By Tom Minas MD MS
A Primer in Cartilage fix and Joint upkeep 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 hot advancements in tissue biologics-through a step by step strategy. Surgical photos and illustrations and procedural movies on-line at www.expertconsult.com and on DVD supply certain tips. This hugely visible, multimedia reference publications you in opting for the easiest remedy direction for every patient.
- Get purely the knowledge you would like via a technique-focused strategy and the constant form of a unmarried writer, Dr. Thomas Minas-a prime 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 procedure with surgical photos and artists' renderings of key events within the working room.
- Select the easiest therapy path for every sufferer via broad assurance of innovations from non-surgical to mini-incision overall knee arthroplasty.
- Master state-of-the-art ideas via videos-online and on DVD-that reveal every one procedure.
Meet the recent demanding situations of cartilage fix with the most recent techniques
Read or Download A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e PDF
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Extra resources for A Primer in Cartilage Repair and Joint Preservation of the Knee: Expert Consult, 1e
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. The spectrum of disease entities that cause damage to the articular cartilage ranges from single, focal chondral defects to more advanced degenerative disease. Focal chondral defects result from various etiologies. An approximately even number of patients have reported a traumatic versus an insidious onset of symptoms.
The patient may respond as follows: “I have knee pain. ” “I have been referred to see you by Dr. X for a specific knee Alternatively, the patient may be self-referred based on his or her own ambitions. This is becoming more commonplace in the modern age of the Internet because patients are often well informed and wish to take matters into their own hands (“empowerment of the patient”). Figure 4–1 illustrates this concept. A useful tool for developing a healthy relationship with the patient is the five Es (Figure 4–2).
D, Axial image of CT arthrogram clearly demonstrates the dysplastic nature of the trochlea with a very prominent and convex proximal lateral facet and cartilage loss to the central and lateral facets of the patella. E, Sagittal image of the CT arthrogram demonstrates that the articular surface of the trochlea remains intact; however, the inferior two thirds of the articular cartilage on the patella is completely lost (centrally). Note excellent visualization of the tibiofemoral cartilage and the meniscus on this spiral CT arthrogram.