Antonio Gigante, M. D. , Stefano Cecconi, M. D. , Silvano Calcagno, M

Slides:

Advertisements

Similar presentations

Volume 27, Issue 11, Pages (November 2011)

Advertisements

Treatment of Osteochondral Lesions of the Talus With Bone Marrow Stimulation and Chitosan–Glycerol Phosphate/Blood Implants (BST-CarGel) Jesús Vilá y.

Arthroscopic Treatment of Calcific Tendonitis

Biologic Inlay Osteochondral Reconstruction: Arthroscopic One-Step Osteochondral Lesion Repair in the Knee Using Morselized Bone Grafting and Hyaluronic.

Arthroscopic Centralization of an Extruded Lateral Meniscus

Biologic Inlay Osteochondral Reconstruction: Arthroscopic One-Step Osteochondral Lesion Repair in the Knee Using Morselized Bone Grafting and Hyaluronic.

Arthroscopic Treatment of Subscapularis Calcific Tendonitis

Arthroscopic Treatment of Popliteal Cyst: A Direct Posterior Portal by Inside-Out Technique for Intracystic Debridement Pinkawas Kongmalai, M.D., Bancha.

Federica Rosso, M. D. , Salvatore Bisicchia, M. D

Cartilage Repair in the Knee Using Umbilical Cord Wharton's Jelly–Derived Mesenchymal Stem Cells Embedded Onto Collagen Scaffolding and Implanted Under.

Treatment of Osteochondral Lesions of the Talus With Cell-free Polymer-based Scaffold in Single-Step Arthroscopic Surgery Ulunay Kanatlı, M.D., Ali Eren,

Endoscopic Management of Osgood-Schlatter Disease

Takatomo Mine, M. D. , Koichiro Ihara, M. D. , Hiroyuki Kawamura, M. D

Arthroscopic Management of Isolated Tibial Plateau Defect With Microfracture and Micronized Allogeneic Cartilage–Platelet-Rich Plasma Adjunct Kevin C.

Ichiro Yoshimura, M. D. , Ph. D. , Tomonobu Hagio, M. D

Jefferson C. Brand, M.D., Paul Westerberg, M.A., A.T.C.

Michael S. Laidlaw, M.D., F. Winston Gwathmey, M.D.

Christopher L. Camp, M. D. , Joshua S. Dines, M. D. , Ryan M. Degen, M

Arthroscopic Delivery of Injectable Bone Graft for Staged Revision Anterior Cruciate Ligament Reconstruction Kent T. Yamaguchi, M.D., Gina M. Mosich,

Protection of the Medial Femoral Condyle Articular Cartilage During Drilling of the Femoral Tunnel Through the Accessory Medial Portal in Anatomic Anterior.

Matthias R. Steinwachs, M.D., Bernhard Waibl, M.D., Marcus Mumme, M.D.

Treatment of Osteochondral Lesions of the Talus With Bone Marrow Stimulation and Chitosan–Glycerol Phosphate/Blood Implants (BST-CarGel) Jesús Vilá y.

Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction Joseph T. Gamboa, M.D.,

Rotator Cuff Repair Augmented With Endogenous Fibrin Clot

Joseph T. Gamboa, M. D. , Broc A. Durrant, M. D. , Neil P. Pathare, M

Mohammed Tauheed, M. S. (Ortho), Ravi Jacob Korula, M. S

Arthroscopic Treatment of a Reverse Hill-Sachs Lesion

Arthroscopic Repair of Inferior Labrum From Anterior to Posterior Lesions Associated With Multidirectional Instability of the Shoulder David M. Burt,

Primary Anterior Cruciate Ligament Repair With Augmentation

Fatigue Behavior of Nitinol Anterior Cruciate Ligament Graft and Inappropriate Femoral Tunnel Placement: Single-Stage Revision Anterior Cruciate Ligament.

Padraic R. Obma, M.D. Arthroscopy Techniques

The “Double-Pulley” Technique for Arthroscopic Fixation of Partial Articular-Side Bony Avulsion of the Supraspinatus Tendon: A Rare Case of Bony PASTA.

Microfracture in Linear, Isolated, Narrow, Engaging Hill-Sachs Lesion

Jin Tang, M.B., Caiqi Xu, M.D., Jinzhong Zhao, M.D.

Arthroscopic Treatment of Capitellum Osteochondritis Dissecans With Micronized Allogeneic Cartilage Scaffold Paul E. Caldwell, M.D., Brett Auerbach,

Arthroscopic Resection of Intra-Articular Osteochondromas of the Hip

Bancha Chernchujit, M.D., Pankaj N. Sharma, M.B.B.S., D.Ortho.

Matrix-Associated Chondroplasty: A Novel Platelet-Rich Plasma and Concentrated Nucleated Bone Marrow Cell–Enhanced Cartilage Restoration Technique Matthias.

Subcalcaneal Bursitis With Plantar Fasciitis Treated by Arthroscopy

Gregory A. Sawyer, M. D. , Michael J. Hulstyn, M. D. , Brett C

Jonathan Piposar, M.D., Karen Sutton, M.D. Arthroscopy Techniques

Arthroscopic All-Inside Repair of Medial Meniscus Grade 2 Horizontal Cleavage Tear Using Additional Posteromedial Portal Mathieu Thaunat, M.D., Goran.

