scholarly journals Surgical treatment of chondral knee defects using a collagen membrane – autologus matrix-induced chondrogenesis

2018 ◽  
Vol 53 (6) ◽  
pp. 733-739
Author(s):  
Diego Costa Astur ◽  
Jonathas Costas Lopes ◽  
Marcelo Abdulklech Santos ◽  
Camila Cohen Kaleka ◽  
Joicemar Tarouco Amaro ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Collagen Membrane

scholarly journals Improvement of Surgical Treatment with Combined Sculoorbital Injuries

2020 ◽  
pp. 13-16
Author(s):  
Rizaev J. A ◽  
Agzamova S. S ◽  
Yuldashov. S. A
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Collagen Membrane ◽  
Orbital Fractures ◽  
Membrane Material ◽  
Common Criteria ◽  
Fractures In Children ◽  
Orbital Wall

Purpose of the research: Improving surgical treatment of bottom orbital fractures in children, with the use of auto-cartilaginous block, without destroying the integrity of the rib and collagen membrane. Material and methods: We performed 12 operations according the proposed methods. During analyzing the results of the restoration of the orbital bottom published by most authors, the obvious problem is a lack of common criteria for evaluating the effectiveness of surgical treatment. Perhaps, this circumstance explains it and significantly differences presented in the data when different authors use the same methods of plastic surgery of the lower orbital wall.

scholarly journals Arthroplasty Using Autologous Multipotent Mesenchymal Cells and Collagen Membrane Chondro-Gide

2014 ◽  
Vol 21 (1) ◽  
pp. 62-66
Author(s):  
A. I Bryanskiy ◽  
T. A Kulyaba ◽  
N. N Kornilov ◽  
V. P Rumakin ◽  
V. S Gornostaev
Keyword(s):  
Surgical Treatment ◽  
Fat Body ◽  
Articular Surface ◽  
Femoral Condyle ◽  
Cartilage Regeneration ◽  
Multipotent Mesenchymal Stromal Cells ◽  
Collagen Membrane ◽  
Slowing Down ◽  
Body Tissues ◽  
Diagnostic Arthroscopy

Surgical treatment results for 13 patients with local deep defects of the articular surface of femoral condyle are presented. Surgical treatment was performed in two steps. At first step diagnostic arthroscopy with removal of loose intraarticular bodies, resection of injured menisci and harvesting of fat body tissues for multipotent mesenchymal stromal cells (MMSC) isolation were applied. Second step consisted of knee arthroplasty; zone of defect was covered with collagen membrane Chondro-Gide under which MMSC were implanted. Control arthroscopy with biopsy of articular surface fragment in the zone of defect restoration was performed to four patients (30.8%) 2 years after arthroplasty. It is shown that after surgical intervention cartilage regeneration goes on owing to fibrillar cartilage formation. In 2 years follow up good results were achieved in 92.3% of cases that proved the efficacy of the elaborated technique for restoration of knee joint function and slowing down of degenerative-dystrophic changes development

scholarly journals Endodontic Surgery Associated with Guided Tissue Regeneration Technique: Case Report

2019 ◽  
Vol 21 (4) ◽  
pp. 336
Author(s):  
Danielle Alves Pinto Baia ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Lucas Da Fonseca Roberti Garcia ◽  
Mariana Travi Pandolfo ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Tissue Regeneration ◽  
Clinical Case ◽  
Mineral Trioxide Aggregate ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Endodontic Surgery ◽  
Endodontic Retreatment

AbstractNon-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.

scholarly journals Arthroplasty Using Autologous Multipotent Mesenchymal Cells and Collagen Membrane Chondro-Gide

2014 ◽  
pp. 62-66 ◽  
Author(s):  
A. I. Bryanskiy ◽  
T. A. Kulyaba ◽  
N. N. Kornilov ◽  
V. P. Rumakin ◽  
V. S. Gornostaev
Keyword(s):  
Surgical Treatment ◽  
Fat Body ◽  
Articular Surface ◽  
Femoral Condyle ◽  
Cartilage Regeneration ◽  
Multipotent Mesenchymal Stromal Cells ◽  
Collagen Membrane ◽  
Slowing Down ◽  
Body Tissues ◽  
Diagnostic Arthroscopy

Surgical treatment results for 13 patients with local deep defects of the articular surface of femoral condyle are presented. Surgical treatment was performed in two steps. At first step diagnostic arthroscopy with removal of loose intraarticular bodies, resection of injured menisci and harvesting of fat body tissues for multipotent mesenchymal stromal cells (MMSC) isolation were applied. Second step consisted of knee arthroplasty; zone of defect was covered with collagen membrane Chondro-Gide under which MMSC were implanted. Control arthroscopy with biopsy of articular surface fragment in the zone of defect restoration was performed to four patients (30.8%) 2 years after arthroplasty. It is shown that after surgical intervention cartilage regeneration goes on owing to fibrillar cartilage formation. In 2 years follow up good results were achieved in 92.3% of cases that proved the efficacy of the elaborated technique for restoration of knee joint function and slowing down of degenerative-dystrophic changes development

scholarly journals Surgical Treatment of Large Cysts of the Jaws With the Use of Osteoplasty with Biocomposite Materials and the Method of Guided Tissue Regeneration

