Outcomes Following the Treatment of Talar Osteochondral Lesions with BioCartilage and Bone Marrow Aspirate Concentrate Mixture:

Foot & Ankle Orthopaedics

AshrafFansa¹ 

关键词: Osteochondral Lesion Talus Ankle Arthritis Arthroscopy Cartilage Biocartilage Microfracture Bone marrow micronized allograft cartilage matrix;   

DOI  :  10.1177/2473011418S00049

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:ArthroscopyIntroduction/Purpose:With reported incidence rates ranging from 40% to 70% post ankle sprains and fractures, osteochondral lesions of the talus (OLT) are not uncommon. However, management of such defects remains challenging. Microfracturing is considered the standard treatment for symptomatic OLTs.Larger lesions however typically require more invasive restorative procedures such as autologous osteochondral transplantation. Microfracture results are variable due to the fact that the resulting reparative fibrocartilage is weaker and biomechanically inferior to native hyaline cartilage. In this study, we examine the functional and radiological outcomes following use of a new arthroscopic technique utilizing a mixture of micronized allograft cartilage matrix (BioCartilage) (Arthrex, Naples, FL) soaked in Bone Marrow Aspirate Concentrate (BMAC) to fill OLTs.Methods:Eighty-six consecutive patients treated for OLT using arthroscopic debridement and BioCartilage matrix soaked in BMAC were iden...

【 授权许可】

CC BY