Modified autologous matrix-induced chondrogenesis (AMIC) for the treatment of a large osteochondral defect in a varus knee: a case report

被引:8
作者
de Girolamo, L. [2 ]
Quaglia, A. [1 ]
Bait, C. [1 ]
Cervellin, M. [1 ]
Prospero, E. [1 ]
Volpi, P. [1 ]
机构
[1] IRCCS Ist Clin Humanitas, Knee Surg & Sport Traumatol Unit, Rozzano, MI, Italy
[2] IRCCS Galeazzi Orthopaed Inst, Orthopaed Biotechnol Lab, Milan, Italy
关键词
Osteochondral lesion; Autologous matrix-induced chondrogenesis; Varus knee; Osteotomy; Concentrated bone marrow; Bone graft; SUBCHONDRAL BONE; STEM-CELLS; REPAIR;
D O I
10.1007/s00167-012-2143-y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This paper presents a case report of a 27-year-old male patient affected by a large osteochondral defect of the medial femoral condyle (6 cm(2)) in a varus knee. He was treated with a combined approach consisting of high tibial osteotomy and autologous matrix-induced chondrogenesis technique enhanced by a bone marrow-enriched bone graft. Twelve months after surgery, the patient reported considerable reduction in pain and significant increase in his quality of life. A hyaline-like cartilage completely covered the defect and was congruent with the surrounding condyle cartilage as revealed by MRI and by a second-look arthroscopy. Level of evidence IV.
引用
收藏
页码:2287 / 2290
页数:4
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