AANA19 Knee Access Pass-Microfracture Awl: Tool of El Diablo-Dr. Jack M. Bert, M.D.

Microfracture Awl: Tool of El Diablo-Dr. Jack M. Bert, M.D.

Video Transcription

Video Summary

In this video, the speaker discusses the limitations and drawbacks of traditional microfracture surgery for knee injuries. They argue that while marrow stimulation can be helpful in forming fibrocartilage over damaged bone and aiding in repair augmentation for meniscal and ACL injuries, traditional microfracture can lead to long-term complications such as bone fractures, cyst formation, and osteophyte formation. The speaker suggests that going deeper than the typical four-millimeter depth of an awl used in microfracture surgery can yield better results by accessing type two collagen fibers, important for cartilage formation. They advocate for a second-generation microfracture technique using small drills or a small K-wire to improve long-term outcomes.

Asset Caption

Concurrent Scientific Session I: Symposium - Knee Cartilage 5.3.2019

Keywords

microfracture surgery

limitations

long-term complications

cartilage formation

second-generation technique