This comprehensive review article delves into the intricate realm of orthopedic joint preservation with a focus on surgical techniques, innovative treatments, rehabilitation protocols, and long-term outcomes. Within the orthopedic landscape, joint preservation plays a crucial role in enhancing patient quality of life and functional outcomes. The article delivers a detailed exploration of various surgical techniques utilized for joint preservation, encompassing arthroscopy, cartilage repair, osteotomy, and ligament reconstruction. By scrutinizing the indications, outcomes, and potential complications associated with these procedures, the article aids in providing a comprehensive understanding for practitioners. Moreover, it delves into the realm of cutting-edge treatments such as regenerative medicine, stem cell therapy, and biologic agents, shedding light on their significant role in promoting joint preservation and fostering tissue healing. Rehabilitation protocols for joint preservation are also thoroughly evaluated, underlining the pivotal role of early mobilization, tailored physical therapy regimens, and patient education in fostering optimal outcomes while averting potential complications. Through an assessment of long-term outcomes post joint preservation interventions including functional improvements, pain management, and patient contentment, the article endeavors to gauge the efficacy and longevity of these interventions. By offering a nuanced overview of the current state of joint preservation in orthopedics, the article extends valuable insights to orthopedic surgeons, researchers, and healthcare professionals actively engaged in managing joint disorders.
| Published in | Advances in Surgical Sciences (Volume 12, Issue 1) |
| DOI | 10.11648/j.ass.20241201.13 |
| Page(s) | 11-22 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Articular Cartilage Lesions, Joint Preservation, Osteoarthritis, Orthobiologics, Innovative Treatments, Cartilage Restoration, Stem Cells, Ozone Therapy
| [1] | Sunil, Katoch., R., K., Easwaran., Hemant, P, Thacker., Amulya, Singh., P., Moonot., Amitava, Mukherjee., Santosh, Shetty., K., Malhan., Vasudev, Prabhu., Niranjan, R, Rathod., M., Asif, Jah., Sridhar, Gangavarapu., Naidu, Mj., Pranay, Bhushan., Anish, Desai. (2022). Expert consensus on the role of nutraceuticals in bone, joints, and muscle health. International Journal of Orthopaedics Sciences, |
| [2] | Priyanka, Mitra. (2023). Vertebroplasty and Kyphoplasty. |
| [3] | Elif, Vardar., Eleftheria, Samara., Pierre-Yves, Zambelli. (2021). A Mini-review of Current Methods and Emerging Technologies in Articular Cartilage Repair. |
| [4] | Chilan, Bou, Ghosson, Leite., Gergo, Merkely., Christian, Lattermann., Simon, Görtz. (2021). ICRS virtual convention 2021: Orthoregenerative therapy from basic science to clinical application. |
| [5] | Louise, Pasquesoone., L., Barry., N., Sturbois-Nachef., V., Duquennoy-Martinot., C., Chantelot., E., Guerre. (2020). The interest of “ortho-plastic” collaboration in management of complex limb injury. Annales De Chirurgie Plastique Esthetique, |
| [6] | John, C., Clohisy., Paul, E., Beaulé., Craig, J., Della, Valle., John, J., Callaghan., Aaron, G., Rosenberg., Harry, E., Rubash. (1997). The Adult Hip: Hip Preservation Surgery. |
| [7] | Iain, Murray., Rachel, Frank., Seth, L., Sherman. (2023). Joint preservation techniques: Where are we in 2023?. Journal of cartilage & joint preservation, |
| [8] | M., Husen., Roel, J. H., Custers., Mario, Hevesi., Aaron, J., Krych., Daniel, B. F., Saris. (2023). The Role of Proximal Tibial Osteotomy in Joint Preservation. Journal of cartilage & joint preservation, |
