Types of Cartilage Hyaline Cartilage Functions to decrease joint friction and distribute load across the joint; also referred to as articular cartilage Composition: Water (65%–80%), collagen (10%–20%, predominantly type II), proteoglycans (10%–15%, aggrecan is most responsible for the hydrophilic property),…
Articular cartilage lesions are a key concern in orthopaedic surgery because cartilage has an extremely poor capacity to heal. Treatment of these lesions aims to restore an articular surface that matches the biomechanical properties of normal hyaline cartilage and to…
Few areas in orthopaedic surgery have grown as rapidly as knee arthroscopy. Arthroscopy often can be performed more quickly and with increased accuracy, lower complication rates, decreased hospitalization time, and shorter recovery periods, compared with many more open operative techniques.…
Introduction With approximately 200,000 anterior cruciate ligament (ACL) tears per year, primary anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopedic procedures performed, and accounts for $1 billion to $2 billion dollars in healthcare per year. ACL…
OVERVIEW Chapter synopsis Posterior cruciate ligament (PCL) injury can occur in isolation or as part of a complex multiligamentous knee injury. The PCL tibial inlay technique avoids the “killer turn” of the transtibial PCL reconstruction. This chapter details PCL reconstruction…
OVERVIEW Chapter synopsis The inside-out technique for meniscus repair is the gold standard against which other repair modalities are compared. It is ideal for bucket handle tears and tears involving the posterior horn through the body of the meniscus. Once…
Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Scapula ( Fig. 2-1 ) A broad flat bone that serves as an attachment for 17 muscles and 4 ligaments The glenoid is typically retroverted 1.2 degrees with a normal range between…
This book uses a bulleted text format and original color illustrations paired side by side with operative photographs to present orthopaedic anatomy and surgical approaches clearly. Regional Anatomy Regional anatomy for each section is presented in the following order: Osteology…