Autologous Chondrocyte Implantation: Second-Look Arthroscopy
نویسندگان
چکیده
Background: A known complication following autologous chondrocyte implantation (ACI) for the repair of cartilage defects is graft hypertrophy. Although hypertrophic tissue can sometimes be asymptomatic, it may cause pain, catching, or effusion prompting a debridement operation—the most common reoperation. Indications: Second-look arthroscopy required symptomatic delaminated tissue. Technique Description: First, distinguished from surrounding Visually, has lighter white color than egg-shell-colored native cartilage. With probe, appreciated that also softer texture firmer Once identified, hypertrophy by extent raised margins Delamination seen visualizing separated strands on surface separation at margins. probe then used to gently assess delamination. After diagnosing delamination, shaver debride back so becomes flush with Special care must taken as not over-debride tissue, this subsequently lead recurrent defect. Results: Patients are expected have resolved and clicking sensations well graft-associated procedure. Discussion/Conclusion: Due incidence delamination ACI, second-look necessary evaluate possibly treat defect its repair. Patient Consent Disclosure Statement: The author(s) attests consent been obtained any patient(s) appearing in publication. If individual identifiable, included statement release other written form approval submission
منابع مشابه
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ژورنال
عنوان ژورنال: Video journal of sports medicine
سال: 2023
ISSN: ['2635-0254']
DOI: https://doi.org/10.1177/26350254231161057