Sadlik Boguslaw, Wiewiorski Martin
Orthopaedic Department, St. Luke's Clinic, Bielsko-Biala, Poland.
Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, U.S.A ; Orthopaedic Department, University of Basel Hospital, Basel, Switzerland.
Arthrosc Tech. 2014 Feb 6;3(1):e141-4. doi: 10.1016/j.eats.2013.09.010. eCollection 2014 Feb.
Several commercially available cartilage repair techniques use a natural or synthetic matrix to aid cartilage regeneration (e.g., autologous matrix-induced chondrogenesis or matrix-induced cartilage implantation). However, the use of matrix-aided techniques during conventional knee joint arthroscopy under continuous irrigation is challenging. Insertion and fixation of the matrix can be complicated by the presence of fluid and the confined patellofemoral joint space with limited access to the lesion. To overcome these issues, we developed a novel arthroscopic approach for matrix-aided cartilage repair of patellar lesions. This technical note describes the use of dry arthroscopy assisted by a minimally invasive retraction system. An autologous matrix-induced chondrogenesis procedure is used to illustrate this novel approach.
几种市售的软骨修复技术使用天然或合成基质来辅助软骨再生（例如，自体基质诱导软骨形成或基质诱导软骨植入）。然而，在持续冲洗下的传统膝关节关节镜检查过程中使用基质辅助技术具有挑战性。由于存在液体以及髌股关节间隙受限，难以接近病变部位，基质的插入和固定可能会变得复杂。为了克服这些问题，我们开发了一种用于髌骨病变基质辅助软骨修复的新型关节镜方法。本技术说明描述了在微创牵开系统辅助下的干式关节镜检查的应用。采用自体基质诱导软骨形成程序来说明这种新方法。
