By Riley J. Williams, L. Peterson, B.J. Cole
Cartilage fix Strategies is a finished replace of the current kingdom of cartilage fix and regeneration. the data during this quantity addresses what equipment are powerful, what equipment are secure, and what equipment will result in an alteration within the brief heritage of articular cartilage harm fix. participants current examinations of various themes together with the constitution and serve as of articular cartilage, the assessment of cartilage fix concepts, and the most recent cartilage delicate imaging options. a number of chapters expect new and rising cartilage fix strategies – similar to moment iteration ACI, resorbable scaffold-based fix, and arthroscopically played cartilage transplantation – and comprise descriptions of the explanation and alertness of those techniques. top specialists current updates on present and rising methodologies, making Cartilage fix Strategies a special and crucial reference.
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Bullough PG, Jagannath A. The morphology of the calcification front in articular cartilage. Its significance in joint function. J Bone Joint Surg Br 1983;65:72–78. 3. Redler I, Mow VC, Zimny ML, Mansell J. The ultrastructure and biomechanical significance of the tidemark of articular cartilage. Clin Orthop 1975, Oct. (112):357–362. 4. Guilak F, Mow VC. The mechanical environment of the chondrocyte: a biphasic finite element model of cell-matrix interactions in articular cartilage. J Biomech 2000;33:1663–1673.
Consideration of certain parameters, including lesion size, lesion location, patient demand, body mass index, limb alignment, and treatment history should be considered when selecting a surgical approach. In addition, surgeons should understand the physiology of the cartilage repair method employed and how this relates to the postoperative rehabilitation program. Cartilage repair strategies are classified into the following: enhancement intrinsic repair response, cell-based, scaffold-based, cell plus scaffold-based, and whole tissue transplantation.
Coronal fast spin echo magnetic resonance imaging of the knee in a 27-yr-old man demonstrates good gray scale stratification of cartilage (arrowheads) over the lateral compartment with relative low signal intensity in the basilar components. Note the full-thickness cartilage defect over the medial femoral condyle (arrow) without alteration in the signal of the subchondral bone. standard, and found 87% sensitivity, 94% specificity, and an overall accuracy of 92% (Fig. 2). 93 (7). ’s study utilized a relatively high in-plane resolution, non-fat-suppressed moderate echo time (TE) pulse sequence utilizing an effective TE of 34 ms, providing differential contrast between synovial fluid, fibrocartilage, and articular cartilage (7).