Format

Send to

Choose Destination
J Foot Ankle Surg. 2017 May - Jun;56(3):613-617. doi: 10.1053/j.jfas.2017.01.047.

All-Arthroscopic Treatment of Dependent Osteochondral Lesions of the Ankle: Surgical Technique.

Author information

1
Medical Student, College of Medicine, Oklahoma University Health Sciences Center, Oklahoma City, OK.
2
Resident, Department of Orthopaedic Surgery, Oklahoma University Health Sciences Center, Oklahoma City, OK.
3
Assistant Professor, Department of Orthopedic Surgery, Oklahoma University Health Sciences Center, Oklahoma City, OK; Assistant Lecturer, Department of Orthopaedic Surgery, Cairo University School of Medicine, Cairo, Egypt. Electronic address: amgad-haleem@ouhsc.edu.

Abstract

A large number of articular cartilage defect treatments have been described. However, few have discussed the use of biologic agents implanted into the so-called dependent defect arthroscopically. Furthermore, even fewer of these reports have contained a description for treating dependent osteochondral lesions of the tibial plafond. Generally, these lesions have been treated with either microfracture or debridement, and the long-term outcomes have been less than satisfactory. With new interest in biologic treatments for osteochondral defects, we believe that bone marrow aspirate concentrate combined with a biologic scaffold provides the necessary components to provide healing of these so-called dependent lesions. We believe that the combination of bone marrow aspirate concentrate and a biologic scaffold create the perfect viscosity to hold their mold in these dependent osteochondral lesions and provide the perfect scaffold to enhance recovery. We believe that our technique provides a minimally invasive option for the treatment of these osteochondral lesions and eliminates the need for a large arthrotomy.

KEYWORDS:

articular cartilage; bone marrow aspirate concentrate; osteochondral lesion; tibial plafond

PMID:
28476395
DOI:
10.1053/j.jfas.2017.01.047
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center