| [9] | Jiang, Wu., Bin, Zhao., Wei, Luo., Xiao, Chen., Qian, Zhao., Fuji, Ren., Huifeng, Zheng., Jingmin, Huang. (2023). Arthroscopy combined with high tibial osteotomy promotes cartilage regeneration in osteoarthritis. Journal of orthopaedic surgery (Hong Kong), |
| [10] | Mats, Brittberg. (2022). New frontiers for cartilage repair, joint preservation and prevention. Journal of cartilage & joint preservation, |
| [11] | Constance, R., Chu. (2022). Articular Cartilage: Injury, Restoration, and Preservation. Operative Techniques in Orthopaedics, |
| [12] | Ketansinh, P., Solanki., Saseendar, Shanmugasundaram., Neha, Shetty., Seok, Jung, Kim. (2021). Articular cartilage repair & joint preservation: A review of the current status of biological approach. Journal of clinical orthopaedics and trauma, |
| [13] | Esther, Ching, San, Chow. (2021). Set-Up, Equipment, and Surgical Instruments. |
| [14] | Devin, P., Leland., Ayoosh, Pareek., Erik, Therrien., Ryan, R., Wilbur., Michael, J., Stuart., Aaron, J., Krych., Bruce, A., Levy., Christopher, L., Camp. (2022). Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment. Sports Medicine and Arthroscopy Review, |
| [15] | Philip, J., York., Frank, B., Wydra., Matthew, E., Belton., Armando, F., Vidal. (2017). Joint Preservation Techniques in Orthopaedic Surgery. Sports Health: A Multidisciplinary Approach, |
| [16] | Shane, Taylor., Charles, E., Giangarra. (2021). The History of Arthroscopy. |
| [17] | Yilgor C, Kindan P, Yucekul A, Zulemyan T, Alanay A. Osteotomies for the Treatment of Adult Spinal Deformities: A Critical Analysis Review. JBJS Rev. 2022 May 1; 10(5). PMID: 35613311. |
| [18] | Tomoyuki, Nakasa., Nobuo, Adachi. (2022). The Osteochondral Unit. |
| [19] | Hans, Gollwitzer., Johannes, Schauwecker., Rainer, Burgkart., H., Rechl., R., von, Eisenhart-Rothe. (2012). [Joint-preserving surgery of the adult hip. Intertrochanteric femoral osteotomy]. Orthopade, |
| [20] | Erika, Daley., Ira, Zaltz. (2020). Proximal Femoral Osteotomy. |
| [21] | Chunho, Chen., Ting-Ming, Wang., Ken, N., Kuo. (2017). Pelvic Osteotomies for Developmental Dysplasia of the Hip. |
| [22] | Michael, C, Wyatt., Carl, Freeman., Martin, Beck. (2019). Anatomy of the Hip Joint. |
| [23] | Ali, Adel, Mohammed, Alsalihi., Mazin, Ibrahim, Khalel, Thalaj. (2020). Pelvic support osteotomy using ilizarov external fixator. Eurasian Journal of Biosciences. |
| [24] | Malin, Meier., Till, D., Lerch., Markus, S., Hanke., Moritz, Tannast., Simon, D., Steppacher., Florian, Schmaranzer. (2022). [Imaging in joint-preserving hip surgery]. |
| [25] | Michelle.E Arakgi, Alan Getgood. (2022). Mechanical Malalignment of the Knee Joint. |
| [26] | Ronald, J., van, Heerwaarden. (2021). Unloading Osteotomies Around the Knee. |
| [27] | Dennis, S., Meredith., Alexander, R., Vaccaro. (2015). Important Research Principles in the Field of Spinal Osteotomy. |
| [28] | Olivos-Meza, A., Brittberg, M., Landa-Solis, C., & Suárez-Ahedo, C. (2023). Cartilage Restoration and Allogeneic Chondrocyte Implantation: Innovative Technique. IntechOpen. |
| [29] | Mathijs, van, Poll., Niamh, Fahy., Janneke, Witte-Bouma., Willem, J., B., van, Wamel., Iulian, Apachitei., Amir, A., Zadpoor., Lidy, E., Fratila-Apachitei., Eric, Farrell. (2023). The response of human macrophages to 3D printed titanium antibacterial implants does not affect the osteogenic differentiation of hMSCs. Frontiers in Bioengineering and Biotechnology, |
| [30] | Xun, Xu., Wei, Wang., Jie, Zou., Karl, Kratz., Zijun, Deng., Andreas, Lendlein., Nan, Ma. (2023). Histone Modification of Osteogenesis Related Genes Triggered by Substrate Topography Promotes Human Mesenchymal Stem Cell Differentiation. ACS Applied Materials & Interfaces, |
