By Riley J. Williams, L. Peterson, B.J. Cole
Cartilage fix Strategies is a finished replace of the current nation of cartilage fix and regeneration. the data during this quantity addresses what tools are powerful, what tools are secure, and what equipment will result in an alteration within the brief historical past of articular cartilage harm fix. members current examinations of quite a few themes together with the constitution and serve as of articular cartilage, the evaluate of cartilage fix innovations, and the newest cartilage delicate imaging thoughts. numerous chapters count on new and rising cartilage fix thoughts – comparable to moment new release ACI, resorbable scaffold-based fix, and arthroscopically played cartilage transplantation – and comprise descriptions of the explanation and alertness of those approaches. prime specialists current updates on present and rising methodologies, making Cartilage fix Strategies a distinct and crucial reference.
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As such, MRI allows for the detection of isolated full-thickness cartilage From: Cartilage Repair Strategies Edited by: Riley J. , Totowa, NJ 19 20 Potter, Foo, and Pearle Fig. 1. Sagittal fat-suppressed three-dimensional gradient echo magnetic resonance imaging of the knee in an 11-yr-old boy demonstrates high contrast between the low signal intensity bone and the bright articular and physeal cartilage. defects; these defects are typically imperceptible on conventional radiographs because of the preservation of joint space and integrity of the subchondral bone.
The alignment of the lower extremity can also affect outcome depending on the location of the lesion. Alignment is ideally evaluated radiographically using three foot-standing x-rays to determine the anatomical alignment and the mechanical axis. Other intra-articular problems must also be assessed. In general, if the opposing cartilage surface is degenerative, the patient would be diagnosed with arthritis, and cartilage resurfacing may not be appropriate. Therefore, the articular surface opposing the cartilage injury site as well as the articular surfaces elsewhere in the knee must be evaluated.
Brown WE, Potter HG, Marx RG, Wickiewicz TL, Warren RF. Magnetic resonance imaging appearance of cartilage repair in the knee. Clin Orthop 2004;422:214–223. 5. Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R. Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Joint Surg Am 2003;85:185–192. 6. Knutsen G, Engebretsen L, Ludvigsen TC, et al. Autologous chondrocyte implantation compared with microfracture in the knee.