All-Arthroscopic Implantation of Minced Juvenile Chondral Allograft for an Isolated, Full- Thickness Chondral Lesion in the Trochlea of an Adult Knee

Repair of a Chronic Large Meniscal Defect With Implantation of Autogenous Meniscal Fragments Using a Tubular-Shaped Fibrin Clot Tamiko Kamimura, M.D.,

Matrix-Induced Autologous Chondrocyte Implantation With Autologous Bone Grafting for Osteochondral Lesions of the Femoral Trochlea Kristofer J. Jones,

Karan A. Patel, M. D. , David E. Hartigan, M. D. , Justin L

Yorikazu Akatsu, M. D. , Ph. D. , Ryuichiro Akagi, M. D. , Ph. D

Robert U. Hartzler, M.D., M.S., Stephen S. Burkhart, M.D.

Rachel M. Frank, M. D. , Eric J. Cotter, B. S. , David Savin, M. D

Arthroscopic Bone Marrow Aspirate Concentrate Harvesting From the Intercondylar Notch of the Knee Gun Min Youn, B.A., Brittany M. Woodall, D.O., Nicholas.

Dry Arthroscopic Single-Stage Cartilage Repair of the Knee Using a Hyaluronic Acid- Based Scaffold With Activated Bone Marrow-Derived Mesenchymal Stem.

Arthroscopic Preparation and Internal Fixation of an Unstable Osteochondritis Dissecans Lesion of the Knee Christopher L. Camp, M.D., Aaron J. Krych,

Joshua A. Greenspoon, B. Sc. , Maximilian Petri, M. D. , Peter J

Karan A. Patel, M. D. , David E. Hartigan, M. D. , Justin L

Arthroscopic Decompression of a Type III Subspine Impingement

Augmentation of Anterior Cruciate Ligament Reconstruction With Bone Marrow Concentrate and a Suture Tape Chad Lavender, M.D., Brock Johnson, M.D., Adam.

Transosseous Medial Meniscal Root Repair Using a Modified Mason-Allen Suture Configuration Chad D. Lavender, M.D., Shane R. Hanzlik, M.D., Paul E. Caldwell,

Arthroscopic Saucerization and Repair of Discoid Lateral Meniscal Tear

Kadir Buyukdogan, M.D., Michael S. Laidlaw, M.D., Mark D. Miller, M.D.

The Fertilized Anterior Cruciate Ligament: An All-Inside Anterior Cruciate Ligament Reconstruction Augmented With Amnion, Bone Marrow Concentrate, and.

All-Arthroscopic Implantation of Minced Juvenile Chondral Allograft for an Isolated, Full- Thickness Chondral Lesion in the Trochlea of an Adult Knee

Tigran Garabekyan, M. D. , Vivek Chadayammuri, B. S

An Arthroscopic Humeral Medializing Repair of the Supraspinatus

Arthroscopic Decompression of a Type III Subspine Impingement

Jin Tang, M.B., Caiqi Xu, M.D., Jinzhong Zhao, M.D.

All-Arthroscopic Autologous Matrix-Induced Chondrogenesis for the Treatment of Osteochondral Lesions of the Talus Federico Giuseppe Usuelli, M.D., Laura.

Arthroscopic Treatment of Medial Femoral Knee Osteochondral Defect Using Subchondroplasty and Chitosan-Based Scaffold Kelsey Holt, B.Sc., Mark Sorhaindo,

Treatment of Osteochondral Lesions of the Talus With Bone Marrow Stimulation and Chitosan–Glycerol Phosphate/Blood Implants (BST-CarGel) Jesús Vilá y.

Bancha Chernchujit, M.D., Pankaj N. Sharma, M.B.B.S., D.Ortho.

Arthroscopic Saucerization and All-Inside Repair of a Delaminated Discoid Lateral Meniscus William A. Zuke, B.A., Gregory L. Cvetanovich, M.D., Beatrice.

Presentation transcript:

Arthroscopic Knee Cartilage Repair With Covered Microfracture and Bone Marrow Concentrate Antonio Gigante, M.D., Stefano Cecconi, M.D., Silvano Calcagno, M.D., Alberto Busilacchi, M.D., Davide Enea, M.D., M.Phil. Arthroscopy Techniques Volume 1, Issue 2, Pages e175-e180 (December 2012) DOI: 10.1016/j.eats.2012.07.001 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 Preoperative magnetic resonance imaging scan of left knee. (A) The T1 sagittal section shows inhomogeneous cartilage and bone signals (arrow). (B) The T2 coronal section shows a cartilage cleft on the lateral aspect of the medial condyle and bone marrow edema (arrow). Arthroscopy Techniques 2012 1, e175-e180DOI: (10.1016/j.eats.2012.07.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 Arthroscopic technique. The cartilage lesion on the anterior aspect of the medial condyle is viewed from the lateral portal. (A) The cartilage defect is identified. (B) Debridement and MFX are performed. (C) A fibrin glue–BMC mixture is deposited on the defect bed. (D) The membrane is set in place with a probe. (E) The membrane is covered with the fibrin glue–BMC mixture. (F) Final appearance of the repaired defect. Arthroscopy Techniques 2012 1, e175-e180DOI: (10.1016/j.eats.2012.07.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 3 Marrow blood is (A) aspirated from the iliac crest with a syringe and (B) concentrated to obtain 3 to 4 mL of BMC. After shaping of the rubber template to match the defect, (C) the membrane is cut to match the lesion and (D) immersed in BMC. To improve the view of the lesion, (E) suture needles are inserted from the medial portal and pulled from outside; (F) then air is blown into the cavity with a 100-mL syringe. Arthroscopy Techniques 2012 1, e175-e180DOI: (10.1016/j.eats.2012.07.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 4 Postoperative magnetic resonance imaging scan (12 months) of left knee. (A) The T1 sagittal section shows good defect filling and slight signal hyperintensity in the anterior part of the repair area (arrow). (B) The T2 coronal section shows good defect filling and no marrow edema (arrow). Arthroscopy Techniques 2012 1, e175-e180DOI: (10.1016/j.eats.2012.07.001) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions