By E. Carlos Rodríguez-Merchán (auth.), E. Carlos Rodrìguez-Merchán (eds.)
This ebook studies present wisdom at the analysis and remedy (surgical and non-surgical) of cartilage defects on the knee joint. within the dialogue of prognosis, the focal point is totally on imaging findings, quite these acquired with MRI. the rest of the publication is dedicated to the whole variety of present conservative and surgical remedies, with realization to either remedy symptoms and effects as suggested within the contemporary literature. In reviewing non-surgical therapy, oral and intra-articular clinical administration is evaluated and rehabilitation and actual remedy also are thought of. the 3 major different types of surgical process – microfracture surgical procedure and comparable tactics, mosaicplasty and comparable strategies, and autologous chondrocyte transplantation – are then largely mentioned in a chain of hugely informative chapters. This publication can be of significant functional worth for clinicians, supporting in day-by-day determination making.
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Additional info for Articular Cartilage Defects of the Knee: Diagnosis and Treatment
Homogeneously hypointense signal. Defect repaired and integrated (arrow) T1-weighted fat-suppressed spoiled gradient recalled-echo sequences, after the intravenous administration of gadolinium and 15 min of unloaded knee flexion exercise [7, 24] (Fig. 14). There are classification systems in use for grading the articular cartilage defects of the knee. The Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) Scale was applied for reading the MRI on operated knee, studying the degree of filling of the repaired cartilage, its integration with adjacent cartilage, the articular surface, homogeneity and signal intensity of the repaired tissue, the state of the subchondral plate, the integrity of the subchondral bone and complications [9, 25].
Moseley published in 2002 a controlled trial to evaluate the efficacy of arthroscopic lavage for the treatment of osteoarthritis of the knee . A total of 180 patients with osteoarthritis of the knee were randomly assigned to arthroscopic debridement, arthroscopic lavage or placebo surgery. The placebo procedure consisted of three incisions in the skin, but no instruments entered the portals. Outcomes were assessed during a period of 24 months and included self reported scores for pain and function, and one objective test of walking and stair climbing.
14. injection of allogenic cartilaginous particles into rabbit knees. Arthritis Rheum 27(2):200–207 Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH et al (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347(2):81–88 Arden NK, Reading IC, Jordan KM, Thomas L, Platten H, Hassan A et al (2008) A randomised controlled trial of tidal irrigation vscorticosteroid injection in knee osteoarthritis: the KIVIS Study. Osteoarthr Cartil 16(6):733–739 Reichenbach S, Rutjes AW, Nüesch E, Trelle S, Jüni P (2010) Joint lavage for osteoarthritis of the knee.