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12/2/2015 12:24:00 PM | Browse: 757 | Download: 777
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Received |
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2014-01-03 16:54 |
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Peer-Review Started |
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2014-01-03 21:20 |
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To Make the First Decision |
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2014-02-27 10:01 |
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Return for Revision |
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2014-03-10 20:28 |
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Revised |
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2014-03-14 19:39 |
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Second Decision |
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2014-06-11 12:26 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Company Editor-in-Chief |
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2014-06-11 12:34 |
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Articles in Press |
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2014-06-11 13:11 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-08-11 08:38 |
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Publish the Manuscript Online |
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2014-08-20 20:37 |
Category |
Orthopedics |
Manuscript Type |
Topic Highlights |
Article Title |
Enhanced microfracture techniques in cartilage knee surgery: Fact or fiction?
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Manuscript Source |
Invited Manuscript |
All Author List |
Stefan Bark, Tomasz Piontek, Peter Behrens, Sabreen Mkalaluh, Deike Varoga and Justus Gille |
Funding Agency and Grant Number |
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Corresponding Author |
Bark Stefan, MD, Department of Trauma and Reconstructive Surgery, University of Schleswig-Holstein, Ratzeburger Allee 160, 23538 Campus Luebeck,
Germany. stefan.bark@uksh.de
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Key Words |
Cartilage; Microfracture; Autologous; Matrix-Induced Chondrogenesis; Knee; Chondro-Gide? |
Core Tip |
Articular cartilage has a limited healing potential which presents a well-known circumstance in orthopedic surgery. This fact has led to a variety of surgical techniques for treating articular defects and currently the microfracturing presents the most commonly used procedure. The aim of this article is to give an overview about actual studies regarding microfracture and the AMIC? technique in cartilage knee surgery and to show recent developments.This article reviews the pre-clinical rationale of microfractures and AMIC?, presents clinical studies and shows the advantages and disadvantages of these widely used techniques.
Material and Methods
PubMed and the Cochrane database were searched to identify relevant studies. We used a comprehensive search strategy with no date or language restrictions to locate studies that examined the AMIC? technique and microfracture. Search keywords included cartilage, microfracture, AMIC?, knee, Chondro-Gide?. Besides this, we included our own experiences and study authors were contacted if more and non published data were needed.
Results
Both cartilage repair techniques represent an effective and safe method of treating full-thickness chondral defects of the knee in selected cases. While results after microfracture deteriorate with time, mid-term results after AMIC? seem to be enduring.
Conclusion
Randomized studies with long-term follow-up are needed whether the grafted area will maintain functional improvement and structural integrity over time.
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Publish Date |
2014-08-20 20:37 |
Citation |
Bark S, Piontek T, Peter B, Mkalaluh S, Varoga D, Gille J. Enhanced microfracture techniques in cartilage knee surgery: Fact or fiction? World J Orthop 2014; 5(4): 444-449 |
URL |
http://www.wjgnet.com/2218-5836/full/v5/i4/444.htm |
DOI |
http://dx.doi.org/10.5312/wjo.v5.i4.444 |
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