MeniscusMicrofractureHigh tibial osteotomyDefectsReconstructionSurgicalBone and cartilageDefectMeniscalHyaline cartilageLigamentsLigamentMACIBonesTransplantationArticular cartilage repairAutologousTendonChondrocytesInjuriesSurgeryProceduresDegenerationFull thickness cartilageCorrectiveValgusArthritisInstabilityPatient'sThicknessCollagenLayer of cartilageAreas of cartilagePiece of cartilagePieces of cartilageImplant the cartilageSymptoms of cartilageLesionsDeteriorationFemoralBiomechanicalTreat cartilageRepairTibial plateauExtracellular matrixPostoperativeSeverityTissue
Meniscus2
- Arthroscopic surgery is commonly used to treat cartilage tears, such as a torn meniscus in the knee. (newsbasis.com)
- Two wedge-shaped pieces of cartilage called meniscus act as "shock absorbers" between your thighbone and shinbone. (aaos.org)
Microfracture5
- Microfracture is a surgical technique used to repair damaged articular cartilage. (briancolemd.com)
- Microfracture may be augmented with BioCartilage (dehydrated, micronized allogenic cartilage) and/or AutoCart Minced Cartilage (autologous cartilage). (briancolemd.com)
- Localized areas of cartilage loss may be treated arthoscopically by various techniques including internal fixation, microfracture, cartilage replacement with patient's tissue or donor tissue, or cartilage regrowth techniques. (jeffreydcartermd.com)
- As such, Dr. Cunningham only considers Microfracture surgery for cartilage defects that are hard to access, and thus are not amenable to other cartilage procedures. (drrichardcunningham.com)
- This cartilage fill is more durable and long lasting than the fibrocartilage that Microfracture results in. (drrichardcunningham.com)
High tibial osteotomy3
- High tibial osteotomy combined with cartilage restoration: A systematic review of clinical outcomes and prognostic factors. (bvsalud.org)
- High tibial osteotomy (HTO), classically utilized to treat uni-compartmental knee osteoarthritis , corrects malalignment. (bvsalud.org)
- Postoperative anteroposterior radiograph of varus knee that underwent a closing wedge high tibial osteotomy with internal fixation. (medscape.com)
Defects17
- However, the influence of cartilage defects of the lateral compartment on the total outcome remains obscure. (sicot-j.org)
- Two groups were formed regarding the integrity of the lateral tibiofemoral compartment as measured by the Outerbridge score (group A: no lateral cartilage defects, group B: mild to moderate lateral cartilage defects). (sicot-j.org)
- Group A (no lateral cartilage defects) showed an increase in all five KOOS subscores ( p = 0.00-0.01), whereas for group B (mild to moderate lateral cartilage defects), only two KOOS subscores revealed a significant increase ( p = 0.03-0.04). (sicot-j.org)
- Cartilage defects with a higher Outerbridge score were associated with lower postoperative KOOS subscores. (sicot-j.org)
- Mild to moderate cartilage defects of the lateral compartment humble the total outcome after HTO procedure. (sicot-j.org)
- Focal chondral defects are often treated with cartilage restoration procedures . (bvsalud.org)
- HTO combined with cartilage restoration procedures can treat uni-compartmental osteoarthritis and focal chondral defects. (bvsalud.org)
- HTO with adjunctive cartilage repair procedures improve clinical outcome scores and restore alignment in patients with medial compartment osteoarthritis and isolated focal chondral defects. (bvsalud.org)
- HTO with adjunctive cartilage procedures produces optimal results in younger, non-obese patients with focal chondral defects and varus malalignment, without significant lateral compartment and patellofemoral involvement. (bvsalud.org)
- Formulate appropriate treatment algorithms in the management of articular cartilage defects and pathology as well as to learn the latest surgical technique options available to address these problems. (aaos.org)
- Osteoarthritis is a chronic disease of the joint cartilage and bone, often thought to result from wear and tear on a joint, although there are other causes such as congenital defects, trauma and metabolic disorders. (mountsinai.org)
- Articular cartilage defects may be the result of degeneration from age, repetitive wear and tear, or a traumatic event such as an injury from falling on the knee, jumping down, or twisting the knee. (newsbasis.com)
- MACI uses the patient's own cells to treat cartilage defects in the knee. (floridaortho.com)
- Since cartilage does not grow back, these defects usually get worse over time and can eventually lead the patient to early osteoarthritis. (floridaortho.com)
- This mixture can be used as an allograft equivalent to treat localized cartilage defects. (briancolemd.com)
- These conservative strategies can alleviate pain symptoms, but they cannot terminate the progression of cartilage deterioration and repair cartilage defects. (biomedcentral.com)
- Viscosupplementation in association with the appropriate cytokine environment is being studied to determine whether articular cartilage chondrocytes can be reactivated and programmed to regenerate in order to cover defects within the knee joint. (medscape.com)
Reconstruction2
- I perform a variety of surgeries such as total, partial, and complex knee replacements, Hip replacement surgery, realignment (osteotomy) and keyhole knee procedures including cartilage procedures, Meniscal repair, and Ligament reconstruction surgery. (spirehealthcare.com)
- The clinical and research interests of Michael J. Stuart, M.D., focus on complex knee problems with a particular emphasis on primary and revision ACL reconstruction, meniscal repair and transplantation, osteotomy, multiple ligament knee reconstruction, and partial and total knee arthroplasty. (mayoclinic.org)
Surgical9
- The triple tibial osteotomy is a surgical procedure used to treat dogs that have completely or partially ruptured the cranial cruciate ligament in one or both of their stifles. (wikipedia.org)
- Caution should be utilized both in making the distinction between benign and malignant cartilage tumors and in selecting the appropriate surgical treatment for grade I chondrosarcomas. (medscape.com)
- Introduction: The use of MRI scans for pre-operative surgical planning of forearm osteotomies provides additional information of joint cartilage and soft tissue structures and reduces radiation exposure in comparison with the use of CT scans. (researchgate.net)
- A significant contribution to the success of knee osteotomy is a thorough understanding of deformity analysis and surgical planning. (aofoundation.org)
- Injured cartilage typically does not heal on its own, so doctors have developed several surgical techniques that attempt to repair, regenerate, and replace cartilage. (newsbasis.com)
- However, if non-surgical options won't accomplish complete success for your needs, our knee & leg surgeons are trained on (and at times assist in the development of) the latest surgical procedures and advancements, including cartilage, restoration, and total knee replacement . (floridaortho.com)
- Although a challenging problem, there are some promising surgical treatments to repair and replace areas of articular cartilage loss in a joint. (drrichardcunningham.com)
- Surgical osteotomy is indicated to reorient any remaining viable plantar articular cartilage. (msdmanuals.com)
- This surgical procedure is called an osteotomy and is performed when one side of the knee (usually the inside) is affected by OA and there is an angular deformity of the knee (also known as having knock knees). (lu.se)
Bone and cartilage2
- Core decompression, osteotomies, bone and cartilage grafting, and total hip replacement surgery are the common operative treatments for avascular necrosis. (medgadget.com)
- In patients with AS, formation of new bone and cartilage (syndesmophyte formation) in the intervertebral joints ultimately results in fusion and sclerosis of the cervical and lumbar spine, leading to loss of mobility and significant functional impairment. (medscape.com)
Defect10
- Twenty of the 34 included papers reported prognostic factors that affected the success or failure of combined HTO and cartilage repair surgery for focal articular defect and uni-compartmental knee osteoarthritis . (bvsalud.org)
- What causes full thickness cartilage defect? (newsbasis.com)
- MACI is a technology that uses the patient's own cartilage cells and glues them into the cartilage defect using a structure known as a cellularized scaffold. (floridaortho.com)
- Before BioCartilage placement, the defect is smoothed and microfractured to introduce blood supply and stimulate new cartilage to grow. (briancolemd.com)
- Your family history may bear some responsibility: Your genes set the stage for a defect in the production of collagen, a protein crucial to cartilage. (besthealthmag.ca)
- Once a cartilage defect occurs, self-repair is not easy [ 3 ]. (biomedcentral.com)
- When cartilage is damaged, MSCs derived from synovial fluid can partially move to the injured site and differentiate into chondrocytes to repair the defect, and IGF-1 induces chondrogenic differentiation [ 11 , 12 , 13 ]. (biomedcentral.com)
- A thin wear spot in articular cartilage is called a chondral defect. (drrichardcunningham.com)
- The patient is then brought back to surgery, the knee joint is opened through a 3 inch incision, the area of exposed bone is prepared and the membrane with the patient's cartilage cells is imbedded into the cartilage defect and secured in place with a type of human glue. (drrichardcunningham.com)
- The cells will then continue to multiply, harden and fill the defect with actual articular cartilage as well as some fibrocartilage. (drrichardcunningham.com)
Meniscal2
- Even in cartilage and meniscal procedures a physiological alignment is a prerequisite for success. (aofoundation.org)
- Articular cartilage injury often accompanies other knee injuries including knee instability, and meniscal tears. (jeffreydcartermd.com)
Hyaline cartilage3
- However, clinical efficacy of these treatments is not conclusive, as these treatments do not consistently regenerate hyaline cartilage. (biomedcentral.com)
- It is hyaline cartilage that is found on joint surfaces. (lu.se)
- Around 80% of hyaline cartilage is water. (lu.se)
Ligaments3
- Joint fluid's other role is to provide nutrition to the cartilage and the cruciate ligaments. (wikipedia.org)
- The knee is a complex system of supportive and moving parts, including bones, cartilage, muscles, tendons, and ligaments - each of which is subject to injury or disease. (floridaortho.com)
- The immune system damages normal tissue (such as cartilage and ligaments) and softens the bone. (aaos.org)
Ligament2
- In the triple tibial osteotomy procedure, the tibia has three osteotomies (cuts into the bone with a bone saw) performed upon it with the aim of realigning the tibial plateau slope so that it ultimately becomes aligned at right angles to the patellar ligament instead of sloping backwards. (wikipedia.org)
- Recent research also recommends performing osteotomies in ligament procedures to reduce the risk of revision. (aofoundation.org)
MACI2
- MACI helps many patients avoid early partial and total joint replacements by restoring the cartilage surface of their knee before the problem progresses to a much worse situation. (floridaortho.com)
- Similar to MACI, the damaged cartilage area is prepared and sized. (briancolemd.com)
Bones13
- We all start out life with a thick layer of cartilage that cushions our joints in the space where the bones meet. (mountsinai.org)
- You lose some of the cartilage that normally allows your bones to move against each other. (bupa.co.uk)
- The ends of the three bones that form the knee joint are covered with articular cartilage, a smooth, slippery substance that protects and cushions the bones as you bend and straighten your knee. (aaos.org)
- As the cartilage wears away, it becomes frayed and rough, and the protective space between the bones decreases. (aaos.org)
- Focus Meeting Knee Osteotomies (Hands-On Skills Course with Dry Bones). (cartilage.org)
- Articular Cartilage is the white tissue lining the end of bones where these bones connect to form joints. (briancolemd.com)
- Cartilage acts as cushioning material and helps in smooth gliding of bones during movement. (briancolemd.com)
- A smooth, plastic-like lining called cartilage covers the ends of the bones and prevents them from rubbing against each other, allowing for flexible and nearly frictionless movement. (peninsulaboneandjoint.com)
- Cartilage also serves as a shock absorber, cushioning the bones from the forces between them. (peninsulaboneandjoint.com)
- Experts still aren't sure why cartilage, the shock-absorbing tissue that normally coats the ends of bones, sometimes breaks down. (besthealthmag.ca)
- Articular cartilage is the coating cartilage on the ends of the bones which allows for smooth, nearly frictionless, pain free joint range of motion. (drrichardcunningham.com)
- When articular cartilage wears completely away from the ends of the bones in a joint, then the result is "bone on bone" arthritis. (drrichardcunningham.com)
- A fibrillar protein that is one of the body's most common proteins and an important building block in bones, articular cartilage and skin, among other things. (lu.se)
Transplantation3
- Cartilage repair techniques that were combined with HTO and included in this review are bone marrow stimulation, allograft transplantation , osteochondral autograft transplantation, autologous chondrocyte implantation, and mesenchymal stem cell implantation. (bvsalud.org)
- Cartilage transplantation is a procedure to restore articular cartilage in a joint by transplanting it from another region of your body or using cartilage from a donor. (briancolemd.com)
- Cartilage transplantation is indicated for cases of mild-to-moderate cartilage loss where joint replacement is not recommended. (briancolemd.com)
Articular cartilage repair3
- Cucchiarini, M., Madry, H. Biomaterial-guided delivery of gene vectors for targeted articular cartilage repair. (uniklinikum-saarland.de)
- Articular cartilage repair is a critical issue in osteoarthritis (OA) treatment. (biomedcentral.com)
- The insulin-like growth factor (IGF) signaling pathway has been implicated in articular cartilage repair. (biomedcentral.com)
Autologous1
- BioCartilage consists of dehydrated cartilage, which is combined with either bone marrow concentrate, platelet-rich plasma, and/or autologous cartilage harvest (AutoCart). (briancolemd.com)
Tendon1
- The type VI collagen is an extracellular protein forming a distinct myofibrillar network of most interstitial connective tissues, existing in the cellular matrices of muscle, skin, tendon, cartilage, intervertebral discs, blood vessels and eyes. (bvsalud.org)
Chondrocytes3
- The cartilage cells known as chondrocytes do not often replicate or repair themselves, which means damaged or injured cartilage will not likely heal well without medical intervention. (newsbasis.com)
- Articular cartilage is mainly composed of chondrocytes and dense extracellular matrix (ECM) without blood vessels or innervation. (biomedcentral.com)
- Strategies for IGF delivery to chondrocytes and cartilage matrix are essential for its clinical application in OA treatment. (biomedcentral.com)
Injuries2
- Osteotomies can also cause injuries of the orbital region. (egms.de)
- He is an expert at diagnosing and treating articular cartilage injuries for patients in Vail, Summit County, Aspen, and Denver, CO. (drrichardcunningham.com)
Surgery7
- Treatment options for cartilage hair hypoplasia vary depending on each patient's symptoms and may include surgery. (hopkinsmedicine.org)
- If the joint damage is really bad, you may need surgery to trim off damaged cartilage or to replace the affected joint in the knee, hip, shoulder, or elbow with an artificial joint. (mountsinai.org)
- It is used as a cell-based cartilage restoration procedure to treat full-thickness cartilage lesions in a single surgery. (briancolemd.com)
- A second surgery is performed to implant the cartilage tissue into the joint. (briancolemd.com)
- When is Articular Cartilage Surgery of the Knee Needed? (drrichardcunningham.com)
- If these treatments fail to provide sufficient relief, then surgery may be considered, especially in young patients who have lost areas of articular cartilage due to a sudden traumatic injury and not from slow wear and tear as a result of aging. (drrichardcunningham.com)
- What Are The Most Common Types of Articular Cartilage Surgery? (drrichardcunningham.com)
Procedures4
- To assess outcomes of combined HTO and cartilage restoration procedures and review prognostic factors that may assist in preoperative planning and patient counseling . (bvsalud.org)
- The triple tibial osteotomy has been developed as a hybrid of two previously available orthopaedic procedures, the tibial tuberosity advancement and the tibial plateau leveling osteotomy. (wikipedia.org)
- Procedures -Dogs underwent a mid-diaphyseal (1-mm) tibial osteotomy (stabilized with external skeletal fixation) and received an ACS containing 0.28 mg (0.2 mg/mL) or 0.56 mg (0.4 mg/mL) of rhBMP-2 or no treatment (control dogs). (avma.org)
