Dragoo Jason L, Hirpara Ankit, Constantine Evangelia, Williams Kyle Garrett, Fry Sydney Anne, Kandil Rahman
Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.
The Orthopedic Group, Stone Springs, Dulles, Virginia, U.S.A.
Arthrosc Tech. 2024 Mar 18;13(6):102965. doi: 10.1016/j.eats.2024.102965. eCollection 2024 Jun.
Intraosseous injections of bone marrow aspirate concentrate have shown promise in the treatment of bone marrow lesions (BMLs) in the knee. With the wide-awake limited anesthesia no tourniquet (WALANT) technique, intraosseous injections can be performed with the patient under local anesthesia in the procedure room or operating room setting. This article describes 2 techniques to access the BML of interest. The "decompression route" involves drilling through the nearest cortex, and the "biologic route" involves drilling through healthy bone to promote bleeding and the introduction of healthy biologic tissue to the BML.
骨髓抽吸浓缩物的骨内注射在治疗膝关节骨髓损伤（BMLs）方面已显示出前景。采用清醒局部麻醉无止血带（WALANT）技术，可在局部麻醉下于诊疗室或手术室环境中对患者进行骨内注射。本文介绍了两种进入目标BML的技术。“减压途径”是指钻穿最近的皮质骨，“生物学途径”是指钻穿健康骨质以促进出血并将健康生物组织引入BML。
