Search results for: biologic-knee-reconstruction

Biologic Joint Reconstruction

Author : Brian J. Cole
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The treatment of chondral damage and early arthritis in active patients remains a challenge. This book has accepted this challenge, providing a comprehensive look into the fast growing area of cartilage repair and early arthritis surgery for virtually every major joint. The text includes a detailed approach to surgical management utilizing procedures relative to all joints such as osteotomy, cartilage repair, cartilage restoration, and limited resurfacing. Treatment indications, surgical techniques, and non-operative treatment in the knee, shoulder, hip and smaller joints are also highlighted in the text. This book is the only orthopedic text on the market that combines discussion of biological and limited prosthetic options for the treatment of chondral damage and early arthritis for the young active adult, as well as for traditional joint replacement patients.

Musculoskeletal Tissue Regeneration

Author : William S. Pietrzak
File Size : 72.43 MB
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The repair of musculoskeletal tissue is a vital concern of all surgical specialties, orthopedics and related disciplines. Written by recognized experts, this book aims to provide both basic and advanced knowledge of the newer methodologies being developed and introduced to the clinical arena. A valuable resource for researchers, developers, and clinicians, the book presents a foundation to propel the technology and integration of the current state of knowledge into the 21st century.

Small Implants in Knee Reconstruction

Author : Norberto Confalonieri
File Size : 70.44 MB
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Minimally invasive joint replacement has become one of the hottest topics in the orthopedic world. In the case of the knee, however, this concept has been widely misunderstood. All too frequently it is taken to mean keyhole surgery in which traditional components are implanted with a shorter surgical time. Such an approach in fact has few benefits and various possible dangers. In this book, international experts discuss truly minimally invasive knee reconstruction techniques that involve tissue-sparing surgery and small implants and permit preservation of both the anterior and the posterior cruciate ligament. These techniques have the key advantage of respecting the physiological joint biomechanics. They also entail minimal removal of bone tissue from the tibia and only a small skin incision that avoids damage to the extensor apparatus. All of the most innovative techniques used in uni- and bicompartmental knee reconstruction are covered in detail, including computer-assisted procedures. Long-term results are reported, and pitfalls, highlighted. The reader will learn how, with careful selection of patients and rigorous surgical technique, compartmental reconstruction offers a valid alternative to total knee replacement.

Surgery of the Meniscus

Author : Christophe Hulet
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​This book, published in cooperation with ESSKA, provides an exhaustive review of the meniscus and its pathology, covering all aspects from the basic science of the normal meniscus to clinical and imaging diagnosis, meniscus repair and meniscectomy, outcomes and complications, postoperative management, and emerging technologies. The book opens by examining in depth aspects such as anatomy, histology, physiology, biomechanics, and physiopathology. Clear guidance is offered on arthroscopy and the classification of meniscal lesions, with consideration of the full range of meniscal pathology, including traumatic lesions, degenerative lesions, root tears, meniscal cysts, and congenital lesions. Choice of treatment in different settings is explained, and the various surgical techniques – meniscectomy, meniscal repair, and reconstruction with allografts – are described in detail with the aid of accompanying videos and with presentation of long-term results. The concluding chapter takes a look into the future of meniscus reconstruction, for example through regeneration using mesenchymal stem cells.

Cartilage Restoration

Author : Jack Farr
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Now in a revised and expanded second edition, this practical text utilizes the most current evidence and knowledge of articular cartilage as the basis for clinical interventions for cartilage repair and restoration, combining an overview of clinical research and methodologies with clinical cases to help guide the orthopedic treatment and care of patients presenting with cartilage issues. Carefully updated chapters discuss the state-of-the-art in cartilage anatomy, defects and imaging, current tibiofemoral and patellofemoral surgical options, debridement and marrow stimulation, osteochondral autografts and allografts, osteotomies, cell therapy, and meniscal transplantation. New chapters explore new surgical treatment strategies and revision for failed cartilage repair, case vignettes presenting real-life treatment decisions and outcomes, and rehabilitation protocols following cartilage repair. Written and edited by experts in the field and bringing the most recent literature and research to bear, Cartilage Restoration remains a valuable resource on joint preservation for orthopedic surgeons, residents, and fellows, sports medicine specialists and rheumatologists.

