Boguslaw Sadlik, M.D., Ph.D., Martin Wiewiorski, M.D.

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Presentation transcript:

Dry Arthroscopy With a Retraction System for Matrix-Aided Cartilage Repair of Patellar Lesions Boguslaw Sadlik, M.D., Ph.D., Martin Wiewiorski, M.D. Arthroscopy Techniques Volume 3, Issue 1, Pages e141-e144 (February 2014) DOI: 10.1016/j.eats.2013.09.010 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Plate preparation and needle placement. (A) A monofilament thread is led through a cannulated spinal needle, and a braided thread is led through the holes of the retracting plate. (B) The spinal needle is inserted into the joint cavity lateral to the superior patellar pole. The monofilament loop (plus sign) is then pulled out through the anterolateral portal (AL), and the proximal end of the thread of the retracting plate is placed in the loop. Arthroscopy Techniques 2014 3, e141-e144DOI: (10.1016/j.eats.2013.09.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Plate insertion. The proximal end of the braided thread is pulled into the joint through the anterolateral portal (AL) and then pulled out of the joint at the needle insertion site by dragging the monofilament thread. Next, by dragging the proximal end of the braided thread, the plate is (A) pulled into the joint and (B) placed at the lateral edge of the patella. Both ends of the retracting thread run from the inside of the joint to the outside and can be attached to a holding rod. We recommend 3 portals for the cartilage repair procedure: anterolateral (AL), lateral (L), and high lateral (HL) (suprapatellar lateral). Arthroscopy Techniques 2014 3, e141-e144DOI: (10.1016/j.eats.2013.09.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Intra-articular view. On installation of the retracting plate (RP), pulling the retracting threads lifts and tilts the patella (P), allowing adequate access to the cartilage lesion through the lateral portal (L). The sutures can be attached to a holding rod (HR). (B) Intraoperative arthroscopic view, showing the location of the plate. Arthroscopy Techniques 2014 3, e141-e144DOI: (10.1016/j.eats.2013.09.010) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions