Mosaicplasty Waupaca WI

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James Henry De Weerd, MD
(715) 345-5100
190 Grand Seasons Dr
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1972

Data Provided By:
David Michael Henneghan, MD
(715) 342-7950
190 Grand Seasons Dr
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1984
Hospital
Hospital: St Michaels Hospital, Stevens Point, Wi
Group Practice: Ministry Health Care At Rice Medical Center; Rice Medical Center Ministry Health Care

Data Provided By:
Sean P Keane MD
(414) 277-1155
2015 E Newport Ave
Milwaukee, WI
Specialties
Orthopedics

Data Provided By:
Robert O Buss
(608) 847-5000
1040 Division St
Mauston, WI
Specialty
Orthopedic Surgery

Data Provided By:
Brian Lee Lohrbach
(920) 731-3111
2105 E Enterprise Ave
Appleton, WI
Specialty
Orthopedic Surgery

Data Provided By:
Kim Harold Lulloff, MD
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1960

Data Provided By:
Dr. Rodney Lefler
Neuroscience Group of NE Wisconsin
920-725-9373 or toll free 800-201-1194
1305 W. American Drive
Neenah, WI
Specialty
Chiropractor
Conditions
Cervical spine disorders,Degenerative disc disease,Degenerative spinal conditions,Herniated disc / bulging disc,Lumbar spine disorders,Muscle pain / muscle strain,Neck pain,Sciatica / radiculopathy,Scoliosis and deformity,Spinal stenosis,Spondylolisthesis,Sports injuries,Thoracic spine disorders,Whiplash
Treatments
Exercise,McKenzie Method,Musculoskeletal manipulation,Physical therapy,Rehabilitation,Sports medicine,Strength and Conditioning
Proffesional Affiliation
Wisconsin Chiropractic Association,National Strength and Conditioning Association

Thomas Geo Kempken, MD
704 S Webster Ave
Green Bay, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1965

Data Provided By:
John P Heiner
(608) 263-7540
600 Highland Ave
Madison, WI
Specialty
Orthopedic Surgery

Data Provided By:
John Jos Siegert, MD
(262) 243-5400
12300 N Port Washington Rd
Mequon, WI
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1983

Data Provided By:
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Cartilage Repair in Sports Athletes Using Mosaicplasty

Injuries, defects, lesions, or tears of any kind in the joint cartilage can end a sports athlete's career. Today, there are improved ways to treat cartilage injuries, especially in the knee. One of those methods is called mosaicplasty. This article reviews the uses and long-term results of mosaicplasty in an athletic population.

What is mosaicplasty? It's a form of osteochondral autografting. That doesn't really explain anything, does it? Let's start with the last part of the term: grafting tissue is the moving of some type of soft tissue from one spot to another. It could be ligament, tendon, muscle, or as in this case, cartilage. Autografting tells us the donor tissue being harvested to repair the problem is coming from the patient himself.

Osteochondral can be broken down into two words: osteo for bone and chondral meaning cartilage. So with osteochondral, we have cartilage that has pulled away from the joint with the underlying next layer of bone still attached. We call this kind of damage a full-thickness defect. That is the injury side of things.

Now the repair side of the problem: mosaicplasty. During this procedure, the surgeon harvests cartilage and bone from an area of the knee that doesn't get much action and isn't under the pressure of constant weight bearing. The donor or graft is smoothed and shaped to fill in the defect site. Sometimes only one donor plug is needed but some patients in this particular study had as many as nine grafted pieces.

What are the advantages of this treatment? And who is considered a good candidate for the procedure? Mosaicplasty can help save the joint and protect it from further wear and tear around the defect site. Normal joint biomechanics can be restored with this technique and get the athlete back into full sports participation sooner than later. With seasonal sports and a limited amount of playing time, faster return-to-sports can be a huge benefit of a successful mosaicplasty.

Among the athletes with cartilage damage, who can benefit? The results of this study confirm what other studies have shown. Younger athletes who have smaller (and fewer) lesions seem to do the best. But location of the lesion was a key risk factor for successful outcomes. Lesions located on the femoral condyles (large round knobs at the end of the femur (thighbone) seem to respond better than damage or defects to the patella (kneecap).

Athletes from all types of sports were included with no real difference in results based on their sports injuries. Soccer players, handball, water polo, wrestling, gymnasts, and many others had equally good results. Only a small number of patients suffered from post-operative complications such as hemorrhage, infection, or persistent pain and swelling. At least in this study, sex (male versus female) was not a significant factor.

The researchers found that there were some other specific factors that influenced success or failure. For example, smaller...

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