Linked Life Data

19399479

Source:http://linkedlifedata.com/resource/pubmed/id/19399479

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2009-11-2
pubmed:abstractText
Despite improvements in the ability to detect articular cartilage defects of the trochlea, determining the significance of these lesions remains difficult. Physical examination and history taking remain the best way to estimate the clinical impact of these lesions. Debridement and/or microfracture are often initial surgical interventions; these procedures can be expected to provide functional improvement in over 50%, but studies suggest that the amount of improvement deteriorates within 3 years. While initial reports on ACI and osteochondral allografts in the treatment of trochlear defects appear to be more promising solutions, long-term follow-up studies are lacking. Similarly, the effect of tibial tubercle osteotomy combined with cartilage restoration techniques remains unresolved. Nonetheless, based on the limited available evidence, ACI or osteochondral allografts combined with a tibial tubercle osteotomy when appropriate have provided the most durable treatment for these difficult-to-treat lesions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1433-7347
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1316-25
pubmed:meshHeading
pubmed:year
2009
pubmed:articleTitle
Cartilage defects of the femoral trochlea.
pubmed:affiliation
Department of Orthopedics and Rehabilitation, Pennsylvania State University College of Medicine, Bone and Joint Institute, Milton S. Hershey Medical Center, 30 Hope Drive, Hershey, PA 17033, USA. august_gallo@yahoo.com
pubmed:publicationType
Journal Article