Mechanical Biological and Structural Interaction in the Development of Osteoarthritis Following Anterior Cruciate Ligament Injury and Reconstruction

Author : Matthew R. Titchenal
File Size : 65.50 MB
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Osteoarthritis (OA) of the knee, characterized primarily by pain and cartilage degeneration, is one of the leading causes of disability worldwide, carrying with it a substantial economic cost and reduced quality of life. The risk factors for knee OA include aging, obesity, and traumatic knee injury. OA is particularly difficult to study because its symptoms, such as pain, stiffness, and swelling, are relatively absent until the disease has already reached an advanced state. Risk factors for OA include aging, obesity, and traumatic joint injury. As one of the most common traumatic knee injuries, anterior cruciate ligament (ACL) tear provides a valuable opportunity to study factors influencing the initiation of OA in an at-risk population. Surgical ACL reconstruction (ACLR) has managed to improve patient outcomes by stabilizing the knee and allowing return to physical activity, but has not reduced this risk of post-traumatic OA where roughly 50% of patients develop OA within 10-15 years after injury. Existing research suggests that this is likely a result of perturbations to the pre-injury knee mechanics that negatively interact with the post-injury biology and structure of the joint to disrupt cartilage homeostasis leading to premature OA in about half of patients. Lack of understanding concerning the nature of these interactions has been a critical barrier to identifying which patients will develop OA. Thus, there is a need for improved understanding of OA risk after ACLR to inform early OA risk assessment (before symptoms) that will support the development of intervention strategies to delay or prevent OA onset. This dissertation provides insight into the interaction between mechanical, biological, and structural factors on the risk of OA following ACL injury and reconstruction, and is focused on three studies completed on patients following ACLR examining relationships between these risk factors. The first study examines changes in knee kinematics occurring from 2 to 4 years after ACLR and relationships to patient reported outcomes much later at 8 years after surgery. The results suggest that a subset (approximately 50%) of patients develop increasingly abnormal kinematics that may contribute to and provide early warning of deteriorating knee function years before the onset of clinical symptoms. The second study demonstrates a relationship between cartilage matrix changes measured using a novel quantitative magnetic resonance imaging (MRI) technique and knee loading parameters known to affect OA progression at only 2 years after ACLR when the articular cartilage appeared healthy on standard clinical MRI. These results suggest that this new MRI metric may be showing early cartilage pathology that is undetectable using standard MRI methods. The final study investigates the biological response to knee loading through a walking exercise and cartilage matrix changes assessed by novel quantitative MRI at 2 years after ACLR. The results show a higher synthetic state in some patients suggestive of a repair response. However, the observed correlations with cartilage matrix changes detectable by quantitative MRI and knee loading suggest that this repair response may be related to a higher risk for future knee OA. All three studies demonstrated potential markers that separated patients into divergent groupings that suggest greater or lesser risk for developing knee OA consistent with the natural history where approximately 50% of individuals with ACL injury develop premature knee OA. The studies provide promising markers for the early detection of post-traumatic OA after ACLR and identify potential targets for intervention. It is important to note that assessing the interaction between multiple markers was an important factor in identifying the sensitivity of specific markers that would not be possible when evaluating markers independently. As such, the results of this thesis also demonstrated the importance of interdisciplinary research in evaluating biomarkers of OA risk in relationship to the complex interactions between mechanical, biological, and structural components in maintaining joint homeostasis. This knowledge will aid in the future development of personalized treatment strategies to delay or prevent the onset of post-traumatic OA after ACLR.

3rd Kuala Lumpur International Conference on Biomedical Engineering 2006

Author : F. Ibrahim
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The Kuala Lumpur International Conference on Biomedical Engineering (BioMed 2006) was held in December 2006 at the Palace of the Golden Horses, Kuala Lumpur, Malaysia. The papers presented at BioMed 2006, and published here, cover such topics as Artificial Intelligence, Biological effects of non-ionising electromagnetic fields, Biomaterials, Biomechanics, Biomedical Sensors, Biomedical Signal Analysis, Biotechnology, Clinical Engineering, Human performance engineering, Imaging, Medical Informatics, Medical Instruments and Devices, and many more.

