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 paintings of cartilage recovery, Cartilage recovery: sensible medical Applications combines an summary of medical learn and methodologies with medical circumstances to aid advisor the orthopedic therapy and care of sufferers providing with cartilage concerns. With chapters written via internationally-renowned orthopedic surgeons, issues contain an outline of present surgical recommendations, debridement and marrow stimulation, autograft plug move, allografts, cellphone treatment, and meniscal concerns. Cartilage Restoration is a beneficial source for orthopedic surgeons, citizens, and fellows.
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Extra resources for Cartilage Restoration: Practical Clinical Applications
Recently, contrast-enhanced CT is being explored to assess the biochemical composition of cartilage. Taylor et al. compared T1, T2, T1rho, and contrast-enhanced CT and found that contrastenhanced CT values correlated with both precontrast T1rho and T1(Gd) more strongly than with precontrast T2 . Thus, contrast-enhanced CT may provide additional information regarding the biochemical status, specifically of the proteoglycan content, of articular cartilage in osteoarthritis. Imaging of Normal Cartilage Cartilage is divided into four functionally and structurally separate zones characterized by the organization of the extracellular matrix, particularly the orientation of collagen fibers: superficial, transitional, deep or radial, and calcified.
Little is known about age effects in osteochondral allograft transplantation, since donor age is generally quite young (< 30–40 years) and only macroscopically intact specimens are processed. Regarding the effect of recipient age, the older patients can be expected to have a higher percentage of degenerative, rather than acute traumatic, lesions; the latter has demonstrated better outcomes for most types of cartilage repair [26, 28, 30]. Most studies evaluating the influence of weight on outcomes have demonstrated a negative correlation, starting with BMI (body mass index) of greater than 25–30 kg/m2.
1996;198(1):209–12. Hardy PA, Recht MP, Piraino D, Thomasson D. Optimization of a dual echo in the steady state (DESS) free-precession sequence for imaging cartilage. J Magn Reson Imaging. 1996;6(2):329–35. Peterfy CG, Schneider E, Nevitt M. The osteoarthritis initiative: report on the design rationale for the magnetic resonance imaging protocol for the knee. Osteoarthr Cartil. 2008;16(12):1433–41. Potter HG, Linklater JM, Allen AA, Hannafin JA, Haas SB. Magnetic resonance imaging of articular cartilage in the knee.