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Contempo 1999 |

New Horizons in the Treatment of Osteoarthritis of the Knee

Robert F. LaPrade, MD; Marc F. Swiontkowski, MD
JAMA. 1999;281(10):876-878. doi:10.1001/jama.281.10.876.
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Osteoarthritis is not simply a degenerative disorder. Rather, it is a complex derangement of articular surfaces that involves the loss of normal collagen architecture followed by an attempt by chondrocytes to produce replacement cartilage. The replacement surface is less resistant to wear than the original. Over time, full-thickness cartilage loss may develop on the articular surfaces. Symptoms of osteoarthritis include joint pain, typically worse with use and eased with rest, and joint stiffness after nonuse. The pain can become persistent.

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Figure 1. Arthroscopic View of Left Knee Lateral Femoral Condyle in a 41-Year-Old Man
Grahic Jump Location
Left, Preoperative view. Right, Arthroscopic appearance 1 year following autogenous cartilage implantation. Photographs courtesy of Scott D. Gillogly, MD.
Figure 2. Arthroscopic Second-Look View of Medial Femoral Condyle in a 36-Year-Old Man After Autogenous Osteochondral Grafting
Grahic Jump Location
This view was taken 6 years after mosaicplasty procedure. Photograph courtesy of Laszlo Hangody, MD, PhD.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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