Abstract
The diagnosis and treatment of articular cartilage defects can be a challenging task for the treating physician. In most instances a thorough trial of nonoperative conservative treatment strategies should be employed before considering surgical interventions. In cases where surgical treatment is necessary, algorithms based on the lesion location, size, and status of the subchondral bone should all be considered when choosing the most appropriate technique.
Abbreviations
- ACI:
-
Autologous chondrocyte implantation
- ACL:
-
Anterior cruciate ligament
- BMAC:
-
Bone marrow aspirate concentrate
- OAT:
-
Osteochondral autograft transfer
- OCD:
-
Osteochondritis dissecans
- PRP:
-
Platelet rich plasma
- SONK:
-
Spontaneous osteonecrosis of the knee
Suggested Reading
Gomoll AH, Minas T. The quality of healing: articular cartilage. Wound Repair Regen. 2014;22(Suppl 1):30–8.
Henn RF 3rd, Gomoll AH. A review of the evaluation and management of cartilage defects in the knee. Phys Sportsmed. 2011;39(1):101–7.
Kanneganti P, Harris JD, Brophy RH. The effect of smoking on ligament and cartilage surgery in the knee: a systematic review. Am J Sports Med. 2012;40(12):2872–8.
Karim AR, Cherian JJ, Jauregui JJ, Pierce T, Mont MA. Osteonecrosis of the knee: review. Ann Transl Med. 2015;3(1):6. https://doi.org/10.3978/j.issn.2305-5839.2014.11.13.
Mall NA, Harris JD, Cole BJ. Clinical evaluation and preoperative planning of articular cartilage injuries of the knee. J Am Acad Orthop Surg. 2015;23(10):633–40.
Meier C, Kraenzlin C, Friederich NF, Wischer T, Grize L, Meier CR, Kraenzlin ME. Effect of ibandronate on spontaneous osteonecrosis of the knee: a randomized, double-blind, placebo-controlled trial. Osteoporos Int. 2014;25(1):359–66.
Minas T, Von Keudell A, Bryant T, Gomoll AH. The john insall award: a minimum of 10-year outcome study of autologous chondrocyte implantation. Clin Orthop Relat Res. 2014;472(1):41–51.
Schulz JF, Chambers HG. Juvenile osteochondritis dissecans of the knee: current concepts in diagnosis and management. Instr Course Lect. 2013;62:455–67.
Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 2000;82:858–66.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Mosier, B., Minas, T., Gomoll, A.H. (2018). Cartilage Defects, Osteochondritis, and Osteonecrosis. In: Katz, J., Blauwet, C., Schoenfeld, A. (eds) Principles of Orthopedic Practice for Primary Care Providers. Springer, Cham. https://doi.org/10.1007/978-3-319-68661-5_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-68661-5_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-68660-8
Online ISBN: 978-3-319-68661-5
eBook Packages: MedicineMedicine (R0)