Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 8, pp 2349–2352 | Cite as

Implantation of a collagen matrix for an AMIC repair during dry arthroscopy

  • Boguslaw Sadlik
  • Martin WiewiorskiEmail author


Several arthroscopic cartilage repair techniques in the knee joint require the insertion of a cut-to-shape matrix. Depending on the location and accessibility of the cartilage lesion, this procedure can be challenging. To overcome the limitations of currently used techniques, a novel matrix insertion technique was developed. This technique utilizes an inserter rod and a dedicated guide which can be used in a dry arthroscopy setup.

Level of evidence

Expert opinion, Level V.


Cartilage repair Knee Patella AMIC Arthroscopy Matrix 



The authors thank Christie-Joy Cunningham for her help in the correcting of this article, Rafal Szopa for providing the schemes for the figures, and the team for help in editing of the video material.

Supplementary material

Supplementary material 1 (MPG 28670 kb)


  1. 1.
    Behrens P (2005) Matrixgekoppelte Mikrofrakturierung. Arthrosk 18:193–197CrossRefGoogle Scholar
  2. 2.
    Bekkers JE, Tsuchida AI, Malda J, Creemers LB, Castelein RJ, Saris DB, Dhert WJ (2010) Quality of scaffold fixation in a human cadaver knee model. Osteoarthritis and cartilage/OARS. Osteoarthr Res Soc 18(2):266–272CrossRefGoogle Scholar
  3. 3.
    Brittberg M, Concaro S (2011) Autologous chondrocyte implantation : transarthroscopic implantation of hyalograft (Hyaff 11) with autologous chondrocytes. Cartilage surgery. Elsevier, Philadelphia, pp 147–160CrossRefGoogle Scholar
  4. 4.
    de Girolamo L, Quaglia A, Bait C, Cervellin M, Prospero E, Volpi P (2012) Modified autologous matrix-induced chondrogenesis (AMIC) for the treatment of a large osteochondral defect in a varus knee: a case report. Knee Surg Sports Traumatol Arthrosc 20(11):2287–2290PubMedCrossRefGoogle Scholar
  5. 5.
    Filardo G, Kon E, Roffi A, Di Martino A, Marcacci M (2013) Scaffold-based repair for cartilage healing: a systematic review and technical note. Arthroscopy 29(1):174–186PubMedCrossRefGoogle Scholar
  6. 6.
    Fontana A (2012) A novel technique for treating cartilage defects in the hip: a fully arthroscopic approach to using autologous matrix-induced chondrogenesis. Arthrosc Tech 1(1):e63–e68PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Knutsen G, Drogset JO, Engebretsen L, Grontvedt T, Isaksen V, Ludvigsen TC, Roberts S, Solheim E, Strand T, Johansen O (2007) A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am 89(10):2105–2112PubMedCrossRefGoogle Scholar
  8. 8.
    Maeno S, Hashimoto D, Otani T, Masumoto K, Matsumoto H, Enomoto H, Niki Y, Yuzawa I, Fukui Y, Ishikawa M, Fujita N, Okubo M (2008) Hanger-lifting procedure in knee arthroscopy. Arthroscopy 24(12):1426–1429PubMedCrossRefGoogle Scholar
  9. 9.
    Marcacci M, Berruto M, Brocchetta D, Delcogliano A, Ghinelli D, Gobbi A, Kon E, Pederzini L, Rosa D, Sacchetti GL, Stefani G, Zanasi S (2005) Articular cartilage engineering with Hyalograft C: 3-year clinical results. Clin Orthop Relat Res 435:96–105PubMedCrossRefGoogle Scholar
  10. 10.
    Piontek T, Ciemniewska-Gorzela K, Szulc A, Naczk J, Slomczykowski M (2012) All-arthroscopic AMIC procedure for repair of cartilage defects of the knee. Knee Surg Sports Traumatol Arthrosc 20(5):922–925PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Sadlik B, Wiewiorski M (2014) Dry arthroscopy with a retraction system for matrix-aided cartilage repair of patellar lesions. Arthrosc Tech 3(1):e141–e144PubMedCentralPubMedCrossRefGoogle Scholar
  12. 12.
    Siebold R, Sartory N, Yang Y, Feil S, Paessler HH (2011) Prone position for minimal invasive or all-arthroscopic autologous chondrocyte implantation at the patella. Knee Surg Sports Traumatol Arthrosc 19(12):2036–2039PubMedCrossRefGoogle Scholar
  13. 13.
    Wood D, Janes GC (2011) Autologous chondrocyte implantation : matrix-induced autologous chondrocyte implantation (MACI). Cartilage surgery. Elsevier, Philadelphia, pp 161–173CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Orthopaedic DepartmentSt Luke’s ClinicBielsko-BialaPoland
  2. 2.Center for Advanced Orthopedic Studies, Beth Israel, Deaconess Medical CenterHarvard Medical SchoolBostonUSA
  3. 3.Orthopaedic DepartmentUniversity of Basel HospitalBaselSwitzerland

Personalised recommendations