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Current and Novel Approaches to Treating Chondral Lesions by Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am Volume 91(Supplement 1):120-125.

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Presentation on theme: "Current and Novel Approaches to Treating Chondral Lesions by Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am Volume 91(Supplement 1):120-125."— Presentation transcript:

1 Current and Novel Approaches to Treating Chondral Lesions by Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am Volume 91(Supplement 1):120-125 February 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

2 Schematic of the mechanical effects of the presence of a defect in articular cartilage, illustrating elevated contact pressures adjacent to the defect. Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.

3 Cumulative revision rate for total knee arthroplasty (TKA) recipients in the Swedish knee registry, illustrating that patients who are less than sixty-four years of age have an increased prevalence of revision up to ten years postoperatively and, at five ye... Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.

4 Autologous chondrocyte implantation (ACI) and mosaicplasty (M) for eighty patients (age eighteen to forty-five years) resulted in a 23% failure rate in both groups at five years (sixty months) postoperatively14. Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.

5 Mechanical forces influence the response of cells, the effectiveness of regulators (such as growth factors), and the role that the matrix will play in enabling the generation of a viable tissue substitute. Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.

6 Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.

7 Timothy M. Wright, and Suzanne A. Maher J Bone Joint Surg Am 2009;91:120-125 ©2009 by The Journal of Bone and Joint Surgery, Inc.


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