The Biological Respite: Joint Preservation in the Adult Knee
When a 45-year-old former athlete presents with severe medial knee pain and bone-on-bone osteoarthritis, a total knee replacement is the easiest surgical option—but it is the wrong option. Putting metal and plastic into a young, highly active patient guarantees a catastrophic revision surgery a decade later. Joint Preservation in the Adult Knee is a fiercely innovative, heavily biomechanical surgical manual designed to delay arthroplasty for decades. This volume provides the exact blueprints required to biologically and mechanically salvage the deteriorating joint.
Mastering the Mechanical Axis
The core philosophy of this text is unloading the damaged cartilage. The authors aggressively detail the execution of complex periarticular osteotomies. It dictates exactly how to perform a High Tibial Osteotomy (HTO) or a Distal Femoral Osteotomy (DFO), calculating the precise wedge of bone to remove or open to shift the patient’s body weight away from the arthritic compartment and onto the healthy cartilage.
Navigating Biologics and Cartilage Restoration
The book provides a masterclass in regenerative surgery. It dictates the exact surgical pathways for combining mechanical realignment with biological augmentation. It rigorously details how to execute a massive osteochondral allograft transplantation (OATS) or a meniscus allograft transplantation concurrently with an osteotomy, effectively rebuilding the joint surface from cadaveric tissue.
Frequently Asked Questions (FAQs)
Will this book teach me how to do a knee replacement?
Absolutely not. The entire purpose of this book is to teach the advanced, complex surgeries required to *prevent* the patient from needing a knee replacement.
Who is the primary audience?
It is the absolute, mandatory surgical atlas for Orthopedic Sports Medicine Surgeons, Joint Preservation Specialists, and Knee Surgeons treating the young, active arthritic patient.
