Chad Smalley MD presents microfracture technique in the chondral loss (grade IV). The movie contains description of the visualized structures. Microfracture is an older procedure aims to establish a flow of blood to the site of cartilage injury so that a blood clot can form in the injury site. This blood clot contains stem cells that have the potential to form a fibrocartilage scar in the defect. This has been shown to decrease pain after cartilage injury, however several studies have suggested that microfracture patients have a lower rate of return to sport than those treated with other cartilage restoration techniques.
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