Description
The aim of this paper is to evaluate the preliminary results of using the Autocart (Arthrex) in a single hospital center, as well as to review the literature on the surgical technique, the patient selection criteria and the results of this procedure.
All patients who underwent MCI with Autocart® (Arthrex®) between 2020 and 2022 were included. The Lysholm and IKDC questionnaires were applied and preoperative and 6-month postoperative MRIs were evaluated.
A total of 12 patients were included, with a mean age of 40.25 years (26-53 years). The mean follow-up period was 10 months (6-18 months). The mean defect size was 4.84 cm2. Mean IKDC was 83.4% and Lysholm 87%. Postoperative MRI demonstrated graft integration, with minor signal differences between native and reconstructed cartilage, in all cases.
Morcelized autologous cartilage implantation is a promising treatment option for patients with osteochondral lesions in the knee. The procedure involves harvesting a small amount of healthy cartilage from the patient's knee joint, and then placing it into the damaged area.
The main advantage of this technique is that the patient's own tissue is used, which reduces the risk of infection. In addition, it has been shown to have the potential to stimulate the growth of new cartilage tissue and improve joint function.
On the other hand, the fact that it is a technique that requires only one surgical procedure, can be performed by arthroscopy, is relatively quick and has a good cost-effectiveness ratio, makes it even more attractive.
Several studies have been determining the effectiveness of this procedure for the treatment of osteochondral lesions in the knee. Overall, the results are promising, and most patients experience significant improvements in pain and joint mobility.
In summary, the implantation of autologous morcellized cartilage is a promising treatment option for patients with osteochondral injuries in the knee. However, it is important to carefully evaluate each patient to determine if they are a good candidate for this procedure and to ensure that the surgical technique is performed accurately.
Studies with a longer follow-up period and larger cohorts are needed to define the benefits of this procedure.