| [31] | M., Husen., Roel, J. H., Custers., Aaron, J., Krych., Daniel, B. F., Saris. (2022). Autologous chondrocyte implantation for treatment of articular cartilage defects in the knee and ankle of football (soccer) players. Journal of cartilage & joint preservation, |
| [32] | Yannick, Ehmann., Thekla, Esser., Amr, Seyam., Marco, C., Rupp., Julian, Mehl., Sebastian, Siebenlist., Andreas, B., Imhoff., Philipp, Minzlaff. (2022). Low postoperative complication rate with high survival rate and good clinical outcome 9 years after autologous chondrocyte transplantation of the knee joint. Archives of Orthopaedic and Trauma Surgery, |
| [33] | Yufeng, Liu., Ning, Ma., Zhe, Zhao., Quanyi, Guo. (2023). Mid- to Long-Term Clinical Outcomes of Cartilage Restoration of Knee Joint with Allogenic Next-Generation Matrix-Induced Autologous Chondrocyte Implantation (MACI). Orthopaedic Surgery, |
| [34] | Jay, R., Ebert., Peter, K., Edwards., P, Annear. (2023). Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape. Archives of Orthopaedic and Trauma Surgery, |
| [35] | Takehiko, Matsushita., Tomoyuki, Matsumoto., Daisuke, Araki., Kanto, Nagai., Yuichi, Hoshino., Takahiro, Niikura., Atsuhiko, Kawamoto., Masahiro, J., Go., Shin, Kawamata., Masanori, Fukushima., Ryosuke, Kuroda. (2022). A phase I/IIa clinical trial of third-generation autologous chondrocyte implantation (IK-01) for focal cartilage injury of the knee. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, |
| [36] | Nima, Mehran., Varun, Singla., Kelechi, R., Okoroha., Justin, J, Mitchell. (2021). Functional Outcomes and Return to Sport After Cartilage Restoration of the Knee in High-level Athletes.. Journal of The American Academy of Orthopaedic Surgeons, |
| [37] | Klemen, Stražar., Klemen, Stražar. (2021). Computer assistance in hip preservation surgery—current status and introduction of our system. International Orthopaedics, |
| [38] | Kunhua, Zhong. (2022). Convolutional-de-convolutional neural networks for recognition of surgical workflow. Frontiers in Computational Neuroscience, |
| [39] | Nicola, Lopomo. (2022). Computer-assisted orthopedic surgery. |
| [40] | S., E., Bosma., Paul, C, Jutte., Kwok, Chuen, Wong., Laurent, Paul., J., G., Gerbers. (2018). Patient-specific instruments can achieve a better surgical accuracy than navigation assistance in joint-preserving surgery of the knee joint: a cadaveric comparative study. |
| [41] | Ignacio, Dallo., Rachel, M., Frank., Hannah, Bradsell., Nicolas, S., Piuzzi., Alberto, Gobbi. (2022). Overview of Orthobiologics and Joint Function. |
| [42] | Rachel, M., Frank. (2021). Welcome to the third issue of JCJP. |
| [43] | Aleksey, V., Lychagin., B., A., Bogatov., Jane, Tselisheva., Alexey, Muzychenkov. (2022). Comparison of the results of treatment of adhesive capsulitis of the shoulder joint with the use of prp and polynucleotides. Travmatologiâ i Ortopediâ Rossii, |
| [44] | S., A., M., Siawasch., Ana, B., Castro., Marc, Quirynen., Wim, Teughels., Andy, Temmerman. (2022). [Innovative methods and developments in oral care. L-PRF: from evidence to clinical use]. Nederlands Tijdschrift Voor Tandheelkunde, |
| [45] | M, Habibi., Kalantar, Motamedi., D., T., Semirumi., Ayub, Ghorbani. (2023). Utilizing stem cells in reconstructive treatments for sports injuries: An innovative approach.. Tissue & Cell, |
| [46] | Seok-Jin, Kang., Na-Yeon, Gu., Jeong, Su, Byeon., Bang-Hun, Hyun., Jienny, Lee., Dong-Kun, Yang. (2023). Immunomodulatory effects of canine mesenchymal stem cells in an experimental atopic dermatitis model. Frontiers in Veterinary Science, |
