Thursday 23 April 2020

1 year post micro fracture for a incidental focal lesion in in 65 year



Is  the regenerative capacity of a microfracture  in above 60 unpredictable? I had a good surprise with the  this patient?

. This was an above 60 lady with ACL and MCL injury after a fall.  the chondral lesion of about 1cm on MFC  was treated with microfracture along with stump ACl reconstruction and scopic MCL repair and orthokine intraarticular injection.  She had a Scopy for a  cyclops when the above video was taken. The defect was well filled with fibrocartilage but on palpation, it appeared stiffer  than the nieghbouring cartilage( no values) rest of her knee was pristine

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