Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Confidence is ClinicalKey
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Emerging Technologies
Introduction New biologic options are being developed throughout the world to enhance existing techniques, offer new off-the-shelf options, and provide reproducible structural repair. I contacted several companies worldwide and asked them to share their core technologies, preclinical development, clinical trial…
Complex Cases in Cartilage Repair: Tricks and Tips
My residents and clinical fellows have often asked me where they can find a well written technique for a medial subvastus exposure as well as the tips and tricks that I use in more complex joint-preserving reconstructions. For this reason…
Meniscal Allograft Transplantation
Introduction Loss of meniscal tissue drastically alters the biomechanical environment of the knee joint, especially in the lateral compartment, where contact stress can increase by 200% to 300% after total meniscectomy. Compartment overload syndrome can ensue, presenting with weight-bearing pain…
Treatment of Deep Osteochondritis Dissecans Lesions, Avascular Necrosis, and Osteochondral Defects of the Knee Using Autologous Bone Grafting
Introduction The management of an osteochondral defect in the knee is one of the most difficult conditions for the orthopedist. Although a fresh osteochondral allograft seems to be the treatment of choice for this condition, allografts are not without their…
Patellofemoral Malalignment, Tibial Tubercle Osteotomy, and Trochleoplasty
Introduction This chapter is meant to offer the practicing orthopedist a practical management approach to dealing with patellofemoral disease. The key to successful treatment relies on an accurate diagnosis of the underlying pathomechanics responsible for the pain. Chronic patellofemoral pain…
Femoral Varus Osteotomy
Introduction The valgus knee (see Fig. 11.1 ) is usually associated with hypoplasia of the lateral femoral condyle and a superior lateral directed joint line. The ankle joint is frequently obliquely orientated to the floor parallel to the knee joint…
Tibial Osteotomy
Arthritis and Malalignment The premise of knee osteotomy surgery is to correct malalignment at the site of the deformity and relieve pressure on the overloaded or arthritic compartment. In general, medial compartment osteoarthritis of the knee coexists with a varus…
Autologous Chondrocyte Implantation
Introduction Historical Perspective Autologous chondrocyte transplantation (ACT) has been known as autologous chondrocyte implantation (ACI) in North America. The technique as described by Peterson and co-workers was adapted by me after several visits to Sweden in the early 1990s (…
Use of Fresh Osteochondral Allograft for Chondral and Osteochondral Defects in the Knee
Introduction Fresh osteochondral allografts are composite grafts consisting of a living mature hyaline cartilage portion anchored to a nonliving subchondral bone portion, forming an intact osteochondral functional unit that replaces a damaged corresponding tissue in the recipient joint. Increasing demand…