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Cartilage injuries are common, especially in the knee joint, and can lead to degenerative arthritis. The treatment approach for these lesions depend upon patient age, activity level, chronicity, limb alignment, and size and location of the lesion. Diffuse cartilage injury in an older patient may be best treated with arthroplasty options. Young, active patients are not ready for a joint replacement, and may be candidates for cartilage repair procedures, in addition to procedures to correct limb malalignment and/or ligament injury.
KNEE TIBIOFEMORAL CARTILAGE LESIONS HAVE SURGICAL OPTIONS
This paper reviews current treatment algorithm and surgical options for young, active patients with cartilage lesions of the femoral condyle. All options are reviewed to include primary repair, microfracture, osteochondral autograft and allograft, autologous chondrocyte transplantation, as well as osteotomy and meniscus transplantation.
KNEE PATELLOFEMORAL CARTILAGE LESIONS HAVE SURGICAL OPTIONS
This paper reviews current treatment algorithm and surgical options for young, active patients with cartilage lesions of the patella and femoral trochlea. Options reviewed include primary repair, microfracture, osteochondral allograft, autologous chondrocyte transplantation, as well as tibial tubercle osteotomy.
CLINICAL GRADING SYSTEMS FOR OSTEOARTHRITIS ARE RELIABLE
This study from the MARS group analyzed radiographs for reliability of current clinical classification systems for osteoarthritis. They found best reliability using the IKDC using 45 degree flexed and weight-bearing images.
CHONDROSIS IS RELATED TO MENISCUS SURGERY AT TIME OF ACL RECONSTRUCTION
This MARS group study analyzed the presence of cartilage damage at time of revision ACL reconstruction and and found correlation with both age and performance of meniscus repair or debridement at index ACL surgery.
CHONDROSIS IS RELATED TO MENISCUS STATUS, ALIGNMENT AND BMI
MARS group study incorporating analysis of lower extremity aligment radiographs. Independent risk factors for chondrosis were the state of the meniscus at time of revision ACL, lower extremity malalignment, and patient body mass index (BMI).
VISCOSUPPLEMENTATION IS AN OPTION FOR PATIENTS WITH EARLY OSTEOARTHRITIS
This review article covers viscosupplementation and its use in treated osteoarthritis. Other options are also reviewed.
AREAS OF EXPERTISE
PRESS & PUBLICATIONS
Anterior Cruciate Ligament (ACL) Tear
Medial Collateral Ligament (MCL) Tear
Posterior Cruciate Ligament (PCL) Tear
Posterolateral Corner (PLC) Injury
Multiligamentous Knee Injury/
Dr. Brett D. Owens
100 Butler Drive
Providence, RI 02906
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