Cartilage Repair and Joint Preservation of the Knee
- 2nd Edition - October 1, 2021
- Author: Tom Minas
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 9 8 0 8 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 9 8 0 9 - 2
Fully updated with recent technologies, current scientific knowledge, and the latest techniques, A Primer in Cartilage Repair and Joint Preservation of the Knee, 2nd Edition,… Read more
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Request a sales quoteFully updated with recent technologies, current scientific knowledge, and the latest techniques, A Primer in Cartilage Repair and Joint Preservation of the Knee, 2nd Edition, presents the full range of treatment options for a changing, increasingly younger patient population. Using an easy-to-follow, step-by-step approach, Dr. Thomas Minas clearly teaches how to meet the new challenges of cartilage repair by utilizing the latest techniques and technologies, including advances in orthobiologics. Surgical photographs, abundant illustrations, and procedural videos provide detailed visual guidance.
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Details the systematic approach to diagnosis, patient management, surgical techniques, and rehabilitation for a variety of problems.
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Covers current scientific knowledge of cartilage properties, the etiology of damage and the intrinsic repair and regeneration processes.
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Helps you select the best treatment course for each patient through extensive coverage of options from non-surgical to mini-incision total knee arthroplasty.
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Discusses the latest evidence, research and challenges associated with new techniques such as MACI, ACI, HTO, DFO, and more.
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Features new and expanded coverage of the latest advances in orthobiologics including platelet-rich plasma, bone marrow stem cells, fat stem cells, scaffolds and much more.
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Includes key topics such as printed 3-D cartilage structures and the management of secondary cartilage lesions.
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Contains high-quality illustrations and surgical photos, as well as new videos that provide clear instructions on how to perform key procedures.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Orthopaedic surgeons
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Contributors
- Dedication
- Special Thanks
- Introduction
- Acknowledgments
- Part 1: Decision Making
- 1. Chondral Injury and Osteoarthritis: The Impact of Articular Cartilage Lesions
- Chapter Outline
- Introduction
- Effect of Running and Other Sports on Osteoarthritis
- Effect of BMI on Osteoarthritis
- Prevalence of Osteoarthritis
- Genetics of Osteoarthritis
- Present Versus Future Total Knee Arthroplasty Numbers
- Economic Burden
- Conclusion
- References
- 2. Cartilage Repair and Regeneration
- Chapter Outline
- Cartilage Structure and Function
- Mechanical Properties of Articular Cartilage
- Experimental Models and Usefulness
- Translational Research
- Future Directions
- References
- 3. Imaging: The Basis for a Sound Decision in Joint Preservation
- Chapter Outline
- Introduction
- Radiological Patterns of Osteoarthritis
- Patellofemoral Dysplasia and Degenerative Osteoarthritis of the Patellofemoral Joint
- Magnetic Resonance Imaging of Articular Cartilage
- MRI for Predicting the Success of ACI Bone Marrow Edema
- References
- 4. Patient Evaluation, Cartilage Defect, and Evidence: Putting It All Together
- Chapter Outline
- The Decision to Proceed with Joint Preservation
- Injured Knee
- Treatment of Symptomatic Defects
- Evidence
- Areas of Uncertainty
- References
- Part 2: The Evidence for and Clinical Use of Biologics
- 5. Preclinical Evidence for Biologics in Cartilage Repair and Early Osteoarthritis
- Chapter Outline
- Introduction
- Platelet-Rich Plasma
- Mesenchymal Stromal Cells
- Secretome or MSC Extracellular Vesicles as a Therapeutic
- Micronized Adipose Tissue
- Bone Marrow Aspirate Concentrate
- Amnion and Other Birth Tissue-Derived Products
- Conclusion
- References
- 6. PRP, BMAC, Stem Cells, and Other Adjuvants and How They Affect Repair: Clinical Outcome Studies
- Chapter Outline
- Introduction
- Platelet-Rich Plasma
- Bone Marrow Aspirate Concentrate
- Mesenchymal Stromal Cells
- Other Adjuvants and Future Perspectives
- Conclusion
- References
- Part 3: Cartilage Repair Surgical Techniques
- 7. Debridement, Microfracture, and Osteochondral Autograft Transfer for the Treatment of Cartilage Defects
- Chapter Outline
- Planning
- Surgical Technique
- References
- 8. Use of Fresh Osteochondral Allograft for Chondral and Osteochondral Defects in the Knee
- Chapter Outline
- Introduction
- Graft Procurement and Storage
- Safety and Risk of Disease Transmission
- Immunology
- Indications
- Surgical Techniques
- Results and Conclusions
- References
- 9. Autologous Chondrocyte Implantation
- Chapter Outline
- Introduction
- Arthroscopic Assessment and Cartilage Biopsy for Cell Culturing
- Surgical Correction of Background Factors Predisposing to Chondral Injury
- Surgical Implantation of Autologous Chondrocytes
- Advanced Techniques for Surgical Transplantation of Autologous Chondrocytes
- After Care/Rehabilitation
- Complications
- Clinical Outcomes Using ACI
- Results
- Conclusion
- Results
- ACI in Patients After Marrow Stimulation Techniques
- Summary
- References
- Part 4: Surgical Management of Background Factors
- 10. Tibial Osteotomy
- Chapter Outline
- Arthritis and Malalignment
- Why Osteotomy?