| [47] | Kalaiselvaan, Thanaskody., Amirah, Syamimi, Jusop., Gee, Jun, Tye., Wan, Safwani, Wan, Kamarul, Zaman., Sylvia, Annabel, Dass., Fazlina, Nordin. (2022). MSCs vs. iPSCs: Potential in therapeutic applications. Frontiers in Cell and Developmental Biology, |
| [48] | Maoxiao, Ma., Guofeng, Cui., Youwen, Liu., Yanfeng, Tang., Chen, Yue., Xue, Zhang. (2023). Mesenchymal stem cell-derived extracellular vesicles, osteoimmunology and orthopedic diseases. PeerJ, |
| [49] | Rodrigo, Rufino., Laís, da, Silva, Pereira-Rufino., Thays, Cristina, Silva, Vissoto., Irina, Kerkis., Adriana, da, Costa, Neves., Marcelo, Cavenaghi, Pereira, da, Silva. (2022). The Immunomodulatory Potential Role of Mesenchymal Stem Cells in Diseases of the Central Nervous System. Neurodegenerative Diseases, |
| [50] | Ejlal, Abu-El-Rub., Ramada, R., Khasawneh., Fatimah, Almahasneh. (2022). Prodigious therapeutic effects of combining mesenchymal stem cells with magnetic nanoparticles. World Journal of Stem Cells, |
| [51] | Asma, Abdullah, Nurul., Maryam, Azlan., Muhammad, Rajaei, Ahmad, Mohd, Zain., Alphy, Alphonsa, Sebastian., Ying, Zhen, Fan., Mh, Busra, Fauzi. (2021). Mesenchymal Stem Cells: Current Concepts in the Management of Inflammation in Osteoarthritis. Biomedicines, |
| [52] | Sello, L, Manoto., Makwese, Maepa., S. C. K. M., Motaung. (2016). Medical ozone therapy as a potential treatment modality for regeneration of damaged articular cartilage in osteoarthritis. Saudi Journal of Biological Sciences, |
| [53] | Ibrahim, Akkawi. (2020). Ozone therapy for musculoskeletal disorders Current concepts. |
| [54] | Preeti, Malladi., Yue, Xu., Michael, Chiou., Amato, J., Giaccia., Michael, T., Longaker. (2006). Effect of reduced oxygen tension on chondrogenesis and osteogenesis in adipose-derived mesenchymal cells. American Journal of Physiology-cell Physiology, |
| [55] | Maryam, Rezaie., Mohammad, Ali, Azarbayjani., Maghsoud, Peeri., Seyed, Ali, Hosseini. (2020). The Effect of Exercise, Ozone, and Mesenchymal Stem Cells Therapy on CB-1 and GABA Gene Expression in the Cartilage Tissue of Rats With Knee Osteoarthritis. |
| [56] | Sello, L, Manoto. (2020). Editorial Commentary: Is Medical Ozone Therapy Beneficial in the Treatment of Knee Osteoarthritis?. Arthroscopy, |
| [57] | Gabriele, Tabarracci. (2022). Combined treatment of chondropathies with ozone, hyaluronic acid and platelet rich plasma: clinical experience. Journal of ozone therapy, |
| [58] | M, Marcvart. (2022). Ozone therapy - present and perspective. Journal of ozone therapy, |
| [59] | Helena, Sábado-Bundó., MaÁngeles, Sánchez-Garcés., Octavi, Camps-Font., Cosme, Gay-Escoda. (2021). Intraarticular injections of hyaluronic acid in arthrocentesis and arthroscopy as a treatment of temporomandibular joint disorders: A systematic review. Cranio-the Journal of Craniomandibular Practice, |
| [60] | Giuseppe, Milano. (2017). Joint Preservation of Knee: What Is Its Value? |
| [61] | Mathew, Nicholls., Anke, Fierlinger., Faizan, Niazi., Mohit, Bhandari. (2017). The Disease-Modifying Effects of Hyaluronan in the Osteoarthritic Disease State. Clinical medicine insights. Arthritis and musculoskeletal disorders, |
| [62] | Georgia, Carney., Andrew, Harrison., Jane, Fitzpatrick. (2021). Long-Term Outcome Measures of Repeated Non-Animal Stabilized Hyaluronic Acid (Durolane) Injections in Osteoarthritis: A 6-Year Cohort Study with 623 Consecutive Patients.. Open Access Rheumatology: Research and Reviews, |
| [63] | Ramesh, C., Gupta., Rajiv, Lall., Ajay, Srivastava., Anita, Sinha. (2019). Hyaluronic Acid: Molecular Mechanisms and Therapeutic Trajectory. Frontiers in Veterinary Science, |
| [64] | R., Geoff, Richards., T., Fintan, Moriarty., Theodore, Miclau., Robert, Trigg, Mcclellan., David, W., Grainger. (2012). Advances in biomaterials and surface technologies.. Journal of Orthopaedic Trauma, |
