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  • Book
    Robert F. LaPrade, Elizabeth A. Arendt, Alan Getgood, Scott C. Faucett, editors.
    Summary: This book is a comprehensive journey through the pathogenesis and treatment of meniscal pathology. It details the elements that are necessary to properly understand, diagnose, and treat meniscal tears, ranging from vertical tears to radial tears and root avulsions. Treatment techniques are thoroughly described and illustrated, with presentation of the latest evidence on outcomes. The algorithmic treatment of meniscal tears has undergone a rapid transformation. We have progressed from the initial treatments involving removal of the meniscus using an open technique, to the performance of partial meniscectomies and complex meniscal repairs by means of an arthroscopic technique. The current treatment goal is to maintain the biology and mechanical integrity of this vital knee structure, an aim too often disregarded by past generations of surgeons. An explosion of new knowledge, coupled with advances in arthroscopic and surgical technology, has paved the way for wider application of approaches that help to preserve the meniscus, in the hope of preventing or delaying the development of knee arthritis. This book will have utility for all clinicians who treat meniscal lesions and will serve as a valuable resource for years to come.

    Contents:
    Meniscal anatomy and vascular supply
    Biomechanical function of the menisci
    Classification of meniscal tears
    Meniscectomy-updates on techniques and outcomes
    Meniscal root tears
    a missed epidemic: how should they be treated?- Meniscal ramp lesions-diagnosis and treatment strategies
    Peripheral meniscal tears
    how to diagnose and repair
    Radial meniscal tears
    updates on repair techniques and outcomes
    All-inside meniscal repair
    updates on techniques
    Step by step surgical approaches for meniscal repairs
    The role of alignment in meniscal tears and the role of osteotomy
    Outside-in meniscal repair techniques and outcomes
    Biologic augmentation of meniscal repairs
    Meniscal repair outcomes-isolated versus combined with other procedures
    Treatment of meniscus degeneration and meniscal cysts
    Discoid Menisci and their treatment
    Updates and outcomes on meniscal transplants
    Conclusions and future directions.
    Digital Access Springer 2017
  • Article
    Nyman S, Lindhe J, Rosling B.
    J Clin Periodontol. 1977 Nov;4(4):240-9.
    A clinical trial was performed to study the result of periodontal treatment following different modes of periodontal surgery in patients not recalled for maintenance care. The material consisted of 25 patients distributed into 5 groups. Following an initial examination, all patients underwent presurgical treatment including case presentation and instruction in oral hygiene measures. This instruction was given once. The various patient groups were then subjected to one of the following surgical procedures: 1) the apically repositioned flap operation including elimination of bony defects 2) the apically repositioned flap operation including curettage of bony defects but without removal of bone 3) the "Widman flap" technique including elimination of bony defects 4) the "Widman flap" technique including curettage of bony defects but without removal of bone 5) gingivectomy including curettage of bony defects but without removal of bone. Six, 12 and 24 months after completion of the treatment, the patients were recalled for assessment of their oral hygiene standard and periodontal conditions. The results showed that case presentation and oral hygiene instruction given once, only temporarily improved the patient's oral hygiene habits. Renewed accumulation of plaque in the operated areas resulted in recurrence of periodontal disease including a significant further loss of attachment. All five different techniques for surgical pocket elimination were equally ineffective in preventing recurrence of destructive periodontitis.
    Digital Access Access Options