of the efficacy of these procedures and to enable physicians to properly indicate treatment. An overview of the existing techniques and supporting data is given here to guide surgeons in the 36 PART 1 DECISION MAKING Figure 4–5 Proteoglycans produced by articular chondrocytes are highly negatively charged, attracting and binding to positively charged water molecules and forming a very resilient and unique viscoelastic mechanical tissue.