Mosaicplasty Orthopedic Surgery In India At Affordable Low Cost |
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Mosaicplasty
Overview
Mosaicplasty Surgery in India Mosaicplasty (osteochondral autograft, cartilaginous bone graft transfer) Widely known and accepted technique for focal chondral lesion and is often referred to as „mosaic” plasty (Hangody et al.), where small cylinders of the non weight bearing carilage surface is removed and transferred to the site of cartilage lesion. Small and medium sized lesions might be treated by mosaicplasty. The main rational is that certain areas of the cartilage in the knee are non-weight bearing thus can be removed and transferred to the site of the lesion. As all cylinders consist of bony and cartilaginous part, the bony part would heal and fuse to the adjacent bony receiver site, and the cartilaginous cover of the joint will be smooth and intact after6-12 months.....
MosaicPlasty is the result of more than a decade of animal and clinical experience, and refinements in surgical technique and instrumentation. In clinical use since 1992, MosaicPlasty has been shown to be an efficacious. reproducible and cost-effective means of restoring chondral defects. MosaicPlasty is indicated for the treatment of focal, full thickness, cartilage lesions of up to 9 cm2 in the knee and ankle...
The MosaicPlasty Procedure In a MosaicPlasty, small, cylindrical, autologous osteochondral grafts are taken from non-weight bearing areas of the femoral periphery at the patellofemoral joint. The graft are inserted into holes drilled at the site of the chondral defect, filling it with 60-80% transplanted hyaline cartilage...
Long-term Animal and clinical studies MosaicPlasty animal and clinical studies have been completed using grafts of 4.5mm or less in diameter and of 15mm (for cartilage defects) in length. Hangody et al performed a MosaicPlasty in 152 patients with defects ranging in size from 1.0 to 8.5 cm2 : - 57 of 60 patients who were operated on three to five years ago were available for follow-up 62% had condylar cartilage defects; 26% had an osteochondral defect; 12% had condromalasia patellae. An average of eight grafts were used to create the MosaicPlasty. Average non-weight bearing time was six to eight weeks. Average modified HSS score value was 90.7....
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