Regeneration: AT-AMIC Technique: Limits and Indication

Camilla Maccario; Agustín Barbero; Cristian Indino

doi:10.1016/j.fcl.2023.07.008

Regeneration: AT-AMIC Technique: Limits and Indication

Foot Ankle Clin. 2024 Jun;29(2):291-305. doi: 10.1016/j.fcl.2023.07.008. Epub 2023 Aug 30.

Authors

Camilla Maccario¹, Agustín Barbero¹, Cristian Indino²

Affiliations

¹ Ankle and Foot Unit, Humanitas San Pio X, Via Francesco Nava 31, Milano.
² Ankle and Foot Unit, Humanitas San Pio X, Via Francesco Nava 31, Milano. Electronic address: cristian.indino@gmail.com.

PMID: 38679440
DOI: 10.1016/j.fcl.2023.07.008

Abstract

Osteochondral lesion of the talus (OLT) is a commune cause of chronic ankle pain. Symptomatic lesions require surgical treatment. Currently, lesions with diameter less than 107.4 mm² are treated with bone marrow stimulating technique with notable success rate. However, more extensive lesions show less predictable surgical results. Autologous matrix-induced chondrogenesis has proven to provide satisfactory medium and long-term results on OLTs. In the current review, we describe an all-arthroscopic technique and the Milan-Tel Aviv lesion assessment protocol.

Keywords: AMIC; AT-AMIC; Ankle arthroscopy; Cartilage; OLT; Osteochondral lesion of the talus.

Publication types

Review

MeSH terms

Arthroscopy* / methods
Cartilage, Articular / physiology
Cartilage, Articular / surgery
Chondrogenesis / physiology
Humans
Talus* / surgery