Noyes Knee Disorders Surgery Rehabilitation Clinical Outcomes E Book

Author : Frank R. Noyes
File Size : 78.10 MB
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Frank R. Noyes, MD—internationally-renowned knee surgeon and orthopaedic sports medicine specialist—presents Noyes’ Knee Disorders, an unparalleled resource on the diagnosis, management, and outcomes analysis for the full range of complex knee disorders. Master the technical details of procedures such as anterior cruciate ligament reconstruction, meniscus repair, articular cartilage restoration, and many others, and implement appropriate post-operative rehabilitation programs and protocols. Analyze and manage gender disparities in anterior cruciate ligament injuries. You can access the full text, as well as downloadable images, PubMed links, and alerts to new research online at www.expertconsult.com. Offers online access to the full text, downloadable images, PubMed links, and alerts to new research online at expertconsult.com through Expert Consult functionality for convenient reference. Presents step-by-step descriptions on the full range of complex soft tissue knee operative procedures for the anterior cruciate ligament reconstruction, meniscus repair, soft tissue transplants, osseous malalignments, articular cartilage restoration, posterior cruciate ligament reconstruction, and more to provide you with guidance for the management of any patient. Relies on Dr. Noyes’ meticulous published clinical studies and outcomes data from other peer-reviewed publications as a scientifically valid foundation for patient care. Features detailed post-operative rehabilitation programs and protocols so that you can apply proven techniques and ease your patients’ progression from one phase to the next. Bonus video available only from the website provides live presentations from the 2009 Advances on the Knee and Shoulder course, step-by-step surgical demonstration of an opening wedge tibial osteotomy, and a 4-part series on the Diagnosis of Knee Ligament Injuries.

Partial Knee Arthroplasty E Book

Author : Keith R. Berend
File Size : 20.11 MB
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Partial Knee Arthroplasty helps you optimize outcomes using the latest best-practice techniques for this increasingly popular procedure. Drs. Keith R. Berend and Fred D. Cushner discuss recent advances and hot topics—such as custom guided implants, biologics, failed PKA, TKA conversion, and more—along with the challenges of choosing the right technique for each patient. The clear focus on surgical techniques, bulleted key points, and procedural videos online at www.expertconsult.com make this comprehensive, practical reference ideal for learning how to achieve the best results. Access the fully searchable text online at www.expertconsult.com, along with a gallery of procedural videos. Apply recent advances and best-practice techniques effectively thanks to global perspectives and analyses of surgical approaches. Improve patient outcomes with clear, direct, and focused coverage of surgical techniques. Find information quickly and easily with a bulleted format for convenient "at-a-glance" reference to key details and ease of use in a mobile environment.

Surgical Techniques of the Shoulder Elbow and Knee in Sports Medicine E Book

Author : Brian J. Cole
File Size : 25.76 MB
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Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine presents you with a step-by-step approach on performing both open and arthroscopic surgeries for sports-related injuries. This medical reference book offers all of the expert guidance you need on everything from patient positioning and the latest orthopaedic surgery techniques, through pearls and pitfalls and post-operative care. An international group of contributors equips you with a worldwide perspective on the most recent orthopaedic advances, making Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine your go-to digest of today's common procedures. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Ensure optimal outcomes from each shoulder, elbow and knee procedure with this orthopaedic surgery text's consistent, step-by-step approach, coupled with numerous tips, pearls, pitfalls, and images gleaned from surgeons specializing in sports injuries. Apply the latest open and arthroscopic techniques, including arthroscopic rotator cuff repair and hamstring and allograft ACL reconstruction. Access the full text and expanded surgical video collection online at Expert Consult. Broaden your knowledge base with contributions from rising international orthopaedic and sports medicine authorities, who offer a global perspective on today's most common techniques including rotator cuff procedures, shoulder and knee instability, and athletic throwing arm issues. Confidently interpret state-of-the-art diagnostic studies with help from a brand-new chapter on sports medicine imaging for each treated joint. See for yourself how key techniques are performed with an expanded online surgical video collection covering Arthroscopic Rotator Cuff Repair: Double Row Techniques; Arthroscopic Repair of Multidirectional Instability of the Shoulder; Ulnar Collateral Ligament Repair and Reconstruction: DANE Technique; Double Bundle Anterior Cruciate Ligament Reconstruction; and Management of Proximal Tibiofibular Instability.

