Orthonotes
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v4.1 Fusion X
v4.1 Fusion X
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Osteochondral Defects — Autologous Chondrocyte Implantation (ACI)

Cartilage defects cause pain, swelling, mechanical symptoms; poor intrinsic healing. ACI: two-stage procedure — harvest cartilage → culture chondrocytes → reimplant under periosteal flap/biomatrix. Indications: symptomatic focal cartilage defects >2 cm² in young active patients. Alternatives: microfracture, OATS, osteochondral allograft. Complications: graft hypertrophy, delamination, failure.

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Cartilage defects cause pain, swelling, mechanical symptoms; poor intrinsic healing. ACI: two-stage procedure — harvest cartilage → culture chondrocytes → reimplant under periosteal flap/biomatrix. Indications: symptomatic focal cartilage defects >2 cm² in young active patients. Alternatives: microfracture, OATS, osteochondral allograft. Complications: graft hypertrophy, delamination, failure.
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