Biologic Joint Reconstruction: Alternatives to Arthroplasty

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Brian J. Cole, Andreas Gomoll
SLACK Incorporated, 2009 - Medical - 349 pages
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The treatment of chondral damage and early arthritis in active patients remains a challenge. Biologic Joint Reconstruction: Alternatives to Joint Arthroplasty has accepted this challenge, providing a comprehensive look into the fast growing area of cartilage repair and early arthritis surgery for virtually every major joint.

Drs. Brian J. Cole and Andreas H. Gomoll have created a text that includes a detailed approach to surgical management utilizing procedures relative to all joints such as osteotomy, cartilage repair, cartilage restoration, and limited resurfacing. Treatment indications, surgical techniques, and non-operative treatment in the knee, shoulder, hip and smaller joints are also highlighted in the text.

Additional Topics Include:
• Imaging modalities for cartilage defects
• Meniscal transplantation
• Limited prosthetic resurfacing
• Allograft processing and safety
• Pharmacological treatment
• Cell-based therapy with ACI
• Unicompartmental knee replacement

Biologic Joint Reconstruction is the only orthopedic text on the market that combines discussion of biological and limited prosthetic options for the treatment of chondral damage and early arthritis for the young active adult, as well as for traditional joint replacement patients.

Who Will Be Interested in Biologic Joint Reconstruction: Alternatives to Joint Arthroplasty:
• Orthopedic Surgeons in Sports Medicine
• Orthopedic Surgeons who Perform Joint Replacements
• Orthopedic Residents and Fellows
 

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Contents

Overview of Articular Cartilage Pathology BASIC SCIENCE ETIOLOGY INCIDENCE AND NATURAL HISTORY
3
PATIENT EVALUATION AND COMORBIDITIES MALALIGNMENT MENISCAL DEFICIENCY AND INSTABILITY
13
IMAGING MODALITIES FOR CARTILAGE DEFECTS
21
ALLOGRAFT PROCESSING AND SAFETY
33
NEUTRACEUTICALS
43
PHARMACOLOGICAL TREATMENTS FOR OSTEOARTHRITIS
51
REHABILITATION OF ARTICULAR CARTILAGE LESIONS OF THE KNEE JOINT
61
ARTHROSCOPIC DEBRIDEMENT OF THE KNEE
77
MANAGEMENT OF OSTEOCHONDRITIS DISSECANS OF THE KNEE
177
SPECIFIC CONSIDERATIONS FOR PATELLOFEMORAL CHONDRAL DISEASE
187
PROXIMAL TIBIAL AND DISTAL FEMORAL OSTEOTOMY
203
CONCURRENT TECHNIQUES FOR THE TREATMENT OF UNICOMPARTMENTAL ARTHRITIS MENISCUS ALLOGRAFT TRANSPLANTATI...
211
UNICOMPARTMENTAL KNEE REPLACEMENT
217
HIP ARTHROSCOPY
225
OSTEOTOMY OF THE HIP AND PELVIS
235
ARTHROSCOPIC FEMORAL HEAD PARTIAL RESURFACING
245

THE MICROFRACTURE TECHNIQUE
87
INTRODUCTION TO OSTEOCHONDRAL AUTOGRAFT TRANSPLANTATION
93
MOSAICPLASTY
107
OSTEOCHONDRAL AUTOGRAFT TRANSFER
119
OSTEOCHONDRAL ALLOGRAFTS
129
CELLBASED THERAPY WITH AUTOLOGOUS CHONDROCYTE IMPLANTATION
139
EXISTING CELLBASED TECHNOLOGIES OUTSIDE THE UNITED STATES UNITED KINGDOM AND EUROPE
147
MINIMALLY INVASIVE SECONDGENERATION AUTOLOGOUS CHONDROCYTE IMPLANTATION
155
FUTURE DEVELOPMENTS IN CARTILAGE REPAIR
163
MENISCUS TRANSPLANTATION
169
ARTHROSCOPIC GLENOHUMERAL DEBRIDEMENT AND CAPSULAR RELEASE
253
BIOLOGIC GLENOHUMERAL RESURFACING
261
LIMITED SHOULDER PROSTHETIC RESURFACING
273
ELBOW ARTHROSCOPY
287
NONPROSTHETIC ELBOW ARTHROPLASTY
301
BIOLOGIC RESURFACING ON THE ELBOW JOINT
309
ANKLE ARTHROSCOPY
321
CARTILAGE REPAIR IN THE ANKLE
333
INDEX
343
Copyright

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About the author (2009)

Brian J. Cole, MD, MBA is a Professor in the Department of Orthopedics with a conjoint appointment in the Department of Anatomy and Cell Biology at Rush University Medical Center in Chicago, Illinois. He is the Section Head of the Cartilage Research Program at Rush University Medical Center and the Cartilage Restoration Center at Rush, a multidisciplinary program specializing in the restoration of articular cartilage and meniscal deficiency. He also serves as the head of the Orthopedic Master's Program and trains residents and fellows in sports medicine.

Dr. Cole received his MD and MBA from the University of Chicago in 1990, completed his residency at The Hospital for Special Surgery in New York in 1996, and completed his Sports Medicine Fellowship at the University of Pittsburgh in 1997. He specializes in arthroscopic shoulder, elbow, and knee surgery. He has a specific interest in arthroscopic reconstruction of athlete's shoulder (rotator cuff, instability, and arthritis), elbow, and knee. He is the principal investigator for numerous FDA clinical trials and regularly performs basic science research.

He has authored and edited several hundred peer-reviewed publications, including highly recognized orthopedic textbooks on arthroscopy, sports medicine, and cartilage transplantation. His publications also include nearly 1000 book chapters, technique papers, and presentations describing the techniques and results of shoulder, elbow, and knee surgery. Dr. Cole lectures and teaches the techniques of cartilage restoration and shoulder arthroscopy on a national and international level. He also is a member of numerous national societies and serves on the Board of the American Academy of Orthopedic Surgeons and assumes many high level positions on society organizing committees.

Dr. Cole was chosen as one of the "Best Doctors in America" each year since 2004 and as a "Top Doctor" in the Chicago Metro area each year since 2003. In 2006, he was featured as "Chicago's Top Doctor" and placed on the cover of Chicago Magazine. Dr. Cole is the team physician for the Chicago Bulls NBA Basketball team and DePaul University in Chicago, and is co-team physician for the Chicago White Sox Major League Baseball team.

Andreas Gomoll, MD is Assistant Professor of Orthopaedic Surgery at Brigham and Women's Hospital and Harvard Medical School in Boston, Massachusetts. He is part of the Cartilage Repair Center, which specializes in treating patients with complex osteochondral and meniscal injuries. His clinical and research interests lie in the optimization of cartilage and meniscal repair techniques.

Dr. Gomoll received his MD from Ludwig-Maximilians-Universit t in Munich, Germany in 1997. He then spent 2 years in the Orthopaedic Research Laboratory at Brigham and Women's Hospital in Boston, Massachusetts before joining the Harvard Combined Orthopaedic Residency Program, from which he graduated in 2005. He completed a fellowship in Sports Medicine at Rush University in Chicago, Illinois, before returning to Brigham and Women's Hospital as attending orthopaedic surgeon in 2006. He has authored and coauthored multiple publications, book chapters, and reviews on the topic of cartilage repair and reconstruction.

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