Arthroscopic Treatment of Chondral and Osteochondral Defects in the Ankle Using the Autologous Matrix-Induced Chondrogenesis Technique Tomasz Piontek,

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Arthroscopic Treatment of Chondral and Osteochondral Defects in the Ankle Using the Autologous Matrix-Induced Chondrogenesis Technique Tomasz Piontek, Ph.D., Paweł Bąkowski, M.D., Kinga Ciemniewska-Gorzela, Ph.D., Jakub Naczk, M.D. Arthroscopy Techniques Volume 4, Issue 5, Pages e463-e469 (October 2015) DOI: 10.1016/j.eats.2015.04.006 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Chondral defect located in talus. (B) Debridement and chondrectomy. (C) Microfractures. (D) Implantation of collagen matrix. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Chondro-Gide collagen membrane. (B) Round collagen membrane patches are cutout by use of round scissors. (C, D) Round collagen membrane patches prepared by assistant. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A, B) Magnetic resonance imaging scans of osteochondral defect of talus. (C) Osteochondral defect of talus. (D) Implantation of granular bone graft. (E) Collagen matrix with tissue glue. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A, B) Magnetic resonance imaging scans of osteochondral defect of talus. (C) Osteochondral defect of talus. (D) Implantation of granular bone graft. (E) Collagen matrix. (F) Collagen matrix with tissue glue. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A, B) Magnetic resonance imaging scans of osteochondral defect of talus. (C) Chondral defect located in talus. (D) Microfractures. (E) Implantation of collagen matrix. (F) Collagen matrix with tissue glue. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 (A) Chondral defect located in talus. (B) Microfractures. (C) Implantation of collagen matrix. (D) Implantation of collagen matrix. (E) Collagen matrix with tissue glue. Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 7 Our algorithm for treatment of chondral defects of talus. (AMIC, autologous matrix-induced chondrogenesis; HA, hyaluronic acid; OCL, osteochondral lesion; PRP, platelet-rich plasma.) Arthroscopy Techniques 2015 4, e463-e469DOI: (10.1016/j.eats.2015.04.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions