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Mosaicplasty

Mosaicplasty – Arthroscopic Surgery Video Description Filmed at Advance Hospitals, Ahmedabad The arthroscopic video showcases a mosaicplasty procedure performed at Advance Hospitals to treat osteochondral defects of the knee. This minimally invasive surgery is aimed at restoring joint surface integrity and relieving pain in patients with focal cartilage damage. Key Steps Demonstrated in the Video: Arthroscopic Evaluation The surgeon begins with a detailed arthroscopic examination of the knee joint to locate and assess the size and depth of the cartilage defect. Harvesting Osteochondral Plugs Cylindrical plugs of healthy cartilage along with subchondral bone are harvested from a non-weight-bearing portion of the femoral condyle using a specialized coring system. Recipient Site Preparation The defect is debrided and drilled to create matching holes that can snugly accept the osteochondral plugs. Transplantation The harvested plugs are implanted into the prepared defect, creating a mosaic-like appearance – hence the name "mosaicplasty." The goal is to achieve flush alignment with surrounding cartilage. Final Inspection A thorough arthroscopic check confirms stable plug placement and smooth joint congruency. This technique, performed by the arthroscopy team at Advance Hospitals under Dr. Prathmesh Jain’s guidance, reflects a high level of precision and skill. Mosaicplasty offers a biological solution to cartilage defects, restoring native hyaline cartilage and delaying or avoiding joint replacement in young active individuals.