Bookedited by Mats Brittberg, Konrad Slynarski.
Summary: This book describes and discusses the available joint preservation techniques for maintaining the stability homeostasis of the lower extremity joints - specifically the hip, knee, and ankle - following injury. Readers will find detailed coverage of anatomy, pathology, techniques for repair, restoration, and regeneration, and rehabilitation strategies. Joint preservation is an emerging field in Orthopaedics that represents a response to the limitations of joint replacement technology. Using the techniques now available, surgeons can try to prevent or delay the onset of osteoarthritis or other degenerative conditions affecting the joints, particularly in young patients. Furthermore, modern tissue engineering offers the potential for whole-joint resurfacing, thereby achieving complete restoration. Optimal implementation of these techniques depends upon further refinement of methods and continuing improvements in knowledge of biomechanics, biology, and anatomy. Against this background, the present book is an ideal guide to the latest treatment modalities that will appeal to all who wish to learn more about indications, goals, procedures, and expected outcomes.
Contents:
Intro
Foreword
Preface
Contents
Part I: Hip
1: Comprehensive Hip Preservation: Correction of Adult Hip Dysplasia and Repair of High-Grade Cartilage Injury
1.1 Introduction
1.2 Diagnostic Imaging in Adult Hip Dysplasia
1.3 Correction of Hip Dysplasia and Open Treatment of High-Grade Cartilage Injury
1.3.1 Periacetabular Osteotomy: Surgical Technique
1.3.2 Surgical Dislocation of the Hip: Surgical Technique
1.4 Cartilage Repair in the Setting of Alignment Correction
1.4.1 Marrow Stimulation in the Hip 1.4.2 Autologous Chondrocyte Implantation in the Hip
1.4.3 Mesenchymal Stem Cell/Signaling Cell Treatment of Hip Chondral Defects
1.4.4 Osteochondral Transfer and Transplantation in the Hip
1.5 Summary
References
2: Anatomy of the Hip Joint Preservation Point of View
2.1 Introduction
2.2 Blood Supply
2.3 Nerves
2.4 Hip Muscles
2.5 Hip Flexors
2.6 Hip Extensors
2.7 Hip Abductors
2.8 Hip Adductors
2.9 External Rotators
2.10 Internal Rotators
2.11 Remarks
References 3: Anatomy, Surgical Management, and Postoperative Outcomes of Acetabular Labral Tears
3.1 Introduction
3.2 The Anatomy of the Labrum
3.2.1 Innervation
3.2.2 The Vascular Supply
3.3 The Aetiology of Hip Labrum Disorders
3.3.1 Types of Labral Lesions
3.4 The Role of the Acetabular Labrum in Hip Disorders
3.4.1 The Function of the Labrum
3.4.2 Changes in Load Distribution
3.4.3 The Radiographic Characteristics of Labral Tears
3.4.4 Labral Tears and OA
3.4.5 Labral Tears and Hip Dysplasia
3.5 Patient Evaluation
3.5.1 Clinical Examination 3.5.2 Diagnostic Imaging
3.6 Surgical Treatment
3.6.1 Indications for Surgery
3.6.2 Surgical Technique for Labral Reconstruction
3.6.3 Postoperative Management (Debridement, Repair, Reconstruction)
3.6.3.1 Outcomes and Prognosis
3.6.3.2 Return to Sports
References
Part II: Knee
4: Bone Marrow Stimulation Techniques for Cartilage Repair
4.1 Introduction
4.2 The Different Basic Techniques for Bone Marrow Stimulation
4.2.1 Subchondral Drilling
4.2.2 Abrasion Arthroplasty
4.2.3 Microfracture
4.2.4 Mobilization (According to Steadman [3]) 4.2.4.1 Femoral Condyle and Tibia Plateau
4.2.4.2 Patella
4.3 Matrix-Associated Bone Marrow Stimulation Techniques (MA-BMS)
4.3.1 Carbon Rods and Pads
4.3.2 Trans Arthroscopic Implant
4.3.3 Implant of Carbon Fiber Plate
4.4 AMIC (Autologous Matrix-Induced Chondrogenesis)
4.4.1 Osteochondral Matrix Plugs
4.4.2 Coral Exoskeleton
4.4.3 Blood Clot Augmentation
4.4.4 UV Light Stabilized Gel for Cartilage Repair
4.4.5 Large Cartilage Bone Damage Treated with Bone Marrow Stimulation
4.5 Conclusion
References