- Soft-tissue procedures and corrective osteotomies about the knee. (medlineplus.gov)
Degeneration5
- Thus, indication for HTO should be made very carefully if any degree of lateral cartilage degeneration is present. (sicot-j.org)
- Other names for patellofemoral pain syndrome include "chondromalacia patellae" (a reference to the degeneration of cartilage in the joint) and "moviegoer's knee" (since some people feel pain during periods of prolonged sitting). (hss.edu)
- Osteoarthritis is the degeneration of articular cartilage over time. (briancolemd.com)
- Damaged cartilage cannot cushion the joints during movement and the joints may rub over each other causing pain, inflammation and further joint degeneration. (briancolemd.com)
- [ 17 ] performed similar studies in which a varus stress was placed across the knee, and each study documented degeneration of the articular cartilage in the medial compartment. (medscape.com)
Full thickness cartilage2
- What does full thickness cartilage fissuring mean? (newsbasis.com)
- What grade is full thickness cartilage loss? (newsbasis.com)
Corrective4
- Re-displacement of a pediatric diaphyseal forearm fracture can lead to a malunion with symptomatic impairment in forearm rotation, which may require a corrective osteotomy. (researchgate.net)
- Corrective osteotomy with two-dimensional (2D) radiographic planning for malunited pediatric forearm fractures can be a complex procedure due to multiplanar deformities. (researchgate.net)
- The purpose of this prospective cohort study was to evaluate the outcomes after 3-D-planned corrective osteotomy w. (researchgate.net)
- To get around this problem, the femur was split again and a corrective osteotomy performed. (manchesterhipclinic.com)
Valgus2
- High tibial medial open-wedge valgus osteotomy (HTO) is a well-established procedure for unicompartimental medial osteoarthritis of the young and active patient. (sicot-j.org)
- The picture below shows an x-ray of the right hip in a 40 year old male who had undergone a previous valgus osteotomy. (manchesterhipclinic.com)
Arthritis5
- Is cartilage damage the same as arthritis? (newsbasis.com)
- Cartilage damage is a key feature of degenerative joint disorders-primarily osteoarthritis (OA)-and chronic inflammatory joint diseases, such as rheumatoid arthritis (RA). (newsbasis.com)
- In many cases, the condition will lead to tear of the labrum and eventual arthritis because of damage to the cartilage in the socket. (emoryhealthcare.org)
- This loss or wearing down of articular cartilage is called arthritis. (drrichardcunningham.com)
- The problem facing the orthopedist in unicompartmental arthritis is addressing single-compartment articular cartilage wear and biomechanical overload while preserving the integrity of the remaining knee joint. (medscape.com)
Instability1
- Moreover, chronic cartilage damage has been described at 13-year follow up with patellofemoral osteoarthritis in 22% in patellar instability knees compared to 11% in contralateral healthy knees [ 6 ]. (springer.com)
Patient's1
- Generalized cartilage loss may require osteotomy or joint replacement depending on the patient's symptoms and age. (jeffreydcartermd.com)
Thickness3
- High joint reaction forces in the patellofemoral joint of up to several times body weight [ 1 , 2 ] are reflected in patellar cartilage being the thickest in the body with a patellar cartilage thickness of up to 7.5mm [ 3 ]. (springer.com)
- Cartilage, or chondral, damage is known as a lesion and can range from a soft spot on the cartilage (Grade I lesion) or a small tear in the top layer to an extensive tear that extends all the way to the bone (Grade IV or "full-thickness" lesion). (newsbasis.com)
- Grade 3 - Cartilage with Grade 3 changes indicate that there is full thickness fissuring or splitting of the cartilage all the way down to subchondral bone. (newsbasis.com)
Collagen2
Layer of cartilage1
- Fissuring: A fissure is a crack in a layer of cartilage. (newsbasis.com)
Areas of cartilage1
- This procedure is indicated for medium-to-large areas of cartilage deficiency. (briancolemd.com)
Piece of cartilage2
- Many times when a patient comes in to see their doctor with knee pain , the cause is a piece of cartilage that has come loose or worn down. (floridaortho.com)
