All-arthroscopic AMIC procedure for repair of cartilage defects of the knee

Knee Surg Sports Traumatol Arthrosc. 2012 May;20(5):922-5. doi: 10.1007/s00167-011-1657-z. Epub 2011 Sep 11.

Abstract

Purpose: Bone marrow mesenchymal stem cells were introduced into clinical practice due to their ability to differentiate into many types of cells. Autologous matrix-induced chondrogenesis (AMIC) combines the microfracture method with matrix-based techniques that utilizes a collagen membrane to serve as a scaffold for new bone marrow mesenchymal stem cells, allowing effective reconstruction of even large fragments of a damaged cartilage surface.

Methods: All-arthroscopic technique to repair knee cartilage defects using the AMIC technique, which includes the use of a collagen matrix (porcine collagen type I and III) and fibrin glue-technique presentation.

Conclusion: This technical note introduces an all-arthroscopic AMIC technique to reconstruct extensive cartilage defects (without bone defects). The technique may be used for treatment of all location of knee cartilage lesions.

Level of evidence: V.

MeSH terms

  • Arthroscopy / methods*
  • Cartilage / drug effects
  • Cartilage / transplantation*
  • Cartilage, Articular / injuries
  • Cartilage, Articular / pathology
  • Cartilage, Articular / surgery*
  • Chondrogenesis / drug effects*
  • Collagen
  • Fibrin Tissue Adhesive
  • Humans
  • Knee Joint / drug effects
  • Knee Joint / pathology
  • Knee Joint / surgery*
  • Plastic Surgery Procedures / methods
  • Transplantation, Autologous
  • Wound Healing

Substances

  • Fibrin Tissue Adhesive
  • Collagen