Single-Stage Arthroscopic Cartilage Repair With Injectable Scaffold and BMAC
| Autor: | Martyn Snow, Lee Yee Han Dave, Christian Hwee Yee Heng |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthopedic surgery
030222 orthopedics medicine.medical_specialty Scaffold business.industry Single stage Mesenchymal stem cell FEMORAL CONDYLE 030229 sport sciences Surgery 03 medical and health sciences 0302 clinical medicine Bone marrow aspirate Technical Note Injectable scaffold Medicine Orthopedics and Sports Medicine Patella business Cartilage repair RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 10, Iss 3, Pp e751-e756 (2021) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | Injectable scaffold augmentation is a promising modality for single-stage cartilage repair. According to published studies, cartilage repair with scaffold augmentation has improved clinical outcomes, radiological fill, and histological repair compared with microfracture alone. Injectable scaffolds have the versatility to be used in large and irregularly shaped lesions. With correct preparation, they can be applied to lesions on the femoral condyle that may be vertical, or even inverted lesions such as those in the patella. They can be combined with bone marrow aspirate concentrate (BMAC) to provide mesenchymal stem cells (MSCs), thereby avoiding the need for microfracture. This protects the subchondral plate, preventing biomechanical alteration and potentially resulting in improved long-term outcomes. In this article, we demonstrate the utility of injectable scaffolds and their combination with BMAC. Technique Video Video 1 Five video segments of various different AMIC cartilage repair techniques are explained. The first 3 videos show the use of AMIC CarGel in various different scenarios: application of CarGel on a vertical lesion, stability of CarGel on full range of motion after application, and CarGel repair with BMAC. The next 2 videos show the use of CartiFill in 2 different scenarios: demonstrating the stability of CartiFill/BMAC with fluid irrigation after dry arthroscopy and the application of CartiFill/BMAC repair on an inverted (patella) lesion without the use of microfracture techniques. |
| Databáze: | OpenAIRE |
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