Top

Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

Open Access 01-05-2012 | Knee

All-arthroscopic AMIC procedure for repair of cartilage defects of the knee

Authors: Tomasz Piontek, Kinga Ciemniewska-Gorzela, Andrzej Szulc, Jakub Naczk, Michał Słomczykowski

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2012

Abstract

Purpose

Bone marrow mesenchymal stem cells were introduced into clinical practice due to their ability to differentiate into many types of cells. Autologous matrix-induced chondrogenesis (AMIC) combines the microfracture method with matrix-based techniques that utilizes a collagen membrane to serve as a scaffold for new bone marrow mesenchymal stem cells, allowing effective reconstruction of even large fragments of a damaged cartilage surface.

Methods

All-arthroscopic technique to repair knee cartilage defects using the AMIC technique, which includes the use of a collagen matrix (porcine collagen type I and III) and fibrin glue—technique presentation.

Conclusion

This technical note introduces an all-arthroscopic AMIC technique to reconstruct extensive cartilage defects (without bone defects). The technique may be used for treatment of all location of knee cartilage lesions.

Level of evidence

Asik M, Ciftci F, Sen C, Erdil M, Atalar A (2008) The microfracture technique for the treatment of full-thickness articular cartilage lesions of the knee: midterm results. Arthroscopy 24:1214–1220PubMedCrossRef

Benthien JP, Behrens P (2010) Autologous matrix-induced chondrogenesis (AMIC) combining microfracturing and a collagen I/III matrix for articular cartilage resurfacing. Cartilage 1:65–68CrossRef

Bentley G, Biant LC, Carrington RW et al (2003) A prospective, randomised comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. J Bone Joint Surg Br 85:223–230PubMedCrossRef

Gobbi A, Nunag P, Malinowski K (2005) Treatment of full thickness chondral lesions of the knee with microfracture in a group of athletes. Knee Surg Sports Traumatol Arthrosc 13:213–221PubMedCrossRef

Hangody L, Kish G, Karpati Z et al (1998) Mosaicplasty for the treatment of articular cartilage defects: application in clinical practice. Orthopedics 21:751–756PubMed

Marcacci M, Zaffagnini S, Kon E et al (2002) Arthroscopic autologous chondrocyte transplantation: technical note. Knee Surg Sports Traumatol Arthrosc 10:154–159PubMedCrossRef

Sgaglione N, Miniaci A, Gillogly S, et al. (2002) Update on advanced surgical techniques in the treatment of traumatic focal articular cartilage lesions in the knee. Arthroscopy (Suppl 1)18:9–32

Zantop T, Petersen W (2009) Arthroscopic implantation of a matrix to cover large chondral defect during microfracture. Arthroscopy 25:1354–1360PubMedCrossRef

Gille J, Schuseil E, Wimmer J, Gellissen J, Schulz AP, Behrens P (2010) Mid-term results of autologous matrix-induced chondrogenesis for treatment of focal cartilage defects in the knee. Knee Surg Sports Traumatol Arthrosc 18:1456–1464PubMedCrossRef

10.

Benthien JP, Behrens P (2011) The treatment of chondral and osteochondral defects of the knee with autologous matrix-induced chondrogenesis (AMIC): method description and recent developments. Knee Surg Sports Traumatol Arthrosc 19:1316–1319PubMedCrossRef

11.

Benthien JP, Behrens P (2010) Autologous matrix-induced chondrogenesis (AMIC). A one-step procedure for retropatellar articular resurfacing. Acta Orthop Belg 76:260–263PubMed

12.

de Girolamo L, Bertolini G, Cervellin M, Sozzi G, Volpi P (2010) Treatment of chondral defects of the knee with one step matrix-assisted technique enhanced by autologous concentrated bone marrow: in vitro characterisation of mesenchymal stem cells from iliac crest and subchondral bone. Injury 41:1172–1177PubMedCrossRef

13.

Dhollander AA, De Neve F, Almqvist KF, Verdonk R, Lambrecht S, Elewaut D, Verbruggen G, Verdonk PC (2011) Autologous matrix-induced chondrogenesis combined with platelet-rich plasma gel: technical description and a five pilot patients report. Knee Surg Sports Traumatol Arthrosc 19:536–542PubMedCrossRef

14.

Siebold R, Sartory N, Yang Y, Feil S, Paessler HH (2011) Prone position for minimal invasive or all-arthroscopic autologus chondrocyte implantation at the patella. Knee Sur, Sports Traumatol Arthrosc Published online: 09 April

Title: All-arthroscopic AMIC procedure for repair of cartilage defects of the knee
Authors: Tomasz Piontek
Kinga Ciemniewska-Gorzela
Andrzej Szulc
Jakub Naczk
Michał Słomczykowski
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1657-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

All-arthroscopic AMIC procedure for repair of cartilage defects of the knee

Abstract

Purpose

Methods

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Conclusion

Level of evidence

Please log in to get access to this content

Other articles of this Issue 5/2012

Measuring the anterior cruciate ligament’s footprints by three-dimensional magnetic resonance imaging

A new technique for arthroscopic meniscus transplant using soft tissue fixation and anatomical meniscal root reinsertion

Tuberculous arthritis of the knee joint mimicking pigmented villonodular synovitis

Analysis of failed surgery for patellar instability in children with open growth plates

Fixation of posterior cruciate ligament avulsion fracture with the use of a suspensory fixation

Self-limited healing of a radial tear of the lateral meniscus