By Radu Prejbeanu
This atlas offers readers with a concise and available source for appearing knee arthroscopy, probably the most universal orthopaedic systems within the US and more and more worldwide. Illustrated with over a hundred and fifty surgical photos, citizens, experts and senior surgeons alike will locate this atlas to be a key reference for making improvements to knee arthroscopy methods and results for patients.
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Extra resources for Atlas of Knee Arthroscopy
The debate has then focused on laterality and length of the lesions. Shelbourne et al. have shown favorable long term follow-up for lateral meniscal tears left in situ or stimulated by abrasion or trephination that are posterior horn, stable radial flap, or peripheral/posterior third tears which extend less than 10 mm in front of the popliteus tendon . 2 The Menisci In a previous study, the same authors also found that posterior horn avulsions, vertical tears posterior to the popliteus tendon and other stable tears at the time of index anterior cruciate ligament reconstruction can be left in situ without becoming clinically symptomatic .
They are also cultured for aerobic end anaerobic fungi and bacteria for at least a week. The perfect menisci donor should preferably be under 45 years old, have no history of knee osteoarthritis (inflammatory or post-traumatic) and no meniscal damage. Usually a 1 cm slice of the entire tibial plateau is cut, containing the two menisci, followed by another mid-section sagittal cut of the specimen, without damaging the insertion of the two menisci. Due to the lack of proven advantages compared to preserved grafts and need for a high amount of logistics, we will not be covering the fresh, viable meniscal allograft transplantation.
Milachowski et al. found that healing was achieved in a sheep model at approximately 6 weeks after transplantation using both lyophilized and deep-frozen allografts. Arnoczky et al. performed meniscal allograft transplantation in dogs. The result was a grossly normal and healed menisci . Posterior horn disruption was signaled in three cases. This was later confirmed by Elliot et al. who reported meniscal healing and capsule attachment at 12 weeks after transplantation . Later cartilage assessment revealed insignificant differences between allograft transplantation and meniscectomy on most of the animal models [96–101].