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膝关节软骨损伤:治疗前沿与争议
$70.10
本书涵盖了关节软骨损伤保守处理和手术治疗在内的常见治疗方案,包括诊断、影像学检查,以及对治疗金标准和新兴疗法的讨论。另外,还介绍了常见相关损伤(如下肢力线不良、半月板损伤、膝关节不稳定等)的治疗方法,同时还强调了术后的综合康复。
本书引进自 Springer 出版社,由全球软骨损伤领域内专家共同编写,是一部全面介绍膝关节软骨损伤领域前沿知识的专业著作。全书共 28 章,从基础知识、影像学、诊断、治疗及康复等方面全方位阐述膝关节软骨损伤,涉及了许多常见的相关损伤,如半月板损伤和膝关节不稳等,涵盖了膝关节软骨损伤目前常见的保守治疗和手术处理,并展开了相应的讨论分析。近年来,膝关节软骨损伤领域发展十分迅速,书中向读者介绍了该领域的新进展和前沿治疗手段,旨在为膝关节外科医生提供全面、新鲜的专业知识。
陈疾忤 复旦大学运动医学博士,主任医师,博士研究生导师。上海市人民医院骨科临床医学中心副主任、运动医学科主任。上海市医学会运动医学专科分会候任主任委员,中国研究型医院学会运动医学专业委员会副主任委员,中华医学会运动医疗分会脊柱与髋关节运动创伤学组副组长,中国医师协会骨科医师分会运动医学学组副组长,国际关节镜 - 膝关节外科 - 骨科运动医学学会(ISAKOS)肩关节委员会委员、髋关节委员会委员。临床上擅长以关节镜外科为重点,治疗骨关节急慢性损伤。多次获得国家自然科学基金资助,在国内外quan威期刊发表相关论文逾百篇。 庞金辉 医学博士,主任医师,硕士研究生导师。本科毕业于原上海医科大学,后于复旦大学附属华山医院获得医学博士学位。曾先后前往美国杜克大学、德国汉堡等学习交流。就职于上海市人民医院运动医学科。国际矫形外科与创伤外科学会(SICOT)委员,中华中医药学会精准医疗分会委员,上海市科学技术委员会专家,上海市中西医结合学会运动医学分会委员,上海市康复医学会骨科康复专业委员会委员。主攻运动系统疾病的诊治,以及软骨、韧带和肌腱等领域的基础研究。参与或主持、市局级科研项目多项,拥有专利和科研成果多项,发表专业医学论文 30 余篇。
目 录第 1 章 关节软骨:功能生物力学一、概述二、结构与生物力学三、生物力学特征第 2 章 关节软骨损伤和骨关节炎的生物标志物一、概述二、软骨损伤的生物标志物三、软骨损伤和修复中的影像学生物标志物四、软骨损伤的系统与局部生物标志物五、软骨修复中的生物标志物六、早期骨关节炎的生物标志物七、结论第 3 章 软骨修复术后结果的评估一、概述二、客观与主观的评估三、zui佳目标措施四、zui佳主观评估五、把握未来第 4 章 关节软骨的定量磁共振成像和生物学一、概述二、正常软骨结构和生物学三、无创定量磁共振成像评估与监测软骨结构和生物学四、软骨形态测量学第 5 章 膝关节软骨损伤修复前后的 MRI 评估一、形态磁共振二、膝关节损伤的 T2/T2 * 成像三、糖胺聚糖化学交换饱和转移 gagCEST四、钠磁共振第 6 章 对患者、关节、软骨损伤特征的评估一、对患者的评估二、对关节的评估三、对软骨损伤的评估四、结论第 7 章 症状性软骨损伤的非手术治疗一、概述二、临床评估与分类三、非手术治疗适应证四、软骨保护、软骨促进和再表面化:处理策略框架五、软骨保护六、软骨促进七、治疗方案八、结论第 8 章 截骨术在髌股关节软骨手术中的作用一、概述二、生物力学原理三、临床结果四、TTO 