Year Book of Orthopedics 2011 E Book

Author : Bernard F. Morrey
File Size : 28.83 MB
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Year Book of Orthopedics 2011 - E-Book

Techniques in Revision Hip and Knee Arthroplasty E Book

Author : Giles R Scuderi
File Size : 42.12 MB
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Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It’s your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. Quickly find the exact information you need with a straightforward "just what you need to know" approach, including surgical tips and pearls. Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. Access an abundance of surgical videos at Expert Consult.

The Anterior Cruciate Ligament Reconstruction and Basic Science E Book

Author : Chadwick Prodromos
File Size : 22.50 MB
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Master the very latest clinical and technical information on the full range of anterior cruciate ligament reconstruction techniques. Both inside the remarkably user-friendly printed version of this Expert Consult title and on its fully searchable web site, you'll find detailed coverage of hamstring, allograft and bone-tendon-bone (BTB) ACL reconstruction (including single versus double bundle techniques), and hamstring graft harvesting; plus fixation devices, rehabilitation, revision ACLR surgery, and much more! A "dream team" of ACL surgeons provides the advanced guidance you need to overcome the toughest challenges in this area. A comparison of the full range of graft options for ACL reconstruction makes it easier to choose the best approach for each patient. State-of-the-art information on the latest principles and technical considerations helps you avoid complications. ‘How to' principles of post-op rehabilitation and revision ACL surgery optimize patient outcome. Access to the full contents of the book online enables you to consult it from any computer and perform rapid searches. Also available in an upgradeable premium online version including fully searchable text PLUS timely updates.

Insall Scott Surgery of the Knee E Book

Author : W. Norman Scott
File Size : 80.14 MB
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Online and in print, Insall & Scott Surgery of the Knee, edited by W. Norman Scott, MD, and 11 section editors who are experts in their fields, is your complete, multimedia guide to the most effective approaches for diagnosis and management of the full range of knee disorders affecting patients of all ages. From anatomical and biomechanical foundations, to revision total knee replacement, this authoritative reference provides the most up-to-date and complete guidance on cutting-edge surgical procedures, the largest collection of knee videos in one knee textbook. Expanded coverage and rigorous updates—including 40 online-only chapters—keep you current with the latest advances in cartilage repair and regeneration, allograft and autografts, computer robotics in total knee arthroplasty, and other timely topics. This edition is the first book ever endorsed by The Knee Society. Access the full text - including a wealth of detailed intraoperative photographs, a robust video library, additional online-only chapters, a glossary of TKR designs, quarterly updates, and more - at www.expertconsult.com. Get all you need to know about the clinical and basic science aspects of the full range of knee surgeries as well as the latest relevant information, including imaging and biomechanics; soft tissue cartilage; ligament/meniscal repair and reconstructions; partial and total joint replacement; fractures; tumors; and the arthritic knee. Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings, intraoperative photographs, and surgical videos. See exactly how it’s done. Watch master surgeons perform Partial and Primary TKR, Revision TKR, Tumor Replacement, Fracture Treatment, and over 160 videos on the expertconsult.com. Find information quickly and easily thanks to a consistent, highly templated, and abundantly illustrated chapter format and streamlined text with many references and chapters appearing online only. Access the fully searchable contents of the book online at www.expertconsult.com, including 40 online-only chapters, a downloadable image library, expanded video collection, quarterly updates, and a glossary of TKR designs with images and text from various device manufacturers. Grasp and apply the latest knowledge with expanded coverage of cartilage repair and regeneration techniques, expanded ligament techniques in allograft and autografts, computer robotics in surgical prognostics, fitting and techniques in partial and total knee arthroplasty, and more. Consult with the best. Renowned knee surgeon and orthopaedic sports medicine authority Dr. W. Norman Scott leads an internationally diverse team of accomplished specialists—many new to this edition—who provide dependable guidance and share innovative approaches to reconstructive surgical techniques and complications management.

