Description
In this presentation, Consultant Orthopaedic Surgeon Nick Cullen advocates for the AMIC (Autologous Matrix-Induced Chondrogenesis) technique as an ideal solution for treating osteochondral lesions in young, high-demand patients. He emphasizes the need for a versatile approach and high-quality cartilage repair, citing that AMIC is the only procedure that adequately meets these requirements.
Cullen explains that AMIC involves applying a collagen fleece, or 'magic carpet', to a well-prepared osteochondral lesion after microfracturing the surface to encourage healing through the release of mesenchymal stem cells (MSCs) and growth factors. The procedure has shown promising histopathological results in studies with sheep, indicating strong cartilage repair, especially with the production of type 2 collagen.
The presentation reviews several studies demonstrating positive outcomes using AMIC, including high AOFAS scores in cases involving the talus and similar results irrespective of defect size or lesion types like those in shoulders.
Cullen asserts that AMIC usually does not require invasive osteotomy, making it less complex compared to traditional methods like the OATS procedure, which presents higher risks and complications in younger athletic patients. He concludes by reaffirming the consistency of AMIC's mid-term results across various types of osteochondral lesions, positioning it as the preferred choice for optimal cartilage repair.