By Tom Minas MD MS
A Primer in Cartilage fix and Joint renovation of the Knee offers the total diversity of treatment plans for a altering, more and more more youthful sufferer inhabitants. Dr. Thomas Minas demonstrates each one technique-from non-surgical to mini-incision overall knee arthroplasty to the new advancements in tissue biologics-through a step by step strategy. Surgical pictures and illustrations and procedural video clips on-line at www.expertconsult.com and on DVD offer specified information. This hugely visible, multimedia reference courses you in deciding on the easiest therapy direction for every patient.
- Get in simple terms the knowledge you would like via a technique-focused procedure and the constant type of a unmarried writer, Dr. Thomas Minas-a major expert in cartilage repair.
- Access the absolutely searchable textual content on-line at www.expertconsult.com, in addition to videos.
- Incorporate tissue biologics into your perform and supply your sufferers with extra options.
- Clearly see the nuances and demanding issues of every method with surgical photos and artists' renderings of key occasions within the working room.
- Select the easiest remedy path for every sufferer via vast insurance of techniques from non-surgical to mini-incision overall knee arthroplasty.
- Master state-of-the-art strategies via videos-online and on DVD-that display every one procedure.
Meet the hot 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
Persistent symptoms and degenerative changes are likely in this situation. A repair tissue that stabilizes the small defect usually is adequate. A repair tissue that simulates the normal viscoelastic mechanical properties of hyaline cartilage in the larger defect is necessary if the repair is to allow high-demand activities and be durable. produce hyaline-like cartilage for this situation are discussed in the remainder of this chapter (Figure 4–5). Prevalence of Articular Cartilage Injury In making recommendations to the patient, it is important to recognize the defects that are causing symptoms.
In the end, however, practical realities prevail. Surgeons will use the techniques with which they are comfortable and which are available to them and will consider the costs associated with the treatment and the health care system in which they practice. Options Until the 1990s, orthopedists were restricted to procedures that aimed to palliate the effects of chondral lesions or attempted to stimulate a healing response initiated from the subchondral bone, resulting in the formation of fibrocartilage to fill the defect.
Patient Evaluation, Cartilage Defect, and Evidence: Putting It All Together C HA P T ER 4 43 Chondral injury Assess background factors* Persistent symptoms (WB pain, catching, effusion) Lesion <2 cm2† Low-demand patient Figure 4–8 Modified and updated clinical algorithm for management of symptomatic cartilage defects of the femoral condyle when the defect is small (<2 cm2), based on patient activity level and after assessment of background factors. Return to ADL and sports as tolerated High-demand patient Arthroscopic chondroplasty Arthroscopic debridement and MSTY Measurable symptomatic19 improvement may last up to 5 years Up to 75%41 success with ADL8, 50% success with return to sport Yes Success?
A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e by Tom Minas MD MS