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Read e-book online A Primer in Cartilage Repair and Joint Preservation of the PDF

By Tom Minas MD MS

ISBN-10: 1416066543

ISBN-13: 9781416066545

ISBN-10: 1437736327

ISBN-13: 9781437736328

A Primer in Cartilage fix and Joint renovation of the Knee provides the total diversity of treatment plans for a altering, more and more more youthful sufferer inhabitants. Dr. Thomas Minas demonstrates each one technique-from non-surgical to mini-incision overall knee arthroplasty to the new advancements in tissue biologics-through a step by step process. This hugely visible, multimedia reference publications you in settling on the Read more...

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Additional info for A Primer in Cartilage Repair and Joint Preservation of the Knee

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At this juncture, a tentative diagnosis is made based on the patient’s history, x-ray studies, and physical examination. Magnetic resonance imaging (MRI) scan at this time is helpful for making an accurate diagnosis without proceeding to arthroscopy. If a cartilage injury is suspected, a high-resolution MRI scan with intraarticular dye enhancement (either Patient Evaluation, Cartilage Defect, and Evidence: Putting It All Together C HA P T ER 4 PATIENT FIRST TIP To consistently provide excellent customer service always remember to use the 5 E’s in interactions with every patient or family member, whether in person on the phone EMPATHIZE EDUCATE ENGAGE ENLIST END Build a relationship with the patient!

These patients are followedup with annual high-resolution MRI scans to determine whether the defect size is enlarging (Figure 4–7). If no enlargement is seen, annual weight-bearing x-ray films are obtained to determine joint space loss or the onset of symptoms, which include activity-related effusions of the knee despite an absence of pain, which indicates a degenerative response of the joint. If the disease has progressed or the patient is concerned about losing the opportunity for cartilage repair and preservation of the joint, a treatment-based discussion ensues.

Because of the excellent quality of MRI and computed tomography imaging now available, I have found that arthroscopy is rarely needed for diagnosing articular cartilage injury and treatment planning. The key to high-quality imaging is a team approach with a dedicated musculoskeletal radiologist who understands the needs of the orthopedist and sets the parameters for the images needed. R E F E R E N C E S 1. Rosenberg T, Paulos L, Parker RD, et al. The forty-five-degree posteroanterior flexion weight bearing radiograph of the knee.

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A Primer in Cartilage Repair and Joint Preservation of the Knee by Tom Minas MD MS

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