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Foot and Ankle – Cartilage

The cartilage is the gliding surface that enables easy motion within a joint. If cartilage is damaged this surface is interrupted and arthritis can quickly form. Regenerating or repairing cartilage is a key area of research and development within orthopaedics. Joint Operations have a unique portfolio of solutions for cartilage repair and regeneration that allow surgeons to address all stages of cartilage damage.
Small cartilage defects are typically addressed by drilling holes in the bone bed to allow blood to fill the defect site. Stem cells within this blood then form a layer of tissue that can serve the same function as native cartilage. Accessing the reservoir of the best cells is difficult with traditional artrthoscopic instruments, as they lie deep below the bone bed. To address this Arthrosurface have developed NanoFX which is a nitinol needle that penetrates with a small hole 9mm below the joint surface. This is unique and has been shown to provide a much-improved patient outcome.

For larger defects it is useful to contain the blood cells that rise up from the reservoir and give them a scaffold which they can integrate into. Geistlich are leaders in this field with the AMIC technique which is enabled by the Chondro-Gide patch. A bilayer implant that is glued over the micro fracture site, the joint facing surface is a collagen matrix into which the cells can thrive. Any defect in the bone bed is first filled with Orthoss Granules or Orthoss Collagen. The top layer of the ChondroGide is smooth to enable articulation and impervious to the cells thereby ensuring they are contained at the site of the cartilage defect.

Foot and Ankle – Cartilage

The cartilage is the gliding surface that enables easy motion within a joint. If cartilage is damaged this surface is interrupted and arthritis can quickly form. Regenerating or repairing cartilage is a key area of research and development within orthopaedics. Joint Operations have a unique portfolio of solutions for cartilage repair and regeneration that allow surgeons to address all stages of cartilage damage.
Small cartilage defects are typically addressed by drilling holes in the bone bed to allow blood to fill the defect site. Stem cells within this blood then form a layer of tissue that can serve the same function as native cartilage. Accessing the reservoir of the best cells is difficult with traditional artrthoscopic instruments, as they lie deep below the bone bed. To address this Arthrosurface have developed NanoFX which is a nitinol needle that penetrates with a small hole 9mm below the joint surface. This is unique and has been shown to provide a much-improved patient outcome.

For larger defects it is useful to contain the blood cells that rise up from the reservoir and give them a scaffold which they can integrate into. Geistlich are leaders in this field with the AMIC technique which is enabled by the Chondro-Gide patch. A bilayer implant that is glued over the micro fracture site, the joint facing surface is a collagen matrix into which the cells can thrive. Any defect in the bone bed is first filled with Orthoss Granules or Orthoss Collagen. The top layer of the ChondroGide is smooth to enable articulation and impervious to the cells thereby ensuring they are contained at the site of the cartilage defect.

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