Part of the book: Modern Arthroscopy
The arthroscopic findings of knee articular cartilage lesions are reported to be as high as 60%, although only a fragment of these are considered to be symptomatic. Such lesions are believed to accelerate the onset of arthritis. Long-term results of the microfracture technique for chondral and osteochondral defects of the knee cartilage are not satisfactory. The autologous matrix induced chondrogenesis (AMIC) technique offers a promising alternative as an effective cartilage repair procedure in the knee resulting in stable clinical results and with a wide range of indications. An extensive literature review has been performed aiming at providing the rationale behind AMIC, to report clinical results of AMIC and to compare AMIC with other chondrogenesis techniques. Finally, we comment on the appropriate surgical technique and its indications, since the number of one-step arthroscopic procedure proposals is steadily increasing.
Part of the book: Cartilage Repair and Regeneration
Rotator cuff (RC) tear is a common cause of shoulder pain and disability among adults. Surgical management of RC tears is recommended after conservative treatment failure. Due to the development of arthroscopic repair techniques, the use of the arthroscopic rotator cuff repair has become the gold standard. Single-row (SR) and double-row (DR) suture anchor repairs are the two most popular and commonly used arthroscopic techniques. However, the optimal arthroscopic surgical technique remains controversial in terms of clinical and biomechanical outcomes, healing, and re-tear rates. This chapter will focus on differences between these two techniques regarding biomechanics, clinical results, healing rate, and cost effectiveness.
Part of the book: Surgical Recovery