Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successful procedure in the older population, is controversial in younger patients, who are less satisfied and experience higher failure rates. Therefore, while traditionally not indicated for the treatment of OA, cartilage repair has become a focus of increased interest due to its potential to provide pain relief and alter the progression of degenerative disease, with the hope of delaying or obviating the need for joint replacement. The field of cartilage repair is seeing the rapid development of new technologies that promise greater ease of application, less demanding rehabilitation and better outcomes. Concurrent procedures such as meniscal transplantation and osteotomy, however, remain of crucial importance to provide a normalized biomechanical environment for these new technologies. Level of evidence: Systematic review, Level II

Gomoll AH, Filardo G, Almqvist FK, Bugbee WD, Jelic M, Monllau JC, et al. (2012). Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures. KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY, 20(3), 468-486 [10.1007/s00167-011-1714-7].

Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures

FILARDO, GIUSEPPE;ZAFFAGNINI, STEFANO;MARCACCI, MAURILIO
2012

Abstract

Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successful procedure in the older population, is controversial in younger patients, who are less satisfied and experience higher failure rates. Therefore, while traditionally not indicated for the treatment of OA, cartilage repair has become a focus of increased interest due to its potential to provide pain relief and alter the progression of degenerative disease, with the hope of delaying or obviating the need for joint replacement. The field of cartilage repair is seeing the rapid development of new technologies that promise greater ease of application, less demanding rehabilitation and better outcomes. Concurrent procedures such as meniscal transplantation and osteotomy, however, remain of crucial importance to provide a normalized biomechanical environment for these new technologies. Level of evidence: Systematic review, Level II
2012
Gomoll AH, Filardo G, Almqvist FK, Bugbee WD, Jelic M, Monllau JC, et al. (2012). Surgical treatment for early osteoarthritis. Part II: allografts and concurrent procedures. KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY, 20(3), 468-486 [10.1007/s00167-011-1714-7].
Gomoll AH; Filardo G; Almqvist FK; Bugbee WD; Jelic M; Monllau JC; Puddu G; Rodkey WG; Verdonk P; Verdonk R; Zaffagnini S; Marcacci M.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/113299
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