AMIC Technique for the Treatment of Chondral Injuries of the Hand and Wrist

Pau López-Osornio de Vega; Vicente Carratalà Bauxauli; Fernando Corella; Cristóbal Martínez Andrade

doi:10.1055/s-0041-1739163

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e165-e175
DOI: 10.1055/s-0041-1739163

Surgical Technique | Técnica Quirúrgica

Técnica AMIC para el tratamiento de las lesiones condrales de mano y muñeca

Article in several languages: English | español

Pau López-Osornio de Vega

¹Department of Traumatology and Orthopedic Surgery, HM Nou Delfos, Barcelona, Spain

²Traumaunit, Centro Médico Teknon, Barcelona, Spain

,

Vicente Carratalà Bauxauli

³Hand Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain

,

Fernando Corella

⁴Orthopedics andTraumatology Department, Hospital Universitario Infanta Leonor, Madrid, Spain

⁵Hand Surgery Unit, Hospital Universitario Quirónsalud, Madrid, Madrid, Spain

⁶Profesor asociado, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain

,

Cristóbal Martínez Andrade

³Hand Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain

²Traumaunit, Centro Médico Teknon, Barcelona, Spain

› Author Affiliations

Abstract

Resumen

Las matrices, ya sea utilizadas de forma aislada o asociadas al cultivo de condrocitos, se han demostrado una técnica quirúrgica eficaz para el tratamiento de las lesiones condrales u osteocondrales en rodilla, tobillo y cadera.

Son una alternativa más sofisticada, y aportan algunas ventajas respecto a las más tradicionales técnicas de microfracturas o nanofracturas, usadas éstas de forma aislada.

Asimismo, representan una técnica menos complicada logísticamente y mucho menos cara que las tradicionales del cultivo de condrocitos, al alcance de muy pocos pacientes.

En este artículo, detallamos la técnica a emplear, así como algunas recomendaciones, para el tratamiento de dichas lesiones, en mano y muñeca, mediante la utilización de la matriz de colágeno de origen porcino denominada Chondro-Gide (Geistlich Pharma AG, Wolhausen, Suiza) y su técnica registrada de condrogénesis autóloga inducida por matriz (autologous matrix-induced chondrogenesis, AMIC, en inglés; Geistlich Pharma AG).

Palabras clave

lesiones osteocondrales - técnica AMIC - cirugía reconstructiva mano-muñeca

Full Text

References

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