By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)
This booklet studies present wisdom at the prognosis and remedy (surgical and non-surgical) of cartilage defects on the knee joint. within the dialogue of analysis, the point of interest is totally on imaging findings, quite these got with MRI. the rest of the ebook is dedicated to the complete variety of present conservative and surgical remedies, with realization to either remedy symptoms and effects as said within the contemporary literature. In reviewing non-surgical remedy, oral and intra-articular clinical administration is evaluated and rehabilitation and actual remedy also are thought of. the 3 major forms of surgical process – microfracture surgical procedure and comparable approaches, mosaicplasty and similar ideas, and autologous chondrocyte transplantation – are then greatly mentioned in a chain of hugely informative chapters. This ebook can be of significant functional price for clinicians, supporting in day-by-day determination making.
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Additional resources for Articular Cartilage Defects of the Knee: Diagnosis and Treatment
Arthroscopy 24:62–68 17. Lee D, Salih V, Stockton E, Stanton J, Bentley G (1997) Effect of normal synovial fluid on the metabolism of articular chondrocytes in vitro. Clin Orthop Relat Res 342:228 18. Adachi N, Motoyama M, Deie M et al (2009) Histological evaluation of internally-fixed osteochondral lesions of the knee. J Bone Joint Surg Br 91-B:823 19. Pascual-Garrido C, Tanoira I, Muscolo DL (2010) Viability of loose body fragments in osteochondritis dissecans of the knee. A series of cases. 1 Introduction Articular cartilage lesions are frequent findings in arthroscopy.
1007/978-88-470-2727-5_4, Ó Springer-Verlag Italia 2012 37 E. Garcı´a-Rey 38 degenerative arthritis is not infrequent. This is very important when the patient is young and active, and the different treatments are not as predictable as total knee replacement is for the elderly. It is very important to address the diagnoses of the injury of the patient correctly. Chondral lesions may be surgically treated when conservative management fails, symptomatically by debridement, the bone marrow can be stimulated by microfracture, perforation or abrasion or using different techniques of chondrocyte transplantation, allograft or autograft transplantation.
The physiological basis of these procedures is the improvement of mechanical conditions as well as the elimination of possible pro-inflammatory agents. 1, Fig. 1). This technique should only remove unstable chondral fragments that may cause mechanical symptoms. Mechanical debridement (Fig. 2) does not stimulate articular cartilage repair. A motorised shaver is usually used and only fragmented areas should be debrided. 5 IV Erosion of cartilage to bone – Fig. 1 Outerbridge III lesion observed by arthroscopy Fig.