Download Cartilage Restoration: Practical Clinical Applications by Jack Farr M.D., Andreas H. Gomoll M.D. (auth.), Jack Farr, PDF

By Jack Farr M.D., Andreas H. Gomoll M.D. (auth.), Jack Farr, Andreas H. Gomoll (eds.)

Attempting to bridge the space among the technological know-how and artwork of cartilage recovery, Cartilage recovery: sensible scientific Applications combines an summary of medical learn and methodologies with medical instances to assist advisor the orthopedic remedy and care of sufferers offering with cartilage matters. With chapters written through internationally-renowned orthopedic surgeons, issues contain an summary of present surgical recommendations, debridement and marrow stimulation, autograft plug move, allografts, telephone treatment, and meniscal matters. Cartilage Restoration is a precious source for orthopedic surgeons, citizens, and fellows.

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Furthermore, many cartilage defects have an identifiable etiology, for A. H. org C. edu J. com OrthoIndy and Indiana Orthopedic Hospital, Greenwood, IN 46143, USA example, acute trauma from patellar dislocation, or repetitive overload after prior meniscectomy. These so-called articular comorbidities include malalignment, meniscal and ligamentous deficiency. Unless corrected, these factors will likely compromise the outcome of any cartilage repair procedure. Therefore, successful biologic joint reconstruction requires treatment of both cause (comorbidity) and effect (cartilage defect) in a concurrent or staged fashion.

Kijowski R, Davis KW, Blankenbaker DG, Woods MA, Del Rio AM, De Smet AA. Evaluation of the menisci of the knee joint using three-dimensional isotropic resolution fast spin-echo imaging: diagnostic performance in 250 patients with surgical correlation. Skeletal Radiol. 2012;41(2):169–78. Subhas N, Kao A, Freire M, Polster JM, Obuchowski NA, Winalski CS. MRI of the knee ligaments and menisci: comparison of isotropic-resolution 3D and conventional 2D fast spin-echo sequences at 3 T. AJR Am J Roentgenol.

T2 values of cartilage correlate to water and collagen content as well as collagen orientation, and T2 mapping is used to evaluate the status of the cartilage matrix. 6). Cartilage matrix damage caused by loss of collagen integrity increases water mobility, which is associated with increases in T2 relaxation time and heterogeneous T2 values [26] and can be useful in recognizing early cartilage degeneration [27]. In T1rho images, slow-motion interactions between motion restricted water molecules and the local macromolecular environment of the extracellular matrix of articular cartilage is detected.

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