During the last 25 years, articular cartilage repair has become routine at many hospitals around the world. The goal of this type of surgery is to use functional repair tissue to provide pain relief and restore the functionality of the injured cartilage to a level similar to that of surrounding cartilage.
Many books about clinical cartilage repair have been written. Most of them are comprehensive texts that include vast amounts of information for surgeons to study.
Instead of producing yet another reference volume about cartilage repair, we wanted to write a book that actually can be used to quickly review surgical techniques in the operating room—an operative manual for cartilage surgery for use before, during, and after surgery by surgeons, scrub nurses, and staff involved in patient care during cartilage lesion treatment.
Surgeons have developed a variety of techniques to treat cartilage injuries. Some of the most familiar are the following:
- Bone marrow stimulation–based repairs
- Cartilage tissue–based repairs
- Cartilage cell–seeded repairs
We have not attempted to include all of the many available techniques in our manual. We have selected some standard procedures, as well as some new technologies, to provide the surgeon with a range of options. In addition, we have included some basic chapters about cartilage tissue, treatment algorithms, and rehabilitation suggestions. We also have supplied the following references that we recommend to readers who need or want further information about cartilage repair.
- 1. Cole B, Malek MM, editors. Articular cartilage lesions: a practical guide to assessment and treatment. New York, 2004, Springer.
- 2. Cole BJ. Surgical management of articular cartilage defects in the knee. American Academy of Orthopaedic Surgeons presentation. In J Bone Joint Surg Am. 2009; 91:1778-1790.
- 3. Cole BJ, Malek MM, editors. Chondral disease of the knee: a case-based approach. New York, 2006, Springer.
- 4. Erggelet C, Mandelbaum BR, Mrosek EH, Scopp JM. Principles of cartilage repair. New York, 2008, Springer.
- 5. Hendrich C, Nöth U, Eulert J, editors. Cartilage surgery and future perspectives. New York, 2003, Springer.
- 6. Meyer U, Wiesmann HP. Bone and Cartilage Engineering. Berlin, 2006, Springer-Verlag.
- 7. Zanasi S, Brittberg M, Marcacci M. Basic Science. Clinical repair and reconstruction of articular cartilage defects: current status and prospects. In Meyer U, Meyer T, Handschel J, Wiesman HP, editors. Fundamentals of tissue engineering and regenerative medicine. Berlin, 2009, Springer-Verlag.
- 8. Williams RJ, Peterson L, Cole BJ, editors. Cartilage repair strategies. Totowa, NJ, 2007, Humana Press.
We hope that this book will be useful to you and your staff. Cartilage repair is a difficult task. To treat cartilage defects and concomitant injuries effectively, we must help patients understand that their treatment program will involve strenuous training and lengthy follow-up care. We hope that this book will be part of such a treatment program and that it will serve as a simple reminder of how to do what is best for the benefit of our patients.
Mats Brittberg, Wayne Gersoff
Key Features
- Stay current with the recent advances in cartilage repair including surgical and non-surgical treatments as well as biologic management of cartilage lesions.
- Get unmatched visual guidance from an unparalleled video collection---online and on DVD---that demonstrates how to perform a variety of key techniques.
- Quickly reference essential topics with a templated, focused format that includes clinical pearls to help you make a confident diagnosis and select the best treatment.
- Benefit from the knowledge, experience, and global perspective of a diverse collection of leading international authors.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Videos: View video clips illustrating a variety of conditions.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
- Chapter 1 - Cartilage Morphology
- Chapter 2 - Patient Evaluation and Treatment Algorithms
- Chapter 3 - Debridement of the Injured Cartilage
- Chapter 4A - Bone Marrow Stimulating Techniques: Drilling, Abrasion Arthroplasty, and Microfracture
- Chapter 4B - Bone Marrow Stimulating Techniques: Carbon Fiber Resurfacing
- Chapter 4C - Bone Marrow Stimulating Techniques: Autologous Matrix-Induced Chondrogenesis (AMIC)
- Chapter 4D - Bone Marrow Stimulating Techniques: TRUFIT Plugs
- Chapter 5 - Osteochondral Mosaicplasty
- Chapter 6 - Mega-OATS
- Chapter 7 - Osteochondral Allografts
- Chapter 8 - Fixation of Osteochondral Fragments
- Chapter 9A - Autologous Chondrocyte Implantation: Cartilage Biopsy Handling
- Chapter 9B - Autologous Chondrocyte Implantation: Quality Assurance of Cells for Chondrogenic Implantation
- Chapter 9C - Autologous Chondrocyte Implantation: ACI First and Second Generation
- Chapter 9D - Autologous Chondrocyte Implantation: Transarthroscopic Implantation of Hyalograft (Hyaff 11) with Autologous Chondrocytes
- Chapter 9E - Autologous Chondrocyte Implantation: Matrix-Induced Autologous Chondrocyte Implantation (MACI)
- Chapter 10 - Allograft Particulate Cartilage Transplantation: DeNovo Natural Tissue (NT) Graft
- Chapter 11 - Cartilage Fragment Implantation
- Chapter 12 - Unloading Osteotomies: Effect on Cartilage and Cartilage Repair
- Chapter 13 - Unloading the Patellofemoral Joint for Cartilage Lesions
- Chapter 14 - Meniscal Allografts, Cartilage Repair, and Concomitant Procedures
- Chapter 15 - Bone Grafting around an Articular Joint
- Chapter 16 - Postoperative Cartilage Repair Rehabilitation
Product Details
- Hardcover: 320 pages
- Publisher: Saunders; 1 Har/Psc edition (December 21, 2010)
- Language: English
- ISBN-10: 1437708781
- ISBN-13: 978-1437708783