Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft

Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft

Osteochondral lesions of the talus (OLTs) are difficult to treat. Arthroscopic microfracture augmented with micronized cartilage (BioCartilage; Arthrex, Naples, FL) and platelet-rich plasma is emerging as a treatment for moderate-sized, well-contained full-thickness OLTs. This treatment may provide...

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Main Authors: Daniel J. Cunningham, M.D., M.H.Sc., Samuel B. Adams, M.D.
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720300189
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spelling doaj-d4bdbd75237a4e12b6a4445704f30b252021-06-10T04:56:56ZengElsevierArthroscopy Techniques2212-62872020-05-0195e627e637Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage AllograftDaniel J. Cunningham, M.D., M.H.Sc.0Samuel B. Adams, M.D.1Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Address correspondence to Samuel B. Adams, M.D., Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Duke University Medical Center, 4709 Creekstone Dr, Durham, NC 27703, U.S.A.; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Osteochondral lesions of the talus (OLTs) are difficult to treat. Arthroscopic microfracture augmented with micronized cartilage (BioCartilage; Arthrex, Naples, FL) and platelet-rich plasma is emerging as a treatment for moderate-sized, well-contained full-thickness OLTs. This treatment may provide superior histologic results and is less technically demanding and yields less morbidity than an open osteochondral allograft or autograft transfer. This technique guide presents the senior author’s preferred strategy for treatment of a moderate-sized OLT with arthroscopic microfracture and placement of micronized cartilage and platelet-rich plasma.http://www.sciencedirect.com/science/article/pii/S2212628720300189
collection DOAJ
language English
format Article
sources DOAJ
author Daniel J. Cunningham, M.D., M.H.Sc.
Samuel B. Adams, M.D.
spellingShingle Daniel J. Cunningham, M.D., M.H.Sc.
Samuel B. Adams, M.D.
Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
Arthroscopy Techniques
author_facet Daniel J. Cunningham, M.D., M.H.Sc.
Samuel B. Adams, M.D.
author_sort Daniel J. Cunningham, M.D., M.H.Sc.
title Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
title_short Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
title_full Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
title_fullStr Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
title_full_unstemmed Arthroscopic Treatment of Osteochondral Lesions of the Talus With Microfracture and Platelet-Rich Plasma-Infused Micronized Cartilage Allograft
title_sort arthroscopic treatment of osteochondral lesions of the talus with microfracture and platelet-rich plasma-infused micronized cartilage allograft
publisher Elsevier
series Arthroscopy Techniques
issn 2212-6287
publishDate 2020-05-01
description Osteochondral lesions of the talus (OLTs) are difficult to treat. Arthroscopic microfracture augmented with micronized cartilage (BioCartilage; Arthrex, Naples, FL) and platelet-rich plasma is emerging as a treatment for moderate-sized, well-contained full-thickness OLTs. This treatment may provide superior histologic results and is less technically demanding and yields less morbidity than an open osteochondral allograft or autograft transfer. This technique guide presents the senior author’s preferred strategy for treatment of a moderate-sized OLT with arthroscopic microfracture and placement of micronized cartilage and platelet-rich plasma.
url http://www.sciencedirect.com/science/article/pii/S2212628720300189
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AT samuelbadamsmd arthroscopictreatmentofosteochondrallesionsofthetaluswithmicrofractureandplateletrichplasmainfusedmicronizedcartilageallograft
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