У нас вы можете посмотреть бесплатно Hyalo fast and other cartilage procedures of the knee - simpler language for basic understanding или скачать в максимальном доступном качестве, видео которое было загружено на ютуб. Для загрузки выберите вариант из формы ниже:
Если кнопки скачивания не
загрузились
НАЖМИТЕ ЗДЕСЬ или обновите страницу
Если возникают проблемы со скачиванием видео, пожалуйста напишите в поддержку по адресу внизу
страницы.
Спасибо за использование сервиса ClipSaver.ru
What is Hyalofast? Hyalofast is a hyaluronic acid-based scaffold used in cartilage regeneration, often in combination with: Microfracture, or Stem cells/mesenchymal cells It acts as a biodegradable matrix for new cartilage to grow into (scaffold-based repair). So, if you’re not using Hyalofast, the treatment strategy would be based on alternative cartilage repair techniques. 🔧 Treatment Strategy Without Hyalofast Here are the main cartilage repair approaches when Hyalofast is not used: 1. Microfracture Alone Indication: Small, full-thickness cartilage defects (2 cm²) How it works: Holes are made in the subchondral bone to release marrow stem cells Outcome: Fills with fibrocartilage, not true hyaline cartilage Limitation: Less durable, especially in active or older patients 2. OATS / Mosaicplasty Indication: Medium-sized defects (1–2.5 cm²) How it works: Osteochondral plugs from non-weight-bearing areas of the knee are transplanted into the defect Pros: Transplants real hyaline cartilage Cons: Donor site morbidity, limited availability of graft 3. Allograft Osteochondral Transplant Indication: Large or failed lesions (2–4 cm²), or revision surgery How it works: Cadaveric osteochondral grafts Pros: No donor site issues, can treat large defects Cons: Availability, potential immune reaction (rare) 4. ACI / MACI (Autologous Chondrocyte Implantation) Indication: Younger patients (50), active, medium-to-large defects How it works: Stage 1: Arthroscopy to harvest cartilage Culture chondrocytes in lab Stage 2: Implant them with or without scaffold (MACI uses collagen matrix) Outcome: Regenerates hyaline-like cartilage Cons: Expensive, two surgeries 5. Cell-Based Injections (PRP, BMAC, MSCs) Adjunct only, not definitive treatment Best for: Early cartilage damage or as supplement to other treatments Limitations: Variable evidence; not suitable for large, full-thickness defects 6. Supportive/Corrective Procedures Realignment (HTO/DFO): If malalignment is causing or worsening wear Ligament stabilization (ACL/MCL reconstruction): If instability is present Meniscal treatment/repair/transplantation: If meniscus is damaged or missing 🕒 Postoperative Rehabilitation Strategy (General) Non-weight bearing or limited weight for 6–8 weeks Range of motion: Early passive motion (CPM machines common) Strengthening: Gradual quadriceps/hamstring activation Return to sport: 9–12 months, depending on procedure and healing Summary Strategy Without Hyalofast: Defect Size/Type Preferred Procedure Notes 2 cm², shallow Microfracture Quick, low-cost, but less durable 1–2.5 cm² OATS / Mosaicplasty Hyaline cartilage, limited by donor site 2.5–4 cm² MACI / Allograft Durable, scaffold or matrix-based Complex/failure case Allograft + HTO #KneeCartilage #CartilageRepair #OrthopedicSurgery #KneeSurgery #SportsMedicine \#JointPreservation \#KneeHealth \#ChondralRepair \#CartilageRegeneration \#JointCare \#MicrofractureSurgery \#OATSProcedure \#Mosaicplasty \#ACI \#MACI \#OsteochondralAllograft \#ChondrocyteImplantation \#StemCellTherapy \#PRPTherapy \#BMAC \#BiologicMedicine \#RegenerativeOrtho \#OrthopedicSurgeon \#SportsInjuryRecovery \#RehabGoals \#ReturnToSport \#AthleteRecovery \#KneeRehabilitation \#MedEd \#OrthoTips \#SurgicalEducation \#InjuryPrevention