Key result
All-arthroscopic autologous matrix-induced chondrogenesis (AMIC) is described as a viable technique for repairing shoulder chondral lesions that reduces morbidity compared with traditional open surgery.
Describes an all-arthroscopic AMIC technique for shoulder chondral defects, potentially reducing morbidity compared to open surgery.
Offers less invasive option for shoulder chondral repair; leaves open need for comparative trials to confirm outcomes.
Autologous matrix-induced chondrogenesis (AMIC) is often used for treating chondral defects in different joints. We describe an all-arthroscopic approach for the treatment of glenoid and humeral chondral lesions with this technique. AMIC starts with the use of microfractures of the damaged cartilage, followed by coverage of the defect with a type I/III collagen matrix (Chondro-Gide; Geistlich Pharma, Wolhusen, Switzerland) that is fixed with fibrin glue (Tissucol; Baxter, Warsaw, Poland). In a 1-step approach, the unstable cartilage is debrided, microfractures that penetrate up to the subchondral bone are performed, and the membranes are pasted to the lesion. Our technique reduces morbidity rates compared with traditional open surgery. The arthroscopic AMIC procedure is a viable, cost-effective treatment for the repair of chondral lesions of the shoulder.
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Cuéllar et al. (2016) studied Glenoid and humeral chondral lesions. All-arthroscopic autologous matrix-induced chondrogenesis (AMIC) vs. Traditional open surgery was evaluated. All-arthroscopic autologous matrix-induced chondrogenesis (AMIC) is described as a viable technique for repairing shoulder chondral lesions that reduces morbidity compared with traditional open surgery.
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