Biomaterials Medical Devices and Tissue Engineering An Integrated Approach

Author : Frederick Silver
File Size : 81.98 MB
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are then selected and must meet the general 'biocompatibility' require ments. Prototypes are built and tested to include biocompatibility evalua tions based on ASTM standard procedures. The device is validated for sterility and freedom from pyrogens before it can be tested on animals or humans. Medical devices are classified as class I, II or III depending on their invasiveness. Class I devices can be marketed by submitting notification to the FDA. Class II and III devices require either that they show equivalence to a device marketed prior to 1976 or that they receive pre-marketing approval. The time from device conception to FDA approval can range from months (class I device) to in excess of ten years (class III device). Therefore, much planning is necessary to pick the best regulatory approach. 2. Wound Dressings and Skin Replacement 2.1 Introduction Wounds to the skin are encountered every day. Minor skin wounds cause some pain, but these wounds will heal by themselves in time. Even though many minor wounds heal effectively without scarring in the absence of treatment, they heal more rapidly if they are kept clean and moist. Devices such as Band-Aids are used to assist in wound healing. For deeper wounds, a variety of wound dressings have been developed including cell cultured artificial skin. These materials are intended to promote healing of skin damaged or removed as a result of skin grafting, ulceration, burns, cancer excision or mechanical trauma.

The ACL Deficient Knee

Author : Edward M. Wojtys
File Size : 50.71 MB
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A review of surgical and nonsurgical treatment options of anterior cruciate ligament (ACL) injuries. This text includes a discussion of ACL injuries, procedures and outcome evaluations.

Current Concepts in ACL Reconstruction

Author : Freddie H. Fu
File Size : 66.70 MB
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From evaluation to outcome, Current Concepts in ACL Reconstruction will help you keep pace with the latest techniques for the treatment of anterior cruciate ligament injuries. This text provides the most complete and up-to-date information for the surgical reconstruction of a torn ACL including details about the newer double-bundle procedure. Both American and international perspectives on the treatment of ACL injuries are included to provide the most comprehensive review on the market today. Inside this richly illustrated text, Drs. Freddie H. Fu and Steven B. Cohen along with contributions from the world’s most experienced knee surgeons review the basic science, kinematic, imaging, and injury patterns surrounding the ACL. Surgical concepts, various techniques for reconstruction, and diverse opinions on approaching the ACL are also included. Current Concepts in ACL Reconstruction explains the anatomical basis in order to provide the most current surgical principles to ensure the patient receives the best surgical outcomes. To reflect recent advancements in ACL treatment, the emerging double-bundle technique is comprehensively covered. The differences between the single- and double-bundle techniques are discussed with perspectives from leading international experts in double-bundle reconstruction. An accompanying video CD-ROM demonstrates the various procedures mentioned throughout the text. In addition, several of the world’s most experienced surgeons provide their perspective from what they have learned by performing ACL surgery for over 25 years, along with their insight into the future treatment of ACL injuries. What you will want to learn more about: • Differences between single- and double-bundle reconstruction techniques • Outcomes of single- and double-bundle reconstruction • Pediatric ACL reconstruction • Gender differences in ACL injury • Radiographic imaging • Computer navigation assistance for ACL reconstruction • Injury patterns of the ACL • Graft choices in ACL surgery • Revision ACL surgery • Postoperative rehabilitation after ACL reconstruction • Outcome measures to assess success after surgery Current Concepts in ACL Reconstruction answers the need for a comprehensive information source on the treatment of ACL injuries. Orthopedic residents and surgeons will be prepared with this thorough review of ACL reconstruction by their side.

Revision ACL Reconstruction

Author : Robert G. Marx
File Size : 54.72 MB
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Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations.

The Knee and the Cruciate Ligaments

Author : R.P. Jakob
File Size : 78.2 MB
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This book summarizes the experience gained by the Orthopedic Study Group for the Knee (OAK) of the Swiss Orthopedic Society in dealing with knee problems relating to deficiencies of the cruciate ligaments. The editors, R.P. Jakob and H.-U.Staubli, have collaborated with international authorities to produce this ex cellent work dealing with a great many aspects of knee surgery and especially the problems of the cruciate ligaments. For clarity, the book begins with definitions and explanations of basic biomechan ical terms. The chapters on Anatomy and Biomechanics present up-to-date scien tific information based on anatomic and biomechanical principles as they are ap plied in modern knee surgery. The second part of the book focuses on the OAK-sanctioned approach to knee documentation and evaluation, which is a valuable supplement to other knee evaluation schemes. The European Society for Knee Surgery (ESKA) and the American Orthopedic Society for Sports Medicine (AOSSM) are currently at tempting to combine the advantages of the OAK system with an internationally valid evaluation scheme to create a standard evaluation and documentation sys tem that will be acceptable to all physicians.

Volume 45 Issue 2 An Issue of Orthopedic Clinics

Author : Asif M. Ilyas
File Size : 90.96 MB
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Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot and ankle.