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Microfracture Doom to FailMicrofracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle to…Microfracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle to balance between durable healing and repeated injury, resulting in the breakdown of repair tissue over time. Additionally, the articular cartilage's limited capacity to heal leads to pain recurrence and post-traumatic arthritis. Long-term outcomes vary, with a risk of osteoarthritis progression in older patients. Alternatives like ACI and mosaicplasty show promise, although ACI has a high reoperation rate. Mesenchymal stromal cells are also being considered for enhancing cartilage repair.
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Rethinking Microfracture Surgery in Modern Orthopaedics: Perspectives for Cartilage RepairDiscover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilage…Discover the ongoing debate surrounding microfracture surgery as a technique for cartilage repair in orthopaedic medicine. As advanced methodologies emerge, such as Autologous Chondrocyte Implantation (ACI) and Matrix-Induced Autologous Chondrocyte Implantation (MACI), the relevance of microfracture comes under scrutiny. Although it may still be appropriate for patients with small cartilage defects, concerns over long-term efficacy and durability limit its applicability. With rapid advancements in regenerative medicine, stem cell therapies and scaffold-based approaches offer promising alternatives. Ultimately, patient-specific factors should guide the decision-making process, and ongoing research is necessary to define microfracture's role in modern orthopaedic surgery.
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Advancements in Arthroscopic Techniques for Joint PreservationArthroscopy has revolutionised joint preservation techniques, allowing surgeons to perform minimally invasive procedures with greater precision and less trauma to surrounding tissues. This article explores the advancements in arthroscopic surgery, such as rotator cuff repair, meniscal repair and transplantation, cartilage restoration, ligament reconstruction, and joint preservation in early arthritis. These…Arthroscopy has revolutionised joint preservation techniques, allowing surgeons to perform minimally invasive procedures with greater precision and less trauma to surrounding tissues. This article explores the advancements in arthroscopic surgery, such as rotator cuff repair, meniscal repair and transplantation, cartilage restoration, ligament reconstruction, and joint preservation in early arthritis. These advanced techniques result in reduced surgical trauma, increased precision and safety, faster rehabilitation, and improved long-term outcomes. As arthroscopic techniques continue to evolve, they offer hope for improved quality of life and extended joint health for patients with joint injuries and early arthritis.
