Intraosseous Treatment of Bone Marrow Lesions in the Knee: Surgical Technique.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 39036410.
- Also identified by DOI 10.1016/j.eats.2024.102965 and PMC identifier 11258708.
- Licence recorded as CC BY-NC-ND.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Intraosseous injections of bone marrow aspirate concentrate have shown promise in the treatment of bone marrow lesions (BMLs) in the knee. With the wide-awake limited anesthesia no tourniquet (WALANT) technique, intraosseous injections can be performed with the patient under local anesthesia in the procedure room or operating room setting. This article describes 2 techniques to access the BML of interest. The "decompression route" involves drilling through the nearest cortex, and the "biologic route" involves drilling through healthy bone to promote bleeding and the introduction of healthy biologic tissue to the BML.
Anatomy
- knee