| [65] | Grzegorz, Szczesny., Mateusz, Kopeć., Denis, J., Politis., R., Kowalewski., Adam, Łazarski., Tomasz, Szolc. (2022). A Review on Biomaterials for Orthopaedic Surgery and Traumatology: From Past to Present. Materials, |
| [66] | Vinita, Vishwakarma., Gobi, Saravanan, Kaliaraj., Kamalan, Kirubaharan, Amirtharaj, Mosas. (2022). Multifunctional Coatings on Implant Materials—A Systematic Review of the Current Scenario. Coatings, |
| [67] | Lizhen, Wang., Xili, Ding., Wentao, Feng., Yuanming, Gao., Shudong, Zhao., Yubo, Fan. (2021). Biomechanical study on implantable and interventional medical devices. Acta Mechanica Sinica, |
| [68] | Ryoichi, Kanie. (1997). Biomaterials: Medical Applications and Current Trends. Journal of The Japan Society of Powder and Powder Metallurgy, |
| [69] | Sunita, Prem, Victor., Shivaram, Selvam., Chandra, P., Sharma. (2019). Recent Advances in Biomaterials Science and Engineering Research in India: A Minireview. ACS Biomaterials Science & Engineering, |
| [70] | Charles, H., Pritham. (1988). Orthopaedic Biomaterials in Research and Practice. Jpo Journal of Prosthetics and Orthotics, |
| [71] | Karthika, Prasad., Olha, Bazaka., Ming, Chua., Madison, Rochford., Liam, Fedrick., Jordan, Spoor., Richard, Symes., Marcus, Tieppo., Cameron, Collins., Alex, Cao., David, Markwell., Kostya, Ostrikov., Kostya, Ostrikov., Kateryna, Bazaka. (2017). Metallic Biomaterials: Current Challenges and Opportunities. Materials, |
| [72] | Christian, Beyer., Georg, Schett. (2010). Pharmacotherapy: concepts of pathogenesis and emerging treatments. Novel targets in bone and cartilage. Best Practice & Research: Clinical Rheumatology, |
| [73] | Gregory, D., Jay., Khaled, A., Elsaid. (2005). Methods of Treatment For Injured or Diseased Joints. |
| [74] | Robert, L., Barkin. (2015). Pharmacist's evolving role in the nonopioid, over-the-counter, analgesic selection process. American Journal of Therapeutics, |
| [75] | Anne, Sofie, Siebuhr., Yi, He., Natasja, Stæhr, Gudmann., Aurelie, Gram., Cecilie, Freja, Kjelgaard-Petersen., Per, Qvist., Morten, A., Karsdal., Anne-Christine, Bay-Jensen. (2014). Biomarkers of cartilage and surrounding joint tissue. Biomarkers in Medicine, |
| [76] | D, E, Karateev., E, L, Luchikhina., I, P, Osnovina., A, V, Makevnina. (2020). The role of rehabilitation and apparatus physiotherapy in rheumatic disease treatment strategies. Voprosy kurortologii fizioterapii i lechebnoĭ fizicheskoĭ kultury, https://doi.org/10.17116/KURORT20209705192 |
| [77] | Valter, Santilli., Andrea, Bernetti., Massimiliano, Mangone. (2014). TBD: Postsurgery Rehabilitation. |
| [78] | Karen, Hambly., Jay, R., Ebert., Barbara, Wondrasch., Holly, J., Silvers-Granelli. (2021). Knee Joint Preservation Rehabilitation. |
| [79] | Ricciardi, L., Lofrese, G., Perna, A., & Trungu, S. (Eds.). (2023). Spinal Cord Injury - Current Trends in Acute Management, Function Preservation and Rehabilitation Protocols. IntechOpen. |
| [80] | Nicholas, C., Clark. (2015). vii) The role of physiotherapy in rehabilitation of soft tissue injuries of the knee. Orthopaedics and Trauma, |
| [81] | Lourenço, Galizia, Heitzmann. (2019). Reconstruction with Joint Preservation. |
| [82] | Planzer-Knoblauch, S. (1993). [The concept of ergotherapy: joint protection and remedial device]. Praxis Journal of Philosophy, |
| [83] | Patricia, J., Agnew. (1987). Joint Protection in Arthritis: Fact or Fiction?. British Journal of Occupational Therapy, |
| [84] | Hideki, Moriyama. (2017). Effects of exercise on joints. Clinical calcium. |
| [85] | Paolo, Bizzarri., Andrea, Foglia. (2020). Manual Therapy: Art or Science?. |
| [86] | Brenda, L., Chapman., Rainer, B, Liebert., Monica, R, Lininger., Jessica, J, Groth. (2007). An introduction to physical therapy modalities. |
| [87] | Daniel, Moya., Silvia, Ramon., Wolfgang, Schaden., Ching-Jen, Wang., Leonardo, Guiloff., Jai-Hong, Cheng. (2018). The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders. Journal of Bone and Joint Surgery, American Volume, |
| [88] | Eda, Gurcay., Ece, Unlu., Ahmet, Gurhan, Gurcay., Reyhan, Tuncay., Aytul, Cakci. (2012). Assessment of phonophoresis and iontophoresis in the treatment of carpal tunnel syndrome: a randomized controlled trial. Rheumatology International, |
| [89] | Catherine, Beauvais. (2015). Include patient education in daily practice: Promoting the patient-centered care approach. Joint Bone Spine, |
| [90] | Tina, Saryeddine., Charissa, Levy., Aileen, M., Davis., John, G., Flannery., Susan, B., Jaglal., Laurie, Hurley., Rhona, McGlasson., Nizar, N., Mahomed. (2008). Patient education as a strategy for provider education and engagement: a case study using myJointReplacement.ca. Healthcare quarterly (Toronto), |
| [91] | Dominick, J., Casciato., Alexa, T, Bykowski., Nevin, Joseph., Robert, W., Mendicino. (2023). Readability, Understandability, and Actionability of Online Limb Preservation Patient Education Materials. Journal of foot & ankle surgery, |
| [92] | Lynda, Sheree, Gare. (2006). Patient Experience of Joint Replacement Education: a Joint Venture. |
| [93] | Mary-Louise, Lane-Carlson., John, Kumar. (2012). Engaging patients in managing their health care: patient perceptions of the effect of a total joint replacement presurgical class. The Permanente Journal. |
| [94] | Julia, Bryarly., Karen, J., Kowalske. (2023). Long-Term Outcomes in Burn Patients. Surgical Clinics of North America, |
| [95] | Ananth, Srinivasan., Aziz, Haque., A., Kheiran., Harvinder, Singh. (2022). Radiological and Long-Term Functional Outcomes of Displaced Distal Clavicle Fractures. Journal of Orthopaedics and Trauma (Print), https://doi.org/10.1097/BOT.0000000000002485 |
| [96] | Jeremy, Yang., Dean, Eckles., Paramveer, S., Dhillon., Sinan, Aral. (2020). Targeting for long-term outcomes. arXiv: Learning. |
| [97] | Richard Rauck, MD, Non-Surgical “Virgin” Back Pain Study Group, NA, Lilly Chen, Roshini Jain. Improved Functional Outcomes and Pain Relief Using SCS in Patients With No Prior Back Surgery. |
| [98] | Yuelin, Cindy, Li., Eleni, G, Hapidou. (2021). Patient Satisfaction With Chronic Pain Management: Patient Perspectives of Improvement. |
| [99] | Womba, Musumadi, Mubita., Womba, Musumadi, Mubita., Cliff, Richardson., Michelle, Briggs. (2020). Patient satisfaction with pain relief following major abdominal surgery is influenced by good communication, pain relief and empathic caring: a qualitative interview study. British journal of pain, |
| [100] | Bernardo, Aguilera-Bohórquez., Mario, Leiva., Julio, Pacheco., Daniela, Calvache., Miguel, Fernandez., Erika, Cantor. (2021). Pain relief and good functional outcomes after hip endoscopy via posterior approach in patients with ischiofemoral impingement. Knee Surgery, Sports Traumatology, Arthroscopy, |
| [101] | Taylor CEV, Murray CM, Stanton TR. Patient perspectives of pain and function after knee replacement: a systematic review and meta-synthesis of qualitative studies. Pain Rep. 2022 May 9; 7(3): e1006. |
| [102] | Benjamin, G., Domb., Craig, J., McAsey. (2011). Cartilage Injuries in the Degenerative Hip. Operative Techniques in Sports Medicine, |
| [103] | Theodore, T., Miller. (2015). Imaging of joint replacements. Seminars in Musculoskeletal Radiology, |
| [104] | Christoph, H., Lohmann., Sanjiv, Rampal., Martin, Lohrengel., Gurpal, Singh. (2017). Imaging in peri-prosthetic assessment: an orthopaedic perspective. |
| [105] | Adnan, Sheikh., Mark, E., Schweitzer. (2009). Pre- and postoperative assessment in joint preserving and replacing surgery. Rheumatic Diseases Clinics of North America, |
| [106] | Stephen, Abrams. (2018). Nothing succeeds like success: An approach for evaluating digital preservation efficacy. |
| [107] | Muhammad, Faraz, Raghib., Muhammad, Khalid., Noor, Ud, Malik., Mir, Ibrahim, Sajid., Umme, e, Hani, Abdullah., Asra, Tanwir., Syed, Ather, Enam. (2022). Risk Factors and Outcomes of Redo Craniotomy: A Tertiary Care Center Analysis. Cureus, |
| [108] | Olufemi, E, Adams., Sebastian, A., Cruz., Tessa, Balach., Douglas, R., Dirschl., Lewis, L., Shi., Michael, J., Lee. (2020). Do 30-Day Reoperation Rates Adequately Measure Quality in Orthopedic Surgery?. The Joint Commission Journal on Quality and Patient Safety, |
| [109] | Joseph, C., Lee., Gemma, F., Hartnett., A., S., Ravi, Kumar., A., S., Ravi, Kumar. (2012). Predictive value according to location of incidental focal colorectal fluorodeoxyglucose uptake on positron emission tomography scans. Colorectal Disease, |
| [110] | John, D., Birkmeyer., Leigh, S., Hamby., Christian, M., Birkmeyer., Maureen, V., Decker., Nancy, M., Karon., Richard, W., Dow. (2001). Is unplanned return to the operating room a useful quality indicator in general surgery. Archives of Surgery, |
| [111] | Lily, V, Saadat., Adam, C., Fields., Heather, Lyu., Richard, D., Urman., Edward, E., Whang., Joel, E., Goldberg., Ronald, Bleday., Nelya, Melnitchouk. (2019). National Surgical Quality Improvement Program analysis of unplanned reoperation in patients undergoing low anterior resection or abdominoperineal resection for rectal cancer. Surgery, |
| [112] | Rajmohan, Rammohan., Melvin, Joy., Sai, Greeshma, Magam., Dilman, Natt., A., Patel., Olawale, Samuel, Akande., S, Bunting., Prachi, Anand., Paul, Mustacchia. (2023). The Path to Sustainable Healthcare: Implementing Care Transition Teams to Mitigate Hospital Readmissions and Improve Patient Outcomes. Cureus, |
| [113] | Yair, Edden., Petachia, Reissman. (2016). The rate of complications, does is it really reflect clinical excellence?. International Journal of Surgery, |
| [114] | Dimitrios, Karakitsos., Dimitrios, Karakitsos., Mahmoud, El, Barbary., Lawrence, M., Gillman., Apostolos, Papalois., Ariel, L., Shiloh. (2014). Critical care and perioperative monitoring. The Scientific World Journal, |
APA Style
Obeid, B. M. A. (2024). Orthopedic Joint Preservation: A Comprehensive Review. Advances in Surgical Sciences, 12(1), 11-22. https://doi.org/10.11648/j.ass.20241201.13
ACS Style
Obeid, B. M. A. Orthopedic Joint Preservation: A Comprehensive Review. Adv. Surg. Sci. 2024, 12(1), 11-22. doi: 10.11648/j.ass.20241201.13
AMA Style
Obeid BMA. Orthopedic Joint Preservation: A Comprehensive Review. Adv Surg Sci. 2024;12(1):11-22. doi: 10.11648/j.ass.20241201.13
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Download@article{10.11648/j.ass.20241201.13,
author = {Bilal Mohamad Ali Obeid},
title = {Orthopedic Joint Preservation: A Comprehensive Review},
journal = {Advances in Surgical Sciences},
volume = {12},
number = {1},
pages = {11-22},
doi = {10.11648/j.ass.20241201.13},
url = {https://doi.org/10.11648/j.ass.20241201.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20241201.13},
