PURPOSE To compare the use of the distal anterolateral accessory (DALA) portal with the anterolateral (AL) and midanterior (MA) portals during arthroscopic hip labral repair. METHODS Standard AL, MA, and DALA portals were created on 6 cadaveric hip specimens. Four 2.4-mm pins were placed in the acetabular rim to the depth of a standard anchor using a drill guide. Pins were placed in the 12 to...

Articular cartilage covers the end of bones in joints and determines the load-bearing characteristics and mobility of joints. It has a thin, smooth, low friction surface with a remarkable resiliency to compressive forces. In general, chondrocytes occupy lacunae in the matrix, and produce cartilaginous ECM (extracellular matrix), which consists of type II collagen (13%), proteoglycans (7%), and ...

The repair of articular cartilage defects is increasingly moving into the focus of experimental and clinical investigations. Histological analysis is the gold standard for a valid and objective evaluation of cartilaginous repair tissue and predominantly relies on the use of established scoring systems. In the past three decades, numerous elementary and complex scoring systems have been describe...

OBJECTIVE Subchondral drilling initiates a cartilage repair response involving formation of chondrogenic foci in the subchondral compartment. The purpose of this study was to structurally characterize these sites of chondrogenesis and to investigate the effects of chitosan-glycerol phosphate (GP)/blood implants on their formation. METHOD Thirty-two New Zealand White rabbits received bilateral...

We have investigated in vitro the release kinetics and bioactivity of fibroblast growth factor-2 (FGF-2) released from a carrier of fibrin sealant. In order to evaluate the effects of the FGF-2 delivery mechanism on the repair of articular cartilage, full-thickness cylindrical defects, 5 mm in diameter and 4 mm in depth, which were too large to undergo spontaneous repair, were created in the fe...

Subacromial decompression and debridement of partial-thickness bursal-sided rotator cuff tears are often reported with a high rate of unsatisfactory outcomes. We describe an arthroscopic procedure to repair partial-thickness bursal-sided rotator cuff tears without converting to a full-thickness tear in patients with a normal articular-sided rotator cuff and an A0B2 or A0B3 pattern of tear (mini...

Articular cartilage repair is a continually evolving and often controversial area of sports medicine as the result of variable outcomes, contrasting opinions, and lack of a single reliable resurfacing option in this often complex heterogeneous patient population. Although many articular cartilage lesions are asymptomatic, others cause significant disability in patients who are not optimal candi...

In this paper review we describe benefits and disadvantages of the established methods of cartilage regeneration that seem to have a better long-term effectiveness. We illustrated the anatomical aspect of the knee joint cartilage, the current state of cartilage tissue engineering, through mesenchymal stem cells and biomaterials, and in conclusion we provide a short overview on the rehabilitatio...

Articular cartilage has a very limited capacity to repair and as such premature joint degeneration is often the end point of articular injuries. Patients with chondral injury have asymptomatic periods followed by others in which discomfort or pain is bearable. The repair of focal cartilage injuries requires a precise diagnosis, a completed knee evaluation to give the correct indication for surg...

Degenerative joint disease is a major cause of functional disability and pain affecting globally hundreds of millions people. In the western countries, osteoarthritis is a major joint disease most often affecting people over 65 years of age. Aging, joint loading, articular cartilage injuries, obesity, and genetic factors are known to influence the development of osteoarthritis. In osteoarthriti...