Background: Following an anterior cruciate ligament (ACL) tear, associated injuries in the knee involving menisci and articular cartilage increase with time. This study was performed to assess distribution of secondary after ACL tear time identify a suitable timing for reconstruction surgery. Methods: 74 patients were divided into three groups based on since injury- less than six months, months...

BACKGROUND To review a single-surgeon series of 616 athletic patients with anterior cruciate ligament reconstructions in order to evaluate the relationship between the timing of the reconstruction and the incidence of meniscal and chondral injuries. METHODS SIX GROUP OF PATIENTS WERE CATEGORIZED BASED ON THE TIME INTERVAL FROM THEIR INJURY TO SURGERY IN THE FOLLOWING MANNER: <3 months, 3-6 mo...

Prevalence of cartilage injury and its lack of an inherent response to heal has lead to a dilemma regarding current treatment protocols. Surgical procedures designed to treat focal chondral injuries are evolving in the human population and are supported by the basic science principles of cartilage physiology and known response to injury. Curl et al retrospectively reviewed 31, 516 knee arthrosc...

OBJECTIVE Patellofemoral instability is common and affects a predominantly young age group. Chondral injury occurs in up to 95%, and includes osteochondral fractures and loose bodies acutely and secondary degenerative changes in recurrent cases. Biomechanical abnormalities, such as trochlear dysplasia, patella alta, and increased tibial tuberosity-trochlear groove distance, predispose to both r...

We reviewed 5086 patients with a mean age of 30 years (9 to 69) undergoing primary reconstruction of the anterior cruciate ligament (ACL) in order to determine the incidence of secondary pathology with respect to the time between injury and reconstruction. There was an increasing incidence of medial meniscal tears and chondral damage, but not lateral meniscal tears, with increasing intervals be...

Articular Cartilage Injury of the Knee manages to concisely bridge the translational gap from the basic science of articular cartilage and cartilage injury all the way through to current techniques of chondral repair/reconstruction. It is a beautifully illustrated and very nicely presented update on the diagnosis and planning, the basic science and techniques, and the postoperative management a...

Articular Cartilage Injury of the Knee manages to concisely bridge the translational gap from the basic science of articular cartilage and cartilage injury all the way through to current techniques of chondral repair/reconstruction. It is a beautifully illustrated and very nicely presented update on the diagnosis and planning, the basic science and techniques, and the postoperative management a...

OBJECTIVES Treatments for injured articular cartilage have not advanced to the point that efficient regeneration is possible. However, there has been an increase in the use of platelet-rich plasma for the treatment of several orthopedic disorders, including chondral injuries. Our hypothesis is that the treatment of chondral injuries with platelet gel results in higher-quality repair tissue afte...