Cartilage Surgery E-Book , livre ebook

Cartilage Surgery
An Operative Manual

Mats Brittberg, MD, PhD
Associate Professor, Cartilage Research Unit, Department of Orthopaedics, Institution of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden
Consultant Orthopaedic Surgeon, Endoscopium, Department of Orthopaedics, Kungsbacka Hospital, Kungsbacka, Sweden

Wayne K. Gersoff, MD
Clinical Instructor, Department of Orthopedic Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
Team Physician/Orthopedic Surgeon, Colorado Rapids Soccer Team
President, Major League Soccer Physician's Association
Saunders
Front Matter

Cartilage Surgery
An Operative Manual
Mats Brittberg, MD, PhD
Associate Professor, Cartilage Research Unit, Department of Orthopaedics, Institution of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden
Consultant Orthopaedic Surgeon, Endoscopium, Department of Orthopaedics, Kungsbacka Hospital, Kungsbacka, Sweden
Wayne K. Gersoff, MD
Clinical Instructor, Department of Orthopedic Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
Team Physician/Orthopedic Surgeon, Colorado Rapids Soccer Team
President, Major League Soccer Physician's Association
Copyright

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CARTILAGE SURGERY—AN OPERATIVE MANUAL ISBN: 978-1-4377-0878-3
Copyright © 2011 by Saunders, an imprint of Elsevier Inc. All rights reserved.
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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data [data goes here]
Brittberg, Mats.
Cartilage surgery: an operative manual/Mats Brittberg, Wayne K. Gersoff. -- 1st ed.
p.; cm.
Includes bibliographical references and index.
ISBN 978-1-4377-0878-3 (pbk.: alk. paper)
1. Cartilage--Surgery. I. Gersoff, Wayne K. II. Title.
[DNLM: 1. Cartilage, Articular--physiopathology. 2. Cartilage, Articular--surgery. 3. Arthroplasty--methods. 4. Cartilage Diseases--surgery. 5. Tissue Transplantation--methods. WE 300]
RD686.B75 2011
616.7’7059--dc22
2010044235
Acquisitions Editor: Daniel Pepper
Editorial Assistant: Lisa Cocchia
Publishing Services Manager: Patricia Tannian
Team Manager: Radhika Pallamparthy
Senior Project Manager: Sharon Corell
Project Manager: Joanna Dhanabalan
Design Direction: Louis Forgione
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
To my wife, Ingela, and our daughter, Joanna, for making my life complete and for your enduring support and love during all those hours spent making this book and attending to other similar missions.
To my patients, colleagues, and co-workers; because of working with all of you, it is a privilege and an honor to be an orthopaedic surgeon and a scientist.

Mats Brittberg, MD
To Mimi, Anya, and Lindsay, thank you for your ongoing support, encouragement, and love that makes life so wonderful.
To Drs. Southwick, Aversa, Clancy, and Peterson for your teaching, inspiration, and encouragement during my career.

Wayne Gersoff, MD
Contributors

Jens D. Agneskirchner, Dr med, Sportsclinic Germany, Hannover, Germany

Peter Behrens, Prof Dr med habil, Orthopaedics, University of Luebeck, Luebeck, Schleswig-Holstein, Germany, Orthopaedie, CUNO, Hamburg, Germany

J.P. Benthien, PD, Dr med, Orthopedic Surgery Division, University of Basel, Basel, Switzerland

James Bicos, MD, Department of Orthopedics, St. Vincent Orthopedics/St. Vincent Sports Performance, Carmel, Indiana, USA

Brice W. Blatz, MD, MS, Research Fellow, Department of Sports Medicine, Santa Monica Orthopaedic and Sports Medicine Group, Santa Monica, California, USA

Jason Boyer, MD, Santa Monica Orthopedics and Sports Medicine, Santa Monica, California, USA

Mats Brittberg, MD, PhD, Associate Professor, Cartilage Research Unit, Department of Orthopaedics, Institution of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden, Consultant Orthopaedic Surgeon, Endoscopium, Department of Orthopaedics, Kungsbacka Hospital, Kungsbacka, Sweden

Peter U. Brucker, MD, MSc, Klinikum Rechts der Isar, Technical University of Munich, Orthopaedic Sports Medicine, Munich, Germany

William Bugbee, MD, Joint Replacement/Lower Extremity Reconstruction, Cartilage Transplantation/Restoration, Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California, USA, Associate Professor, Department of Orthopaedic Surgery, University of California, San Diego, California, USA

Sebastian Concaro, MD, PhD, Department of Molecular Biology and Regenerative Medicine, University of Gothenburg—Sahlgrenska, University Hospital, Gothenburg, Sweden, Orthopaedic Surgeon, Department of Orthopaedic Surgery, Kungälv Hospital, Kungälv, Sweden

Marco Delcogliano, MD, Santa Monica Orthopedics and Sports Medicine, Santa Monica, California, USA

Stephen J. Duguay, PhD, Associate Director, Process Development, Genzyme Biosurgery, Cambridge, Massachusetts, USA

Jack Farr, MD, Volunteer Clinical Professor, Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA, Orthopaedic Surgery, Indiana Orthopaedic Hospital, Indianapolis, Indiana, USA, Orthopaedic Surgery, St. Francis Hospital, Indianapolis, Indiana, USA, Director, Orthopaedic Surgery, Cartilage Restoration Center of Indiana, Indianapolis, Indiana, USA

Wayne K. Gersoff, MD, Clinical Instructor, Department of Orthopedic Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA, Team Physician/Orthopedic Surgeon, Colorado Rapids Soccer Team, President, Major League Soccer Physician's Association

Karen Hambly, BSc, MCSP, Senior Lecturer, Centre for Sports Studies, University of Kent, Kent, United Kingdom

László Hangody, MD, PhD, DSc, Professor, Head of Department, Department of Traumatology, Semmelweis University, Budapest, Hungary, Head of Department, Department of Orthopaedics and Traumatology, Ulzsoki Hospital, Budapest, Hungary, Director, Trauma Center, Péterfy Hospital, Budapest, Hungary

László Rudolf Hangody, MD, PhD Candidate, Doctoral School, Semmelweis University, Budapest, Hungary

Marcus Head, MB, BS, MRCSEd, Specialist Registrar, Trauma and Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic and District Hospital, Oswestry, Shropshire, United Kingdom

Andreas B. Imhoff, MD, Klinikum Rechts der Isar, Technical University of Munich, Orthopaedic Sports Medicine, Munich, Germany

Gregory C. Janes, MBBS, FRACS (Ortho), Consultant Orthopaedic Surgeon, Perth Orthopaedic and Sports Medicine Centre, West Perth, WA, Australia

Anders Lindahl, MD, PhD, Professor, Department of Clinical Chemistry and Transfusion Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Philipp Lobenhoffer, Sportsclinic Germany, Hannover, Germany

Bert R. Mandelbaum, MD, DHL, Director, Santa Monica Sports Fellowship and Foundation, Santa Monica, California, USA, Saint Johns Hospital, Santa Monica, California, USA, Team Physician, US Soccer, LA Galaxy, Chivas, California, USA, Pepperdine University, Los Angeles, California, USA

Jochen Paul, MD, BA, Klinikum Rechts der Isar, Technical University of Munich, Orthopaedic Sports Medicine, Munich, Germany

James B. Richardson, Profess