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A Primer in Cartilage Repair and Joint Preservation of the Knee
Author: Tom Minas, MD, MS
Pages:  288  Hard Cover
ISBN 13:
Saunders/ Elsevier   2011
List Price:  $199

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MedicalScienceBooks.com Medical Book Review:

     The option of being able to take significant and early steps to preserve a joint in a patient suffering from debilitating pain caused by injury or degeneration has really only been available over the past two decades.  Prior to this time, the orthopedic surgeon was left to choose among a variety of surgical techniques often requiring the total replacement of the joint with synthetic materials.  With the trend of older individuals remaining active over a greater portion of the life span and complex case presentations in younger individuals in whom replacement surgery is avoided as long as possible, the developing techniques and philosophy of cartilage repair is likely to revolutionize the care of many orthopedic conditions.
     The publication of A Primer in Cartilage Repair and Joint Preservation of the Knee comes at a time when the research literature and clinical experience of a growing number of surgeons and clinicians have come to an overwhelming conclusion that this is a highly efficacious approach with clear advantages to the patient.  The dual purpose of this book is to introduce the basic techniques to orthopedic specialists in training and serve as the definitive guide on the subject for established surgeons wishing to incorporate these techniques into their practice.  The fact that the reader can benefit from the continuity of style and thought process that comes along with a single author text is truly an amazing feat and yet, in this context, it is almost a necessity since there are so few clinicians that have the requisite experience in this realm. 
     Deciding which patients will derive the most benefit from cartilage repair techniques is obviously at the core of its great success.  The book opens with a set of chapters that deal with the initial patient assessment and various knee joint evaluations that aid in the development of a treatment strategy.  The next two parts detail the cartilage repair surgery both directly involving autologous implants and also dealing with accompanying pathologies of the knee joint such as misalignment issues.  The final section includes two chapters focused on the treatment of osteoarthritis, particularly in younger patients who present a unique challenge.  Each section is detailed with numerous surgical photographs as seen through the arthroscope and detailed external photographs of grafts and other biologic materials as applied to the knee joint. In addition, for those anatomical descriptions which are hard to visualize, there is an excellent illustration program which effectively captures the nuances of tissue layers and joint space.  Last but certainly not least is the companion DVD which includes video of various surgical procedures.
     A Primer in Cartilage Repair and Joint Preservation of the Knee is a book that should not only be read by orthopedic specialists but implemented as much as possible in daily practice.  As techniques and materials get refined over the next several years, interventions that are centered on tissue repair will continue to gain popularity and serve our patients well as they balance active lifestyles with degenerative processes. 


Ratings (1-4 , 4 being the highest):

Organization of information:    3.5

Usefulness of book:     3.5

Suitable for intended audience:    4

Authorís objectives met:      4

Significant number of illustrations:     3.5

Quality of illustrations:    3.5


A Primer in Cartilage Repair and Joint Preservation of the Knee presents the full range of treatment options for a changing, increasingly younger patient population. Dr. Thomas Minas demonstrates each technique-from non-surgical to mini-incision total knee arthroplasty to the recent developments in tissue biologics-through a step-by-step approach. Surgical photographs and illustrations and procedural videos online at www.expertconsult.com and on DVD provide detailed guidance. This highly visual, multimedia reference guides you in choosing the best treatment course for each patient.

Key Features:

  • Get only the information you need through a technique-focused approach and the consistent style of a single author, Dr. Thomas Minas-a leading specialist in cartilage repair.
  • Access the fully searchable text online at www.expertconsult.com, along with videos.
  • Incorporate tissue biologics into your practice and provide your patients with additional options.
  • Clearly see the nuances and important points of each technique with surgical photographs and artists' renderings of key situations in the operating room.
  • Select the best treatment course for each patient through extensive coverage of options from non-surgical to mini-incision total knee arthroplasty.
  • Master cutting-edge techniques through videos-online and on DVD-that demonstrate each procedure.


Table of Contents:

Part 1: Decision Making

Chapter 1: Chondral Injury and Osteoarthritis: The Impact of Articular Cartilage Lesions

Chapter 2: Cartilage Repair and Regeneration

Chapter 3: Imaging: The Basis for a Sound Decision in Joint Preservation

Chapter 4: Patient Evaluation, Cartilage Defect, and Evidence: Putting It All Together

Part 2: Cartilage Repair Surgical Techniques

Chapter 5: Debridement, Microfracture, and Osteochondral Autograft Transfer for Treatment of Cartilage Defects

Chapter 6: Use of Fresh Osteochondral Allograft for Chondral and Osteochondral Defects in the Knee

Chapter 7: Autologous Chondrocyte Implantation

Part 3: Surgical Management of Background Factors

Chapter 8: Tibial Osteotomy

Chapter 9: Femoral Varus Osteotomy

Chapter 10: Patellofemoral Malalignment. Tibial Tubercle Osteotomy, and Trochleoplasty

Chapter 11: Treatment of Deep Osteochondritis Dissecans Lesions, Avascular Necrosis, and Osteochondral Defects of the Knee Using Autologous Bone Grafting

Chapter 12: Meniscal Allograft Transplantation

Chapter 13: Complex Cases in Cartilage Repair: Tricks and Tips

Chapter 14: Emerging Technologies

Part 4: Early Intervention in Osteoarthritis

Chapter 15: Patellofemoral Arthroplasty

Chapter 16: Patient-Specific Unicompartmental and Bicompartmental Resurfacing Arthroplasty



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