2021 ◽  
Vol 7 (4) ◽  
pp. 139-148
Author(s):  
A. Umarov ◽  
B. Bakiev ◽  
R. Zhartybaev ◽  
A. Shukparov ◽  
E. Emilbekov
Keyword(s):  
Surgical Treatment ◽  
Bone Defect ◽  
Tissue Regeneration ◽  
Maxillofacial Surgery ◽  
Complete Recovery ◽  
Collagen Membrane ◽  
Odontogenic Cysts ◽  
Jaw Cysts ◽  
Methods Of Treatment

Improvement of methods of treatment of odontogenic cysts of the jaws continues to be an urgent problem in surgical dentistry and maxillofacial surgery. Currently, the most promising is the use of multicomponent osteoplastic materials in order to optimize reparative osteogenesis after cystectomy for extensive jaw cysts. The aim of the study is to improve the method of cystectomy in the surgical treatment of large cysts of the upper jaw with osteoplasty of the bone defect with biocomposite materials in combination with the method of directed tissue regeneration. Clinical, radiological, histological. During the period 2015-2019, 54 patients with odontogenic cysts of the jaws were under observation, of which 12 were diagnosed as extensive. After cystectomy, the bone cavity was filled with biocomposite material: hydroxylappatite granules (Polistom, RF) in combination with PRP, on top of an autoplasma membrane isolated from PRP and collagen membrane. The immediate and long-term periods of treatment were quite favorable. Control X-ray examination after 12 months showed complete recovery of the bone defect with an organotypic structure in all patients.

Patellofemoral Cartilage Restoration: Indications, Techniques, and Outcomes of Autologous Chondrocytes Implantation, Matrix-Induced Chondrocyte Implantation, and Particulated Juvenile Allograft Cartilage

2017 ◽  
Vol 31 (03) ◽  
pp. 212-226 ◽  
Author(s):  
Betina Hinckel ◽  
Andreas Gomoll
Keyword(s):  
Surgical Treatment ◽  
First Generation ◽  
Collagen Membrane ◽  
Type I ◽  
Generation Technique ◽  
Chondral Defects ◽  
Diagnostic Arthroscopy ◽  
Cartilage Restoration ◽  
Chondrocyte Implantation ◽  
Autologous Chondrocytes Implantation

AbstractFocal chondral defects are common in the patellofemoral (PF) joint and can significantly impair the quality of life. The autologous chondrocytes implantation (ACI) technique has evolved over the past 20 years: the first-generation technique involves the use of a periosteal patch, the second-generation technique (collagen-cover) uses a type I/III collagen membrane, and the newest third-generation technique seeds and cultivates the collagen membrane with chondrocytes prior to implantation and is referred to as matrix-induced autologous chondrocyte implantation. Particulated juvenile allograft cartilage (PJAC) (DeNovo NT) is minced cartilage allograft from juvenile donors. A thorough physical exam is important, especially for issues affecting the PF joint, to isolate the location and source of pain, and to identify associated pathologies. Imaging studies allow further characterization of the lesions and identification of associated pathologies and alignment. Conservative management should be exhausted before proceeding with surgical treatment. Steps of surgical treatment are diagnostic arthroscopy and biopsy, chondrocytes culture and chondrocyte implantation for the three generations of ACI, and diagnostic arthroscopy and implantation for PJAC. The techniques and their outcomes will be discussed in this article.

Avascular Necrosis of Femoral Condyles in a Patient Treated Due to Lymphoma. A Case Study

2017 ◽  
Vol 19 (5) ◽  
pp. 0-0
Author(s):  
Kamil Graboń ◽  
Łukasz Paczesny ◽  
Jacek Kruczyński
Keyword(s):  
Surgical Treatment ◽  
Haematological Malignancy ◽  
Joint Destruction ◽  
Collagen Membrane ◽  
Joint Diseases ◽  
Avascular Osteonecrosis ◽  
Sandwich Technique ◽  
Femoral Condyles

Periarticular avascular osteonecrosis is one of the most severe joint diseases and may result in complete joint destruction. It may affect patients after chemotherapy involving regimens including steroids. The paper describes the case of a female patient who was just under 18 years old when she underwent surgery due to bilateral osteonecrosis of the femoral condyles that developed in the course of treatment of a haematological malignancy. The aim of the paper is to present clinical and imaging-based assessment of the outcome of surgical treatment by reconstruction of osteochondral joint defects with a collagen membrane and bone grafts. In this patient, radiographic and clinical improvement of the joints treated was noted in a 24-month follow-up period. The available literature indicates that this is the first example of using this technique in the treatment of articular lesions associated with osteonecrosis caused by aggressive chemotherapy. The so-called “sandwich” technique is useful in these cases and may be recommended by the present authors.

scholarly journals Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Fabrizio Bassi ◽  
Pier Paolo Poli ◽  
Davide Rancitelli ◽  
Fabrizio Signorino ◽  
Carlo Maiorana
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Bone Loss ◽  
Collagen Membrane ◽  
Bovine Bone ◽  
Present Case Report ◽  
Bleeding On Probing ◽  
Probing Depth ◽  
Regenerative Approach

The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors’ attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.

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