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The Microfracture Technique: Pearls and Pitfalls

Devin P. Leland, Christopher D. Bernard, Aaron J. Krych

Volume 4 | Issue 1 | Jan – April 2019 | Page 4- 14

Author: Devin P. Leland[1], Christopher D. Bernard[1], Aaron J. Krych[1*]

From the Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.

Address of Correspondence
Dr. Aaron J. Krych, MD
Mayo Clinic, 200 First Street SW, Rochester, MN 55905
Email: Krych.Aaron@Mayo.edu

Abstract

Preservation of articular cartilage is essential for appropriate health and function of the knee. Chondral lesions have therefore been identified as a common cause of knee pain and morbidity. For many years, the microfracture technique has offered a simple and minimally invasive procedure for the treatment of isolated articular cartilage lesions. Identifying patients who are appropriate for microfracture is difficult and requires careful selection. Younger patients (<35 years of age) with smaller lesions (<2 cm2) who are non-obese have demonstrated the greatest improvement following microfracture, especially in the short-term (<24 months). However, long-term outcomes are less promising and advanced cartilage restoration techniques such as osteochondral grafting or chondrocyte implantation have been developed. As a result, the focus of current research is centered on comparing microfracture to these more novel techniques to determine which procedure(s) offer superior long-term results. Ultimately, the orthopedist’s goal has not changed since originally implementing the microfracture procedure: to provide patients with full-thickness isolated chondral defects the best available treatment for long-term preservation of knee function and biomechanics.

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How to Cite this article: Leland DP, Bernard CD, Krych AJ. The Microfracture Technique: Pearls and Pitfalls. Asian Journal Arthroscopy. Jan-April 2019;4(1):9-14

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Modern Concept in Posterior Ankle Arthroscopy

Joseph Tracey, Selene G. Parekh

Volume 3 | Issue 2 | May – Aug 2018 | Page 9-12

Author: Joseph Tracey, Selene G. Parekh [2].

[1]  Medical University of South Carolina 96 Johnathan Lucas St., Charleston, SC, 29425
[2] Duke University Medical Center, Orthopaedic Surgery North Carolina Orthopaedic Clinic 3609 Southwest Durham Drive Durham, NC, USA 27707

Address of Correspondence
Dr. Selene G. Parekh,
Medical University of South Carolina 96 Johnathan Lucas St., Charleston, SC, 29425 tracey312@live.com
Email: selene.parekh@gmail.com

Abstract

Ankle arthroscopy has evolved rapidly within the last twenty-five years and is now the principal method of treatment of ankle disorders. It would be prudent for an aspiring orthopaedic surgeon to include this technique in his or her armamentarium of surgical techniques. This will provide the surgeon an inclusive option to obtain accurate diagnosis and to discuss management options with the patient. The minimally invasive technique is biologically friendly by preserving the soft tissue envelope. This will also meet patient expectations to achieve an earlier and predictable functional recovery from ankle pathology. This review article will briefly mention historical aspects and outline the basic technique and relevant benefits of ankle arthroscopy. Indications and contra-indications of ankle arthroscopy will be discussed with pertinent review of literature. Complications and outcomes of the procedure will also be highlighted.
Keywords: Ankle arthroscopy, technique, indications

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How to Cite this article: Tracey J, Parekh S G. Modern Concept in Posterior Ankle Arthroscopy. Asian Journal of Arthroscopy May-Aug 2018;3(2): 9-12.

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Ankle Arthroscopy

Rachala Madhu, Kartik Hariharan

Volume 3 | Issue 2 | May – Aug 2018 | Page 3-8

Author: Rachala Madhu, Kartik Hariharan [1].

[1] Department of Orthopaedic and Foot and Ankle Surgeon Royal Gwent Hospital

Address of Correspondence
Dr. Kartik Hariharan,
Consultant Orthopaedic and Foot and Ankle Surgeon Royal Gwent Hospital Cardiff Rd Newport NP20 2UB United Kingdom
Email: h.kartik@gmail.com

Abstract

Ankle arthroscopy has evolved rapidly within the last twenty-five years and is now the principal method of treatment of ankle disorders. It would be prudent for an aspiring orthopaedic surgeon to include this technique in his or her armamentarium of surgical techniques. This will provide the surgeon an inclusive option to obtain accurate diagnosis and to discuss management options with the patient. The minimally invasive technique is biologically friendly by preserving the soft tissue envelope. This will also meet patient expectations to achieve an earlier and predictable functional recovery from ankle pathology. This review article will briefly mention historical aspects and outline the basic technique and relevant benefits of ankle arthroscopy. Indications and contra-indications of ankle arthroscopy will be discussed with pertinent review of literature. Complications and outcomes of the procedure will also be highlighted.
Keywords: Ankle arthroscopy, technique, indications

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How to Cite this article:. Rachala M, Hariharan K. Ankle Arthroscopy. Asian Journal Arthroscopy. May-Aug 2018;3(2):3-8 .

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