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Doody's Review ServiceReviewer: Mark R Hutchinson, MD (University of Illinois at Chicago College of Medicine)
Description: This book is designed as a practical guide for surgeons interested in treating articular cartilage lesion. The book is broken into three parts: a valuable section on background and patient assessment, a technical section on current approaches in treating articular cartilage lesions, and a unique section making up almost 40 percent of the book on case examples and the thought patterns involved in addressing each lesion of varying severity.
Purpose: The defined purpose is to fill a void in the literature on the management of articular cartilage disease and meniscal deficiency. The authors have accurately perceived a deficiency in the educational materials currently available and have designed a book to address the lack of reference information. This book does an admirable job in addressing these issues, but it is likely to require updates and revisions in the future to keep up with the actively changing field of cartilage surgery.
Audience: The book is clearly targeted at the orthopedic surgeon who is seeking a better understanding of the options available in treating cartilage lesions. The evaluator need not perform each surgery, but must more accurately understand the myriad of options and know when to refer. In that regard, this is a valuable reference for residents learning about the topic. The authors have presented numerous courses on the topics and are widely recognized as experts in the field. The collection of chapter authors is impressive.
Features: In addition to a review of the basic science and historical approaches to cartilage injury, the authors attempt to frame a mindset in patient assessment for approaching these lesions and caring for associated factors that can affect both treatment choices and outcomes. The techniques presented are a great overview of the options but do not supplant the reader's need to review the step-by-step, how-to of each technique from other sources. If there is a weakness of this book, this is it. It would not take to much to assure that each chapter on technique was very specific on the techniques with step-by-step illustrations. Some chapters are better than others in this regard.
Assessment: Overall, this new guidebook on the approach to and treatment of cartilage injuries truly fills a void in the literature and is a wonderful outline for how to address cartilage problems. The future of this topic is the future of orthopedics and I commend the authors on this offering and encourage them to keep us updated on the progress with revisions of this book as they become necessary.