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KMID : 1130920200240020061
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Journal of Korean Foot and Ankle Society
2020 Volume.24 No. 2 p.61 ~ p.68
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Operative Treatment for Osteochondral Lesions of the Talus: Bone Marrow Aspirate Concentrate and Matrix-induced Chondrogenesis
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Kim Bom-Soo
Na Yeop
Kwon Won-Hwan
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Abstract
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Bone marrow aspirate concentrate and matrix-induced chondrogenesis (BMIC) is an interesting treatment option for osteochondral lesions of the talus with promising short- to mid-term results. The various terminologies used to describe this surgical method need to be addressed. These include bone marrow-derived cell transplantation, matrix-induced bone marrow aspirate concentrate, and matrixassociated stem cell transplantation. BMIC is a one-stage, minimally invasive surgery performed arthroscopically or using a mini-open arthrotomy approach without a malleolar osteotomy in most cases. The lesion is replaced with hyaline-like cartilage, and treatmentrelated complications are rare. BMIC is a safe and effective treatment option and should be considered in large lesions or lesions with a prior treatment history.
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KEYWORD
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Ankle, Talus, Osteochondral lesion, Osteochondritis dissecans, Bone marrow
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