Arthroscopic autologous chondrocyte implantation in osteochondral lesions of the talus: Surgical technique and results

Sandro Giannini, Roberto Buda, Francesca Vannini, Francesco Di Caprio, Brunella Grigolo

Research output: Contribution to journalArticle

Abstract

Background: Autologous chondrocyte implantation (ACI) in the ankle was considered up to now an extremely technically demanding surgery with considerable morbidity for the patients. Hypothesis: Hyalograft C scaffold allows arthroscopic ACI, thanks to a specifically designed instrumentation. Study Design: Case series; Level of evidence, 4. Methods: Forty-six patients with a mean age of 31.4 years (range, 20-47) underwent operation from 2001 to 2004. They had posttraumatic talar dome lesions, type II or IIA. In the first step of surgery, an ankle arthroscopy was performed, with cartilage harvest from the detached osteochondral fragment or from the margins of the lesion. Chondrocytes were cultured on a Hyalograft C scaffold. In the second step of surgery, the Hyalograft C patch was arthroscopically implanted into the lesion, with a specifically designed instrumentation. Lesions

Original languageEnglish
Pages (from-to)873-880
Number of pages8
JournalAmerican Journal of Sports Medicine
Volume36
Issue number5
DOIs
Publication statusPublished - May 2008

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Keywords

  • Ankle
  • Arthroscopy
  • Autologous chondrocyte implantation
  • Instrumentation
  • Osteochondral lesion

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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