By Brian J. Cole MD, MBA, M. Mike Malek MD (auth.)
Drs. Cole and Malek, well-known leaders within the box, wrote this state of the art textual content to fill the void within the literature in regards to the administration of articular cartilage illness and meniscal deficiency. The ebook permits orthopedic surgeons to boost an evidence-based decision-making framework that courses the administration of articular cartilage lesions. rigorously selected individuals supply readers with a realistic history in articular lesions, sufferer review, and administration techniques. next chapters handle the gamut of present surgical suggestions, from arthroscopy and debridement to unicondylar arthroplasty, in a step by step demeanour. greater than 500 unique illustrations, many in colour, support readers comprehend and grasp remedies. Case reviews, which come with preoperative making plans and postoperative results, strengthen the decision-making procedure. approximately each permutation and therapy alternative is roofed, making this article a major source for surgeons dedicated to workout sound judgement.
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Additional info for Articular Cartilage Lesions: A Practical Guide to Assessment and Treatment
In human and animal pharmacokinetic studies, only 12% to 15% of orally administered chondroitin sulfate is absorbed by the GI tract. 71 An affinity of chondroitin sulfate for synovial fluid and cartilage has been shown, as well as bioaccumulation of chondroitin in the plasma following continuous dosing. 72 Chondroitin sulfate is metabolized in the liver and excreted in the urine. Unfortunately, incorporation of orally or parenteral administered chondroitin into cartilage matrix has never been demonstrated.
Cycling activities have been shown to cause little elongation of the anterior cruciate ligament (ACL) and lower joint stresses than running and yet yield four times higher activity in the quadriceps mechanism:16 Strength adds important benefits to these patients in several ways. Increased muscle acts to eccentrically decrease shear stresses across abnormal joint surfaces and allows the patient to move more efficiently during activities. It also improves gait in the elderly and decreases falls. To increase muscle mass, the muscle must be stressed by more weight than it normally sustains, and therefore the use of exercise tubing and ankle weights is helpful.
H-~~- ! ~ ·TIBIA Tl - Medial anterior T2 - Medial medial D = MediBI posterior T4 8l1d 5 =Medial central T6- Lateral anterior n "" Later:allater-al T8 = Lateral posterior T9 and 10 = Lateral central. 7 Cartilage map proposed by Hunt et a!. Notice that this map geographically represents the articular cartilage lesion in reference to the meniscus. (Reprinted from Arthroscopy, Vol. 17, Hunt N, Sanchez-Ballester J, Pandit R, Thomas R, Strachan R. ) CHAPTER 2: PATIENT EVALUATION the ICRS standards in recorded.