TOTBİD Dergisi

TOTBİD Dergisi

2022, Cilt 21, Sayı, 5     (Sayfalar: 501-507)

Bone marrow stimulation: Microfracture and nanofracture

Göksel Dikmen 1, Kayahan Karaytuğ 1, Vahit Emre Özden 1

1 Acıbadem Üniversitesi Tıp Fakültesi, Maslak Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.5578/totbid.dergisi.2022.69
Görüntüleme: 649
İndirme : 561

Bone marrow stimulation techniques still maintain their popularity for isolated cartilage lesions due to good to excellent short-term clinical results. Long-term deterioration in outcome and decline in functional outcomes can perhaps be explained by alteration or potential deterioration of the subchondral bone micro-architecture which is the main treatment area or further progression of osteoarthritis. Indications still differ among authors. Additional regenerative treatment methods (such as hyaluronate, platelet-rich plasma, bone marrow aspiration concentrate, and adipose tissue-derived stem cells) have not been supported with sufficient prospective comparative studies. The nanofracture technique is called a rebirth of the bone marrow stimulation technique, however the level of evidence is still low.

Anahtar Kelimeler : microfracture; nanofracture; subchondral bone; bone marrow stimulation