联合修复性软骨手术五、TTO 联合软骨重建手术六、TTO 的并发症七、术前计划:何时联合 TTO八、我们的经验九、结论第 9 章 软骨修复手术结合膝内翻矫形术一、概述二、在软骨修复手术中减压截骨术的基本原理三、技术方法四、结论第 10 章 截骨术治疗膝外翻的软骨损伤一、概述二、适应证和禁忌证三、评估四、手术选择五、手术技术六、术后护理七、并发症八、结论第 11 章 半月板在软骨损伤中的作用:基础研究一、概述二、解剖结构三、胚胎学四、微观结构五、生物力学六、结论第 12 章 伴随半月板修复的软骨治疗一、半月板修复的重要性二、半月板撕裂可修复性评估三、修复技术和应用时机四、半月板部分修复五、生物增强技术六、康复第 13 章 半月板根部撕裂及其治疗一、概述二、临床表现和诊断三、影像学四、半月板根部撕裂分级和半月板外移五、自然病程六、临床结果七、修复选择八、作者手术技术:穿胫骨技术九、术后护理十、争议第 14 章 有症状的软骨损伤清理术一、软骨清理术的介绍二、一般评估三、治疗四、结论第 15 章 膝关节剥脱性骨软骨炎的治疗一、概述二、自然病程三、修复性治疗四、恢复性治疗第 16 章 前交叉韧带撕裂合并软骨损伤的处理一、前交叉韧带的解剖与生物力学二、前交叉韧带损伤三、合并损伤四、治疗五、康复六、结论第 17 章 骨髓刺激:微骨折、钻孔和打磨术一、概述二、适应证三、禁忌证四、技术五、术后康复六、结果第 18 章 微骨折促进软骨修复一、概述二、自体基质诱导软骨形成三、新型支架佐剂四、BioCartilage五、生物增强六、结论第 19 章 基于细胞的软骨修复一、概述二、内源修复三、滑膜和脂肪细胞四、自体软骨细胞五、结论第 20 章 间充质干细胞治疗症状性软骨缺损一、概述二、间充质干细胞三、间充质干细胞的临床疗效四、基于支架的间充质干细胞递送方法五、无支架疗法六、结论第 21 章 软骨修复仿生支架一、概述二、支架的物理特性三、手术指征四、康复程序五、已临床应用的脱细胞支架六、临床结果第 22 章 自体骨软骨移植治疗小面积软骨损伤一、概述二、手术技术三、手术适应证四、临床预后五、基础科学研究六、结论第 23 章 同种异体骨软骨移植一、概述二、历史三、免疫学四、同种异体移植物的获取、处理和储存五、适应证六、禁忌证七、术前准备八、手术技术九、新鲜同种异体骨软骨移植的预后十、重返运动十一、并发症十二、结论第 24 章 软骨修复的新技术一、概述二、关键概念三、结论第 25 章 间充质干细胞治疗骨软骨损伤的一期疗法一、概述二、骨软骨损伤的一期疗法三、软骨下骨损伤的一期疗法四、术后康复五、结论第 26 章 髌股关节的软骨修复与稳定策略一、概述二、病史与体格检查三、影像学四、治疗适应证五、非手术治疗六、软骨缺损的手术治疗七、髌骨脱位:骨软骨骨折和软骨剪切损伤八、清理 / 软骨成形术九、微骨折十、自体骨软骨移植十一、同种异体骨软骨移植十二、自体软骨细胞植入十三、颗粒状青少年同种异体软骨移植十四、多孔型异体软骨移植物十五、选择合适的软骨修复策略十六、相关合并手术和髌股关节软骨修复十七、康复十八、并发症十九、结论第 27 章 软骨修复术后康复和重返赛场一、概述二、软骨修复后的康复原则三、重返赛场展望四、重返赛场的康复方案和决策五、结论第 28 章 软骨损伤治疗后重返运动的相关证据一、概述二、重返运动三、不同康复方案对重返体育运动的影响四、回顾重返运动相关证据的要点五、结论
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