PPT-Cartilage Restoration and Joint Resurfacing Procedures

Phil Davidson MD March 2017 Introduction Ortho Surgeon Park City and Cottonwood Heights New Office in Park City in collaboration with Mountain Land PT amp Rehab Dedicated Knee and Shoulder Surgeon with focus on Cartilage Restoration and Joint Resurfacing . Function of the skeleton. Support and muscle attachment. Protection. Movement. Haemopoietic. Mineral storage. Main cells in bone and their function. Osteoblasts. – secrete bone. Osteoclasts. – breakdown bone. Phil Davidson. , M.D. .. Heiden-Davidson Orthopaedics. Park City, . Utah. Portland, OR. Sept, 2014 . OUTLINE. Perspective on resurfacing. Indications . Spectrum of Pathologies. Decision Making. Introduction of Inlay Arthroplasty Concept. Henry Delacave and Karina Bennett. Supporting . Tissues. Where is supporting tissue derived from? . Embryonic . mesoderm. Supporting tissue is composed . of . cells. (5%) and . extracellular matrix . Alastair Stephens. Matt . Vreugde. What are the 5 functions of bone?. Describe the pathogenesis of RA.. Genetic predisposition . and an . immunologic trigger. . initiates. T-cell . mediated immune . Osteoarthritis (OA) is the most common joint disease, affecting nearly 50% of those over 65 years of age and almost all individuals over age 75.. OA affects primarily the weight-bearing joints of the axial and peripheral skeleton, causing pain, limitation of motion, deformity, progressive disability, and decreased quality of life.. Phil Davidson. , M.D. .. Heiden-Davidson Orthopaedics. Park City, . Utah. Portland, OR. Sept, 2014 . OUTLINE. Perspective on resurfacing. Indications . Spectrum of Pathologies. Decision Making. Introduction of Inlay Arthroplasty Concept. Chondral. Defect. Normal Anatomy. Hyaline cartilage covering the articular surface of the tibia and femur. Function. Lower friction on gliding surfaces. Shock absorption. Average depth of 2 -4 mm. Avascular. Laurence Smith. Regional Manager; Boise, ID. May 10, 2011. Join us for Education Week. June 20-27. Great education. Fantastic teachers. Product discounts. Other great benefits. Tell others about it as well! . Laurence Smith. Regional Manager; Boise, ID. May 10, 2011. Join us for Education Week. June 20-27. Great education. Fantastic teachers. Product discounts. Other great benefits. Tell others about it as well! . articular. cartilage, hypertrophy of bone at the margins (i.e., . osteophytes. ), . subchondral. sclerosis, and a range of biochemical and morphologic alterations of the synovial membrane and joint capsule. . Primary . DJD . is a degeneration of cartilage in . elderly individuals. occurring . for . no . known reason. . Secondary . DJD . develops secondarily from known . conditions that affect the . joint and . Al-. Abbadi. Dua’a. . Migdadi. Aseel. . Abuneel. *. Degenerative . joint disease . *Wearing-tearing . *Commonest . joint disorder. Defenetion. . I. s . a . chronic. joint . disorder in . which there is progressive softening . These are caused . by . infection or . immunological factors.. These conditions are . characterized by . inflammation of the synovial membrane . with resultant . changes in the . synovial fluid.. Systemic signs may include. Fibrous. Two bones connected with fibrous tissue. Limited movement . Examples. suture. (little or no movement) . gomphosis. (tooth - PDL - bone) . syndesmosis. (fibula & tibia, radius and ulna; interosseous ligament) .