The Journal of Bone and Joint Surgery (American) 85:1-7 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.
Integration of Science into Orthopaedic Practice: Implications for Solving the Problem of Articular Cartilage Repair*
Joseph A. Buckwalter, MD
*Presidential Guest Lecture. Read at the Fourth International Cartilage Repair Symposium, Toronto, Canada, June 18, 2002.
Corresponding author: Joseph A. Buckwalter, MD
Department of Orthopaedic Surgery, University of Iowa College of Medicine, 01008 Pappajohn Pavilion, Iowa City, IA 52242. E-mail address: joseph-buckwalter@uiowa.edu
The author did not receive grants or outside funding in support of his research or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.
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President Peterson, thank you for the honor of presenting the Fourth International Cartilage Repair Symposium Presidential Guest Lecture. I appreciate the opportunity to address the fascinating subject of integrating science into orthopaedic practice, a subject that should be the primary concern of surgeons and scientists seeking to restore damaged and diseased articular cartilage. It took more than 2000 years for a few thoughtful practitioners of the art of orthopaedics to value and apply principles and observations derived from basic research
1 . Yet, in the short time since this occurred, the understanding that optimal patient care depends on science as well as art has transformed orthopaedic practice from a disparate array of manipulations and operations, best characterized as well-intentioned savagery, to a range of treatments that, in many instances, can be considered civilized. Equally important, we live in a time when the integration of knowledge from new basic research into orthopaedic . . . [Full Text of this Article]

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