Talk:Microfracture surgery

note

how about adding a see also link to this article ? http://en.wikipedia.org/wiki/Autologous_matrix-induced_chondrogenesis i am a noob otherwise i would do it myself :D —Preceding unsigned comment added by 94.68.105.3 (talk) 23:00, 5 April 2011 (UTC)

Amaré Stoudemire

I moved most of the details of Amare Stoudemire's surgery and recovery to his article. Stoudemire is the most high-profile guy coming back from the surgery right now, but it's not the first or last time someone will undergo the surgery. Therefore, we don't need that level of detail on every individual case in this article, which should mainly focus on the procedure itself. It's worth mentioning, though, so I did leave some info in there. I expanded on the details of Stoudemire's recovery and added some references in his article. -Big Smooth 16:49, 31 March 2006 (UTC)

The following material is copyrighted and taken directly from the Health Illustrated Encylopedia at MedlinePlus.com, material that belongs to A.D.A.M., Inc. Users of this page need to remove the copyrighted material. Wikipedia has been notified of this recurring problem, twice: on Dec. 12 and Dec. 27. Nothing has happened. To wit: To whom this may concern:

Your Microfracture Surgery article (http://en.wikipedia.org/wiki/Microfracture_surgery) includes several blatant sentences taken from copyright owned by A.D.A.M., Inc.

Examples include:

"Microfracture surgery is an orthopedic surgical technique used to restore damaged knee cartilage, the material that helps cushion bones at the joints. It is frequently performed on professional athletes and is becoming increasingly common for all types of patients."

And:

"The surgeon makes a tiny, quarter-inch incision on the affected knee and inserts a long thin scope (arthroscope). This scope allows the surgeon to work directly on the joint area."

And:

"Microfracture surgery can help a patient prevent a partial or total knee replacement. It is also used to treat pain in the knee from cartilage injuries, as well as early arthritis of the knee, lesions on the kneecap, degenerative chondral lesions of the knee, and traumatic injuries to the cartilage."

The information was most likely derived from Medlineplus.com, which, among many other clients, licences the information from A.D.A.M.: http://www.nlm.nih.gov/medlineplus/ency/article/007255.htm.

Typically, I will find several of these postings a month on Wikipedia, usually complete articles swiped in their entirety from Medlineplus.com, and I will delete the articles and leave a note in the metadata about having done so and why. In this instance, however, people have taken our information and woven it in with information from other sources, and so I would like you to police your own content … and to fix the article by replacing the information taken from our content.

This is a recurring problem among Wikipedia posters. I will typically see references to our content as being in the “public domain,” since Medlineplus.com is owned by the National Library of Medicine. Nothing could be further from the truth. In fact, if you scroll all the way to the bottom of any Medical Encyclopedia article at MedlinePlus.com, you will find the following information: "The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Adam makes no representation or warranty regarding the accuracy, reliability, completeness, currentness, or timeliness of the content, text or graphics. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2005, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited."

In fact, in this instance, we, A.D.A.M., were accused of “plagiarizing” Wikipedia, via a monthly reader-comment report the National Library Medicine sends us about our content:

"Article 007255 Plagarism Wow, whoever coded (http://www.nlm.nih.gov/medlineplus/ency/article/007255.htm) this page, they should have given wikipedia some credit. The entire words, verbatim were copied from wikipedia and pasted here. Sad. I only hope that there was master source uncredited."

A.D.A.M.'s Action step: "The noted information was actually copied FROM Medlineplus.com TO Wikipedia, in essence a violation of copyright. (NOTE: that the Wikipedia article references the exact link in Medlineplus.com that this sentence – “The surgeon makes a tiny, quarter-inch incision on the affected knee and inserts a long thin scope (arthroscope). This scope allows the surgeon to work directly on the joint area”, among many others – is from.) This is a common practice among Wikipedia chroniclers, and Wikipedia is routinely warned NOT to allow posting of A.D.A.M. content. No further action necessary. RESOLVED. DE 12/12/06"

I’m getting a little weary of having to point out just about every month now that Wikipedia is publishing our content without our consent…and I’m quite offended that someone actually thinks WE plagiarized your web site. You need to correct your posters’ perceptions and address this situation as soon as possible.

David R. Eltz, editorial director, A.D.A.M., Inc.

• The copyrighted material that you pointed out has been removed. Wikipedia can be edited by anyone, and, unfortunately, not all editors follow the copyright violation policy. Many other editors, including myself, fix these problems whenever they are identified but with over 1.5 million articles and tens of thousands of editors there are always more to address. If you find further copyright violations, you can remove them, point them out on the article talk page as you have done here so another editor can remove them, or alternatively go to this page for more contact methods & suggestions. Thank you. -Big Smooth 17:52, 27 December 2006 (UTC)

New version

I apparently neglected to remove some of the copyrighted material in my previous edits. There is a new version of the page available at Talk:Microfracture surgery/Temp which should not infringe on the A.D.A.M. copyright. -Big Smooth 18:02, 9 January 2007 (UTC)

Warning: case of life-threatening post-surgery clotting

A relative of mine had this surgery. He is about 60 years old.

• Surgery went smoothly.
• He was mostly sedentary during his six-week post-surgery recovery period: if not using the provided continuous passive motion machine 6 hours per day, he was using his computer.
• In the middle of the sixth week of this recovery, he began experiencing:
  • General pain in the leg having had the surgery.
  • Pain when breathing, e.g. pain in the lungs. His wife said one night he screamed from the pain, took a breath, screamed again, took a breath breath, and so on. But this pain subsided, and he was able to fall asleep later.
  • Shortness of breath and loss of stamina: dizziness and near-blackout after climbing a flight of stairs.
• Days later, his wife forced him to see a doctor. He was admitted to ER immediately.
  • Blood clots were found throughout his leg and lungs. He had a "saddle embolus", a clot that straddles the branch in the pulmonary artery, reducing blood flow to both lungs. This sort of embolism was described by the nurse as a "widow maker", and is usually fatal.
  • Smaller clots were scattered around the lung tissue. Some small areas of lung tissue died, having their blood flow blocked. This was painful.
• His condition stabilized, and he is on warfarin to reduce the risk of further clotting.

I'm a programmer, not a doctor. I see a correlation of:

• his age
• this surgery
• a sedentary recovery
• his refusal to seek medical attention promptly
• the saddle embolus

After having this surgery, you might consider regularly "walking" around using your crutches, or vigorous exercise (crunches?) to increase your heartrate. The idea is to keep the blood moving, and avoid having clots form in your legs.

Talk to a physical therapist and your doctor! A-Day ^(c)_(t) 04:08, 10 August 2009 (UTC)

"Chronic articular cartilage defects do not heal spontaneously." reference

The sentence "Chronic articular cartilage defects do not heal spontaneously." is referenced by "Hunter W (1743) "On the structure and diseases of articulating cartilages." Trans R Soc Lond 42B:514-21". Can someone please give a more recent reference. I doubt that the last source on the info is almost three centuries old. — Preceding unsigned comment added by 212.73.140.202 (talk) 08:29, 6 July 2011 (UTC)

Background

The background is very technical. Please consider using terms more suited for a general audience. As an example, I'm not sure what "pluripotent mesenchymal stem cells" are. This next sentence is also a little over my head: "...may heal with repair tissue consisting of fibrous tissue, fibrocartilage or hyaline-like cartilage". It would help to have some brief mention of where they are located and how they are different. At the very least have a parenthetical sentence with some links to relevant definitions. BBAmp (talk) 19:24, 7 January 2012 (UTC)

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