J Bone Joint Surg Am. 2014 Feb 19;96(4):336-44. doi: 10.2106/JBJS.L.01329.
Restoration of articular cartilage.
Abstract
➤ Novel (i.e., quantitative and semiquantitative) cartilage imaging techniques can evaluate cartilage composition to augment information obtained from traditional magnetic resonance imaging sequences that detail morphology.➤ A well-defined role for drugs leading to chondroprotection has not yet been determined.➤ Shortcomings of bone marrow stimulation include limited production of hyaline repair tissue, unpredictable repair cartilage volume, and a negative impact on later cellular transplantation if required.➤ The role of biological augments, such as cellular concentrates or platelet-rich plasma, remains undefined. When their use is reported in the literature, it is important that their process of production and characterization be detailed.➤ Rehabilitation programs, incorporating controlled exercise and progressive partial weight-bearing, are an important part of cartilage repair surgery and should be detailed in reports on operative techniques applied.➤ Malalignment, meniscal injury, and ligament deficiency should be corrected in a staged or concomitant fashion to reduce the overall likelihood of mechanical failure in cartilage repair surgery.
- PMID:
- 24553893
- [PubMed - in process]
The Orthobiologic Institute (TOBI) Faculty, Dr. Brian Cole, publishes article in JBJS: Restoration of Articular Cartilage
Abstract: http://ow.ly/veoNe
Blog: http://ow.ly/vepwb
Learn more about the latest research bridging surgical and non-surgical orthopedics using biologics at the upcoming TOBI: The Orthobiologic Institute 5th Annual PRP & Regenerative Medicine Symposium with Cadaver Lab, June 6-7, 2014 in Las Vegas. www.prpseminar.com.
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