Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix

The use of biologics in sports medicine is increasing rapidly. An osteochondral defect in a young active patient remains a difficult issue to treat. Autograft cartilage has tremendous advantages for the treatment of full-thickness defects, but harvesting and preparation have been difficult in the pa...

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Main Authors: Chad Lavender, M.D., Syed Ali Sina Adil, M.D., Vishavpreet Singh, M.D., Galen Berdis, M.D.
Format: Article
Language:English
Published: Elsevier 2020-02-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719302208
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author Chad Lavender, M.D.
Syed Ali Sina Adil, M.D.
Vishavpreet Singh, M.D.
Galen Berdis, M.D.
author_facet Chad Lavender, M.D.
Syed Ali Sina Adil, M.D.
Vishavpreet Singh, M.D.
Galen Berdis, M.D.
author_sort Chad Lavender, M.D.
collection DOAJ
description The use of biologics in sports medicine is increasing rapidly. An osteochondral defect in a young active patient remains a difficult issue to treat. Autograft cartilage has tremendous advantages for the treatment of full-thickness defects, but harvesting and preparation have been difficult in the past. Disadvantages have included donor-site morbidity and the need for further surgery. With the recent development of the GraftNet device (Arthrex, Naples, FL), harvesting and delivery of autograft have become easier and can be performed arthroscopically in a single surgical procedure. Bone marrow concentrate has recently increased in popularity owing to the presence of mesenchymal stem cells. These stem cells combined with autograft cartilage and BioCartilage (Arthrex) could lead to better incorporation and healing. In this article, we show how this unique biological composite is obtained and then added in the cartilage defect during a single-stage arthroscopic procedure.
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spelling doaj.art-f813dc64f38542e296170b0c134c2c242022-12-21T22:33:28ZengElsevierArthroscopy Techniques2212-62872020-02-0192e199e203Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular MatrixChad Lavender, M.D.0Syed Ali Sina Adil, M.D.1Vishavpreet Singh, M.D.2Galen Berdis, M.D.3Address correspondence to Chad Lavender, M.D., 423 Woodbridge Dr, Charleston, WV 25311, U.S.A.; Marshall University, Orthopaedic Surgery, Huntington, West Virginia, U.S.AMarshall University, Orthopaedic Surgery, Huntington, West Virginia, U.S.AMarshall University, Orthopaedic Surgery, Huntington, West Virginia, U.S.AMarshall University, Orthopaedic Surgery, Huntington, West Virginia, U.S.AThe use of biologics in sports medicine is increasing rapidly. An osteochondral defect in a young active patient remains a difficult issue to treat. Autograft cartilage has tremendous advantages for the treatment of full-thickness defects, but harvesting and preparation have been difficult in the past. Disadvantages have included donor-site morbidity and the need for further surgery. With the recent development of the GraftNet device (Arthrex, Naples, FL), harvesting and delivery of autograft have become easier and can be performed arthroscopically in a single surgical procedure. Bone marrow concentrate has recently increased in popularity owing to the presence of mesenchymal stem cells. These stem cells combined with autograft cartilage and BioCartilage (Arthrex) could lead to better incorporation and healing. In this article, we show how this unique biological composite is obtained and then added in the cartilage defect during a single-stage arthroscopic procedure.http://www.sciencedirect.com/science/article/pii/S2212628719302208
spellingShingle Chad Lavender, M.D.
Syed Ali Sina Adil, M.D.
Vishavpreet Singh, M.D.
Galen Berdis, M.D.
Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
Arthroscopy Techniques
title Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
title_full Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
title_fullStr Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
title_full_unstemmed Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
title_short Autograft Cartilage Transfer Augmented With Bone Marrow Concentrate and Allograft Cartilage Extracellular Matrix
title_sort autograft cartilage transfer augmented with bone marrow concentrate and allograft cartilage extracellular matrix
url http://www.sciencedirect.com/science/article/pii/S2212628719302208
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