Abstract
Once a surgeon decides to treat articular cartilage pathology, it rapidly becomes apparent that there are greater numbers of complex cases than those with straightforward articular cartilage defects. The complexity of each case may arise from factors that may not be immediately obvious. For example, psychosocial and secondary gain overlays markedly complicate any cartilage knee treatment. The limb- and knee-specific contributing factors that lead to abnormal forces and contact areas are best treated in a systematic manner after first categorizing them. The goal is to normalize/optimize each pathology. Other chapters will describe specific pathologies and their treatment while this chapter will attempt to assemble a rational approach to these complex patients in which the cartilage problems seem to be a primary factor.
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References
Engen C, Engebretsen L, Arøen A. Knee cartilage defect patients enrolled in randomized controlled trials are not representative of patients in orthopedic practice. Cartilage. 2010;1:312–2.
Cook G. Movement. Functional movement systems: screening, assessment and corrective strategies. Aptos: Lotus Pub; 2011. p. 407.
Deppen R. From the CORE to the Floor—Interrelationships. In: Donatelli R, Editors. Sports specific rehabilitation. St. Louis: Elsevier; 2007.
Minas T. Autologous chondrocyte implantation for focal chondral defects of the knee. Clin Orthop Relat Res. 2001;(391):349–61.
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© 2014 Springer Science+Business Media New York
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Farr, J., Gomoll, A. (2014). Approaching Complex Cases. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0427-9_9
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DOI: https://doi.org/10.1007/978-1-4614-0427-9_9
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