|
 |
|
|||||||
|
|||||||||
© 2001 the American Academy of Orthopaedic Surgeons
Cartilage Substitutes: Overview of Basic Science and Treatment Options
Dr. Jackson is Medical Director, Southern California Center for Sports Medicine, Memorial Orthopaedic Surgical Group, Long Beach, Calif. Dr. Scheer is Sports Medicine Fellow, Southern California Center for Sports Medicine, Memorial Orthopaedic Surgical Group. Dr. Simon is Director of Research, Southern California Center for Sports Medicine, Memorial Orthopaedic Surgical Group.
Reprint requests: Dr. Jackson, 2760 Atlantic Avenue, Long Beach, CA 90806.
Articular cartilage defects that are symptomatic and refractory to nonoperative treatment represent a clinical management challenge. Although there have been important advances in stimulating intrinsic repair mechanisms, cartilage regeneration, and other substitution techniques, to date none has unlocked the understanding necessary to duplicate normal articular cartilage. The objectives of treatment of cartilage lesions are to obtain pain relief, reduce effusions and inflammation, restore function, reduce disability, and postpone or alleviate the need for prosthetic replacement. As the field of articular cartilage repair continues to evolve rapidly, the most appropriate treatment option for an individual patient should be based on the pathologic characteristics of the lesion and the patient’s symptoms and expectations. The orthopaedic surgeon needs to be familiar with both the existing and the newly emerging cartilage treatment techniques in order to best educate patients and meet their expectations for long-term benefits.
This article has been cited by other articles:
|
|
 |
|
  A. Bedi, L. F. Foo, R. J. Williams III, H. G. Potter, and the Cartilage Study Group The Maturation of Synthetic Scaffolds for Osteochondral Donor Sites of the Knee: An MRI and T2-Mapping Analysis Cartilage, January 1, 2010; 1(1): 20 - 28. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. L. Clair, A. R. Johnson, and T. Howard Cartilage Repair: Current and Emerging Options in Treatment Foot & Ankle Specialist, August 1, 2009; 2(4): 179 - 188. [Abstract] [PDF]
|
|
|
|
 |
|
 S. R. Duc, P. Koch, M. R. Schmid, W. Horger, J. Hodler, and C. W. A. Pfirrmann Diagnosis of Articular Cartilage Abnormalities of the Knee: Prospective Clinical Evaluation of a 3D Water-Excitation True FISP Sequence Radiology, May 1, 2007; 243(2): 475 - 482. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. R. Knuesel, C. W. A. Pfirrmann, H. P. Noetzli, C. Dora, M. Zanetti, J. Hodler, B. Kuehn, and M. R. Schmid MR Arthrography of the Hip: Diagnostic Performance of a Dedicated Water-Excitation 3D Double-Echo Steady-State Sequence to Detect Cartilage Lesions Am. J. Roentgenol., December 1, 2004; 183(6): 1729 - 1735. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Woertler, H. Buerger, J. Moeller, and E. J. Rummeny Patellar Articular Cartilage Lesions: In Vitro MR Imaging Evaluation after Placement in Gadopentetate Dimeglumine Solution Radiology, March 1, 2004; 230(3): 768 - 773. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. W. Pearsall IV, J. A. Tucker, R. B. Hester, and R. J. Heitman Chondrocyte Viability in Refrigerated Osteochondral Allografts Used for Transplantation Within the Knee Am. J. Sports Med., January 1, 2004; 32(1): 125 - 131. [Abstract] [Full Text]
|
|
|
|
|
|
A. Ryan, A. L. Bertone, C. C. Kaeding, K. C. Backstrom, and S. E. Weisbrode The Effects of Radiofrequency Energy Treatment on Chondrocytes and Matrix of Fibrillated Articular Cartilage Am. J. Sports Med., May 1, 2003; 31(3): 386 - 391. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. B. Reeder, N. J. Pelc, M. T. Alley, and G. E. Gold Rapid MR Imaging of Articular Cartilage with Steady-State Free Precession and Multipoint Fat-Water Separation Am. J. Roentgenol., February 1, 2003; 180(2): 357 - 362. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |