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Autologous Chondrocyte Implantation - Intralesional Osteophyte Lesion Debridement

November 01, 2015

Contributors: Andreas H Gomoll, MD

This video demonstrates the use of a high speed burr to debride an intralesional osteophyte on the medial femoral condyle seen following microfracture. Generally, a 4 or 5mm burr is sufficient. The microburring is performed under constant, cold irrigation to avoid thermal damage and necrosis to the subchondral plate. The intralesional osteophyte is debrided down to the level of the normal subchondral plate. Excessive bleeding can be avoided as long as the debridement is limited to the sclerotic bone of the intralesional osteophyte itself, without breaking into the subchondral cancellous bone.

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