Tomasz Piontek
Scientific Tracks Abstracts: Rheumatology & Orthopedics
T he number of meniscus surgeries, including partial or complete meniscectomy, has increased considerably with the progress in knee arthroscopy. An analysis of treatment results, carried out at several centres by numerous study groups, showed a development of early degenerative changes in the knees of treated patients. The aim of study is presents of early results of a fully arthroscopic technique to treat meniscal tears by suturing and wrapping them in collagen membrane, followed by injection of liquid bone-marrow collected from the tibial proximal epiphysis, into the area of meniscal lesion. In this paper, we also presented arthroscopic technique for wrapping meniscal tears using the collagen membrane sutured with the Fast-Fix sutures. We present results of 40 patients with minimum one year follow up. The assessment contains IKDC 2000 form, Lysholm score and MRI. We presents also second look arthroscopy in 4 cases. Conclusions: Proposed surgical technique is not straightforward to perform, but can be learned by adhering to strict arthroscopic principles. The use of collagen membrane and bone marrow aspirate from bone-marrow blood, including stem cells, creates favourable biological conditions for meniscus healing, which may increase the rate of healing. Conclusions: Proposed surgical technique is not straightforward to perform, but can be learned by adhering to strict arthroscopic principles. The use of collagen membrane and bone marrow aspirate from bone-marrow blood, including stem cells, creates favourable biological conditions for meniscus healing, which may increase the rate of healing
Dr. Tomasz Piontek is an Orthopedic surgeon at Rehasport Clinic and Pediatric Orthopeadic Clinic University Poznań, Poland. He completed his PhD in 2005 at Peadiatric Orthopeadic Clinic and Orthopeadic Clinic Poznań Poland on ?Chiary osteotomy . 30 years follow up
