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January 08, 2024
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VIDEO: ‘Moment of silence’ for microfracture with awl

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Key takeaways:

  • Krych reviewed new technology in cartilage surgery.
  • Surgeons here agreed there is no use for performing microfracture with the awl in its pervious form.
  • Microdrilling may be used for some augmentation procedures.

WAILEA, Hawaii — Aaron J. Krych, MD, reviewed the topics of discussion during the cartilage injuries session of Orthopedics Today Hawaii.

Among the topics discussed were the fundamental principles of cartilage surgery, as well as new cutting-edge technologies, such as the Agili-C implant (CartiHeal), a cell-free, off-the-shelf implant for use in cartilage and osteochondral defects in traumatic and osteoarthritic joints, and autologous chondrocytes that are minced and placed in the knee.

“The main consensus we had from the cartilage session was we had a ‘moment of silence’ for the microfracture awl. All the faculty and everyone here thought that in 2024, we should no longer be performing microfracture with the awl in its previous form. Sometimes microdrilling with some augmentation procedures [is] certainly alive and well,” Krych said.