Dry Arthroscopic Single-Stage Cartilage Repair of the Knee Using a Hyaluronic Acid- Based Scaffold With Activated Bone Marrow-Derived Mesenchymal Stem.

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Dry Arthroscopic Single-Stage Cartilage Repair of the Knee Using a Hyaluronic Acid- Based Scaffold With Activated Bone Marrow-Derived Mesenchymal Stem Cells Graeme P. Whyte, M.D., M.Sc., F.R.C.S.C., Alberto Gobbi, M.D., Boguslaw Sadlik, M.D., Ph.D. Arthroscopy Techniques Volume 5, Issue 4, Pages e913-e918 (August 2016) DOI: 10.1016/j.eats.2016.04.020 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Patient in supine position, view of the left patellofemoral compartment through anterolateral portal and instrumentation inserted via the anteromedial working portal. Arthroscopic visualization of (A) full-thickness patellar chondral injury (arrow), (B, C) curettage of chondral defect to create contained lesion with vertical walls circumferentially, (D) measurement of chondral defect, (E) application and press fitting of a hyaluronic acid-based scaffold combined with activated bone marrow aspirate concentrate (HA-BMAC) under dry arthroscopy, and (F) seating of HA-BMAC implant into patellar chondral defect after cycling the knee to confirm stability of the graft. Arthroscopy Techniques 2016 5, e913-e918DOI: (10.1016/j.eats.2016.04.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Aspiration of bone marrow from the left iliac crest, patient in supine position. (B) Activation of bone marrow aspirate concentrate to produce congealed clot material (arrow) after application of batroxobin. (C) Hyaluronic acid-based scaffold (arrow) being fashioned to size of chondral defect. (D) Hyaluronic acid-based scaffold combined with activated bone marrow aspirate concentrate (HA-BMAC; arrow). Arthroscopy Techniques 2016 5, e913-e918DOI: (10.1016/j.eats.2016.04.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Retraction plate positioning to improve arthroscopic visualization of the patellofemoral compartment. (B) Arthroscopic view of plate positioning to retract capsule and synovial tissue adjacent to patella to improve access to chondral lesions of the patella or trochlea; arthroscopic view from the anterolateral portal, patient in supine position. (AM, anteromedial portal; HM, high medial portal; M, medial portal.) Arthroscopy Techniques 2016 5, e913-e918DOI: (10.1016/j.eats.2016.04.020) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions