Download A Primer in Cartilage Repair and Joint Preservation of the by Tom Minas MD MS PDF

By Tom Minas MD MS

A Primer in Cartilage fix and Joint maintenance of the Knee offers the entire diversity of therapies 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 hot advancements in tissue biologics-through a step by step technique. This hugely visible, multimedia reference courses you in deciding upon the Read more...

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Additional resources for A Primer in Cartilage Repair and Joint Preservation of the Knee

Example text

This was achieved by substituting periosteum with a collagen membrane that frequently consists of a porcine type I/III collagen bilayer membrane. The latest generation of ACI, MACI (membrane-associated), cultures the chondrocytes directly on the bilayer collagen membrane, which is then implanted arthroscopically or through a mini-open approach with fibrin glue or limited suturing. Cartilage replacement techniques include osteochondral autograft and allograft transfers, such as the osteochondral autograft transfer system (OATS; Arthrex, Naples, FL), mosaicplasty (Smith & Nephew, Andover, MA), and mega-OATS techniques.

High sense of vitality and an optimistic outlook with strong social supports has demonstrated a good clinical outcome with almost any surgical procedure. We reviewed our clinical outcome data using the Medical Outcomes Study 36-Item Health Survey (SF-36)1 and noted that vitality and social supports played strong into a positive clinical outcome with regard to physical pain relief and well-being (presented at the International Cartilage Repair Society 2002). 2–4 It is suspected that as the athlete becomes deconditioned, the injury becomes chronic, with thickened subchondral bone and expanding margins such that both the patient and the lesion require more extensive rehabilitation.

Courtesy Dr. Carl Winalski). 586 391 195 B T1 (ms) Figure 3–10 A, Non-delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC). Arrows indicate autologous chondrocyte implantation (ACI) on the medial femoral condyle (MFC). The patient is doing well and is clinically symptom free. The highest numbers on the dGEMRIC scale represent high proteoglycan content and are blue-green in color. The lowest numbers in yellowred represent lessened proteoglycan content. The highest proteoglycan content is generally in the deep and middle layers of the articular cartilage, as is seen in this image.

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