- This happens when a "loose body" in the joint (usually a piece of cartilage or bone) gets stuck. (lu.se)
Pieces of cartilage1
- In this technique, an arthroscope is placed into an injured knee and two Tic Tac sized pieces of cartilage with some underlying bone are taken from peripheral areas of the knee. (drrichardcunningham.com)
Implant the cartilage1
- The company was recently allowed by the FDA to then implant the cartilage cells onto an absorbable membrane. (drrichardcunningham.com)
Symptoms of cartilage4
- What are the symptoms of cartilage hair hypoplasia? (hopkinsmedicine.org)
- There are multiple treatment options for the symptoms of cartilage hair hypoplasia based on the area and severity of the condition. (hopkinsmedicine.org)
- What are the symptoms of cartilage damage in the knee? (newsbasis.com)
- Symptoms of cartilage injury are often non-specific and may mimic other knee problems. (jeffreydcartermd.com)
Lesions2
- Baseline data as well as intraoperative findings, including the grade and location of cartilage lesions, were evaluated retrospectively. (sicot-j.org)
- Articular cartilage damage is common, with 44.6% cartilage lesions of the patellofemoral joint reported in knee arthroscopies [ 4 ]. (springer.com)
Deterioration2
- What is the deterioration of articular cartilage? (newsbasis.com)
- The supplements glucosamine and chondroitin may prevent cartilage deterioration. (besthealthmag.ca)
Femoral3
- According to the deformity, the software provides a recommendation whether single tibial, single femoral, or double-level osteotomy is preferable to correct the alignment. (aofoundation.org)
- Work currently is being performed to generate articular cartilage in vitro with the ultimate goal of resurfacing a femoral condyle or tibial plateau. (medscape.com)
- This cartilage serves to widen and deepen the articulating surface between the femoral condyles and the tibia. (medscape.com)
Biomechanical1
- Among groups, biomechanical variables did not differ, although less osteotomy-site failures occurred in rhBMP-2/ACS-treated groups. (avma.org)
Treat cartilage1
- How do you treat cartilage fissuring? (newsbasis.com)
Repair7
- Thirty-four papers that reported the combined outcome of HTO and cartilage repair were included. (bvsalud.org)
- Can damaged knee cartilage repair itself? (newsbasis.com)
- An injury to the joint may damage this cartilage which cannot repair on its own. (briancolemd.com)
- In the past, such successful working groups have contributed to the Society's knowledge about Histology, Rehabilitation after Cartilage Injury and Repair, Cartilage Imaging and Committee Structure. (cartilage.org)
- Optimization of IGF delivery systems will facilitate treatment application in cartilage repair and improve OA treatment efficacy. (biomedcentral.com)
- Growth factors and their signaling pathways have recently attracted much attention in cartilage repair for OA treatment. (biomedcentral.com)
- Insulin-like growth factor-1 (IGF-1), a member of a family of growth factors that are structurally closely related to pro-insulin, has shown profound effects on chondrocyte biological behavior and fundamentally regulates cartilage matrix metabolism during cartilage repair. (biomedcentral.com)
Tibial plateau1
- The tibial plateau leveling osteotomy neutralises shear force by rotating the tibial plateau so that it is approximately horizontal with respect to the long axis of the tibia. (wikipedia.org)
Extracellular matrix2
- A proteoglycan (a protein to which long carbohydrate chains are attached) is a central component of the extracellular matrix in the articular cartilage. (lu.se)
- Cells that produce and maintain the extracellular matrix in the cartilage. (lu.se)
Severity2
- Cartilage tumors vary in severity from benign enchondroma to low-grade malignant chondrosarcoma to the highest-grade dedifferentiated chondrosarcoma. (medscape.com)
- Depending upon the severity of articular cartilage damage and joint deformity, one or more of these measures may ameliorate symptoms such that no further intervention is required. (medscape.com)
Tissue2
- Loose fragments of cartilage and other tissue can interfere with the smooth motion of joints. (aaos.org)
- A variety of cell types emanate from the bone forming "fibrocartilage," which is a mixture of cartilage, bone, and scar tissue. (drrichardcunningham.com)