- Postoperative Care
- Osteotomy for Instability: the Sagittal Correction
- Conclusion
- References
- 11. Femoral Varus Osteotomy
- Chapter Outline
- Introduction
- Indications
- Planning
- Opening Wedge Varus Femoral Osteotomy
- Reverse Dome Femoral Varus Osteotomy
- Closing Wedge Varus Femoral Osteotomy: Classical Technique
- Distal Femoral Varus Closing Wedge Osteotomy for Valgus Malalignment with Osteochondral Repair
- Summary
- References
- 12. Patellofemoral Malalignment, Tibial Tubercle Osteotomy, and Trochleoplasty
- Chapter Outline
- Introduction
- History
- Physical Examination
- Physical Therapy
- Imaging Studies
- Identify the Pathomechanics: Successful Surgery
- Isolated Patellar Tilt: Lateral Release
- Patellar Tilt and Subluxation With or Without Chondrosis
- Patellar Tilt and Subluxation With or Without Chondrosis
- Modified Surgical Technique of AMZ TTO (Fulkerson)
- Trochlea Dysplasia
- Patellar Tilt and Subluxation: Radiographic Loss of Joint Space, Patellofemoral Replacement With or Without TTO, Patellofemoral Prosthetic Arthroplasty
- Summary
- References
- 13. Treatment of Deep Osteochondritis Dissecans Lesions, Avascular Necrosis, and Osteochondral Defects of the Knee Using Autologous Bone Grafting
- Chapter Outline
- Introduction
- Osteochondritis Dissecans
- Classification and Management
- Avascular Necrosis
- Clinical Results—Case Series—Technique for the Treatment of Deep Contained Osteochondral Defects
- Results
- Conclusion
- References
- 14. Meniscal Allograft Transplantation
- Chapter Outline
- Introduction
- Indications
- Planning
- Technique
- Graft Preparation
- Positioning
- Surgical Anatomy
- Surgical Approach
- Completion Meniscectomy
- Tibial Preparation
- Graft Placement and Fixation
- Summary
- References
- 15. Complex Cases in Cartilage Repair: Tricks and Tips
- Chapter Outline
- Case 1 Medial Subvastus Approach to the Knee: Surgical Technique
- Case 2 Perioperative Pain Management
- Case 3 c-ACI-Multiple Defects Salvage Case With HTO-TTO
- Case 4 MACI of Chronic Uncontained Patellofemoral Lesion With HTO-TTO
- Case 5 MACI Sandwich Technique for Failed Microfracture of the Trochlea
- Case 6 ACI for End-Stage Patellofemoral OA in Elite Athlete Using Combined Cartilage Repair Techniques
- Case 7 Cartilage Repair for the Lateral Meniscectomy Cascade With a Valgus Knee in a Young Athlete
- Case 8 Cartilage Repair With ACI Segmental Sandwich Technique After Failed Osteobiologic (OBI) Plugs
- Case 9 ACI to Salvage Failed Osteochondral Autologous Transplantation Plugs for Patella Cartilage Repair
- Case 10 Tibial Tubercle Osteotomy, Trochleoplasty, and Patella Cartilage Repair With Adolescent Fresh Preserved Morselized Allograft
- Case 11 ACI Segmental Sandwich Technique for Failed Large Osteochondral Allograft in Division 1 Football Player
- Case 12 Bilateral Multiple Osteochondral Allografts for Avascular Necrosis
- Summary
- References
- 16. Emerging Technologies
- Chapter Outline
- Introduction
- Marrow Stimulation Technique Augmentation
- Scaffolds
- Minced Cartilage
- Second-Generation Cell-Based ACI
- Third-Generation Cell-Based Therapies
- Conclusion
- Acknowledgments
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 320
- Language: English
- Edition: 2
- Published: October 1, 2021
- Imprint: Elsevier
- Hardback ISBN: 9780323698085
- eBook ISBN: 9780323698092
TM
Tom Minas
Affiliations and expertise
Associate Professor, Department of Orthopaedic Surgery, Harvard Medical School, Director, Cartilage Repair Center, Brigham and Women's Hospital, Boston, MA