By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)
This e-book stories present wisdom at the prognosis and therapy (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, really these received with MRI. the rest of the ebook is dedicated to the entire diversity of present conservative and surgical remedies, with awareness to either remedy symptoms and effects as pronounced within the fresh literature. In reviewing non-surgical remedy, oral and intra-articular scientific administration is evaluated and rehabilitation and actual treatment also are thought of. the 3 major kinds of surgical strategy – microfracture surgical procedure and comparable systems, mosaicplasty and comparable thoughts, and autologous chondrocyte transplantation – are then broadly mentioned in a chain of hugely informative chapters. This booklet can be of significant sensible price for clinicians, aiding in day-by-day choice making.
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Additional info for Articular Cartilage Defects of the Knee: Diagnosis and Treatment
During surgery, the dense avascular bone must be curetted or drilled until a bleeding bone is observed. Different hardware has been used for fixation: Kirschner wires, bone pegs, biodegradable pins and bicortical or conical screws. Wires were used for some years, but these must be removed in order to avoid pain . The compressive characteristics of screws and the reported clinical outcome suggest that they are an excellent tool for fixation . In a second-look arthroscopy study, Makino et al.
These cells are highly specialised in the formation of extracellular matrix. They also keep the tissue homeostasis in response to the degradation of the matrix and the mechanical stress of the joint. The extracellular matrix consists mainly of proteoglycans and collagen fibres that form a three dimensional dense network where the joint fluid flows. The collagen fibres confers cartilage its shape, elasticity and mechanical strength, and represents 60 % of the dry weight of this tissue. 95 % of the articular cartilage is collagen type II .
J Bone Joint Surg Am 70:1479–1483 13. Jones AC, Ledingham J, McAlindon T et al (1993) Radiographic assessment of patellofemoral osteoarthritis. Ann Rheum Dis 52:655–658 14. Rubin DA, Palmer WE (2005) Imaging of the knee. In: Hodler J, Von Schulthess GK, Zollikofer ChL (eds) Musculoskeletal diseases. Springer, Milán, pp 26–38 15. Disler DG, McCauley TR, Kelman CG et al (1996) Fat-suppressed three dimensional spoiled gradientecho MR imaging of hyaline cartilage defects in the knee: comparison with standard MR imaging and arthroscopy.
Articular Cartilage Defects of the Knee: Diagnosis and Treatment by E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)