By Tom Minas MD MS
A Primer in Cartilage fix and Joint upkeep of the Knee provides the complete variety of healing procedures 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. Surgical photos and illustrations and procedural video clips on-line at www.expertconsult.com and on DVD offer distinct suggestions. This hugely visible, multimedia reference publications you in deciding upon the simplest therapy direction for every patient.
- Get purely the data you wish via a technique-focused procedure and the constant variety of a unmarried writer, Dr. Thomas Minas-a major professional in cartilage repair.
- Access the absolutely searchable textual content on-line at www.expertconsult.com, besides videos.
- Incorporate tissue biologics into your perform and supply your sufferers with extra options.
- Clearly see the nuances and significant issues of every approach with surgical pictures and artists' renderings of key events within the working room.
- Select the easiest remedy direction for every sufferer via large insurance of techniques from non-surgical to mini-incision overall knee arthroplasty.
- Master state-of-the-art innovations via videos-online and on DVD-that reveal every one procedure.
Meet the recent demanding situations of cartilage fix with the newest techniques
Read Online or Download A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e PDF
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Additional resources for A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e
A larger defect that is poorly shouldered will damage the opposing articular surface, resulting in progressive joint space cartilage loss, will remain symptomatic, and will enlarge quickly because of the excessive force on the edges of the defect. 12 A relatively small defect that is symptomatic may be either treated by arthroscopic debridement of the unstable margins and then left alone, or stabilized with a repair tissue of fibrocartilaginous or hyaline cartilage. However, a larger poorly shouldered chondral defect will require a repair tissue with the same or nearly the same viscoelastic and mechanical properties as normal hyaline cartilage (Figure 4–4).
Grade 3 and 4 chondral defects 33 yr (average 5 cm2) Cartilage repair technique: ACI, microfracture No statistically significant differences between groups at 2 yr, except SF-36, which was better in the microfracture group. Patients younger than 30 yr and more active (Tegner score >4) did better, regardless of treatment. 8 cm2) Cartilage repair technique: Microfracture, OATS Good and excellent results in 96% of OATS and 52% of microfracture patients. Return to sports in 93% of OATS and 52% of microfracture patients.
I do not treat asymptomatic chondral defects at this time because of the possibility of worsening the patient’s condition. Existing techniques presently do not report excellent results greater than 90%, and the natural history and progression of a chondral defect remain unknown for a given individual. Careful longitudinal follow-up in this situation is recommended to the patient, with annual clinical evaluation by physical examination for progressive crepitus and effusion. High-resolution MRI scan is also performed to measure whether the defect size has Success?