abstract = {This comprehensive review article delves into the intricate realm of orthopedic joint preservation with a focus on surgical techniques, innovative treatments, rehabilitation protocols, and long-term outcomes. Within the orthopedic landscape, joint preservation plays a crucial role in enhancing patient quality of life and functional outcomes. The article delivers a detailed exploration of various surgical techniques utilized for joint preservation, encompassing arthroscopy, cartilage repair, osteotomy, and ligament reconstruction. By scrutinizing the indications, outcomes, and potential complications associated with these procedures, the article aids in providing a comprehensive understanding for practitioners. Moreover, it delves into the realm of cutting-edge treatments such as regenerative medicine, stem cell therapy, and biologic agents, shedding light on their significant role in promoting joint preservation and fostering tissue healing. Rehabilitation protocols for joint preservation are also thoroughly evaluated, underlining the pivotal role of early mobilization, tailored physical therapy regimens, and patient education in fostering optimal outcomes while averting potential complications. Through an assessment of long-term outcomes post joint preservation interventions including functional improvements, pain management, and patient contentment, the article endeavors to gauge the efficacy and longevity of these interventions. By offering a nuanced overview of the current state of joint preservation in orthopedics, the article extends valuable insights to orthopedic surgeons, researchers, and healthcare professionals actively engaged in managing joint disorders.
},
year = {2024}
}
TY - JOUR T1 - Orthopedic Joint Preservation: A Comprehensive Review AU - Bilal Mohamad Ali Obeid Y1 - 2024/04/28 PY - 2024 N1 - https://doi.org/10.11648/j.ass.20241201.13 DO - 10.11648/j.ass.20241201.13 T2 - Advances in Surgical Sciences JF - Advances in Surgical Sciences JO - Advances in Surgical Sciences SP - 11 EP - 22 PB - Science Publishing Group SN - 2376-6182 UR - https://doi.org/10.11648/j.ass.20241201.13 AB - This comprehensive review article delves into the intricate realm of orthopedic joint preservation with a focus on surgical techniques, innovative treatments, rehabilitation protocols, and long-term outcomes. Within the orthopedic landscape, joint preservation plays a crucial role in enhancing patient quality of life and functional outcomes. The article delivers a detailed exploration of various surgical techniques utilized for joint preservation, encompassing arthroscopy, cartilage repair, osteotomy, and ligament reconstruction. By scrutinizing the indications, outcomes, and potential complications associated with these procedures, the article aids in providing a comprehensive understanding for practitioners. Moreover, it delves into the realm of cutting-edge treatments such as regenerative medicine, stem cell therapy, and biologic agents, shedding light on their significant role in promoting joint preservation and fostering tissue healing. Rehabilitation protocols for joint preservation are also thoroughly evaluated, underlining the pivotal role of early mobilization, tailored physical therapy regimens, and patient education in fostering optimal outcomes while averting potential complications. Through an assessment of long-term outcomes post joint preservation interventions including functional improvements, pain management, and patient contentment, the article endeavors to gauge the efficacy and longevity of these interventions. By offering a nuanced overview of the current state of joint preservation in orthopedics, the article extends valuable insights to orthopedic surgeons, researchers, and healthcare professionals actively engaged in managing joint disorders. VL - 12 IS - 1 ER -
Department of Orthopaedic, Gardenia Medical Centre, Doha, Qatar
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