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

By Tom Minas MD MS

A Primer in Cartilage fix and Joint renovation of the Knee provides the complete diversity of treatments 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 new advancements in tissue biologics-through a step by step technique. Surgical pictures and illustrations and procedural movies on-line at www.expertconsult.com and on DVD offer special tips. This hugely visible, multimedia reference publications you in settling on the easiest therapy path for every patient.

  • Get in basic terms the knowledge you would like via a technique-focused method and the constant sort of a unmarried writer, Dr. Thomas Minas-a major professional in cartilage repair.
  • Access the totally 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 critical issues of every strategy with surgical pictures and artists' renderings of key events within the working room.
  • Select the simplest therapy direction for every sufferer via vast insurance of suggestions from non-surgical to mini-incision overall knee arthroplasty.
  • Master state of the art options via videos-online and on DVD-that reveal every one procedure.

Meet the hot demanding situations of cartilage fix with the newest techniques

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Additional info for A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e

Example text

24 PART 1 DECISION MAKING B A C D Figure 3–3 Effect of anterior cruciate ligament (ACL) deficiency in a 40-year-old man. A, Long standing alignment x-ray film demonstrates varus alignment of the lower extremities. B, Standing anteroposterior x-ray film demonstrates medial joint space loss with peripheral osteophyte formation and residual joint space remaining. C, Standing posteroanterior x-ray film demonstrates complete obliteration of the posterior medial joint space. This is typical of a chronic ACL-deficient knee, with tibial wear translating further posterior as the tibia subluxes anteriorly secondary to ACL deficiency.

Therefore, not only an adequately powered study but an appropriate length of follow-up are needed to determine the durability of repair and the prevention of degenerative joint disease. A multicenter prospective randomized study is necessary in order to recruit adequately. Several authors have conducted studies comparing different repair techniques, such as microfracture, mosaicplasty, and ACI, with conflicting results. These studies 42 PART 1 DECISION MAKING are often compromised by the nature of the procedures they were designed to investigate; for example, ACI as a cell-based therapy is dependent on a sophisticated cell culturing process.

J Comput Assist Tomogr. 1992;16(2):254–260. 15. Bashir A, Gray ML, Boutin RD, Burstein D. Glycosaminoglycan in articular cartilage: in vivo assessment with delayed Gd(DTPA) (2-)-enhanced MR imaging. Radiology. 1997;205(2):551–558. 30 PART 1 DECISION MAKING 16. Gillis A, Bashir A, McKeon B, Scheller A, Gray ML, Burstein D. Magnetic resonance imaging of relative glycosaminoglycan distribution in patients with autologous chondrocyte transplants. Invest Radiol. 2001;36(12):743–748. 17. Azer N, Winalski CS, Minas T.

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