MACI Surgical Technique
LIVE CASE VIDEOS DEMONSTRATING THE USE OF MACI IN THE TREATMENT OF CARTILAGE DEFECTS OF THE KNEE
Brian Cole, M.D. performs the MACI procedure on a 20 year old male athlete with cartilage delamination of the central-lateral trochlea.
Patient Profile
Dr. Cole discusses his approach to central-lateral trochlear OCD with very little bony involvement
PLAY VIDEOSurgical Approach
Dr. Cole accesses the well-contained defect with a central-lateral incision
PLAY VIDEOAssessment And Debridement
Dr. Cole prepares the defect for MACI using an oval MACI custom cutter
PLAY VIDEO
Patient Profile
Dr. Cole discusses his approach to central-lateral trochlear OCD with very little bony involvement
Surgical Approach
Dr. Cole accesses the well-contained defect with a central-lateral incision
Assessment And Debridement
Dr. Cole prepares the defect for MACI using an oval MACI custom cutter
MACI Implantation
Dr. Cole cuts and places the MACI implant into the prepared defect
Post-Op
Dr. Cole describes his immediate post-op approach and a plan for patient rehab
Kai Mithoefer, M.D. demonstrates a live MACI surgery on a 42 year old male with multiple cartilage defects on the lateral femoral condyle and trochlea following an ACL reconstruction.
PATIENT PROFILE
Dr. Mithoefer addresses his treatment approach for a 42 year old male with multiple cartilage defects
PLAY VIDEOSURGICAL APPROACH
Dr. Mithoefer discusses exposure for a trochlear defect and a posterior LFC defect
PLAY VIDEOASSESSMENT AND DEBRIDEMENT
Dr. Mithoefer uses the MACI custom cutters to prepare the defects for MACI
PLAY VIDEO
PATIENT PROFILE
Dr. Mithoefer addresses his treatment approach for a 42 year old male with multiple cartilage defects
SURGICAL APPROACH
Dr. Mithoefer discusses exposure for a trochlear defect and a posterior LFC defect
ASSESSMENT AND DEBRIDEMENT
Dr. Mithoefer uses the MACI custom cutters to prepare the defects for MACI
MACI IMPLANTATION
Dr. Mithoefer secures the MACI implants and discusses the post-op plan
Tom Minas, M.D. performs the MACI procedure and a tibial tubercle osteotomy on a patient with chronic patella subluxation and multiple cartilage defects.
Patient Case Description
Tom Minas, M.D. reviews the case including history of previous surgeries
PLAY VIDEOSurgical Approach
Tom Minas, M.D. demonstrates his surgical incision and discusses his operative plan
PLAY VIDEOMACI Implantation
Tom Minas, M.D. places and secures the MACI implants to the patella, trochlea, and MFC
PLAY VIDEOFixation And Closure
Tom Minas, M.D. fixates the tibial tubercle and discusses his closure technique
PLAY VIDEO
Patient Case Description
Tom Minas, M.D. reviews the case including history of previous surgeries
Surgical Approach
Tom Minas, M.D. demonstrates his surgical incision and discusses his operative plan
Exposure And Approach
Tom Minas, M.D. discusses his cuts for a tibial tubercle osteotomy
Defect Preparation
Tom Minas, M.D. prepares the cartilage defects for MACI implantation
Sizing And Shaping
Tom Minas, M.D. templates the MACI implants for multiple defects
MACI Implantation
Tom Minas, M.D. places and secures the MACI implants to the patella, trochlea, and MFC
Fixation And Closure
Tom Minas, M.D. fixates the tibial tubercle and discusses his closure technique
Wayne Gersoff, M.D. performs the MACI procedure on a cartilage defect located in the medial femoral condyle.
Patient Profile
Wayne Gersoff, M.D. presents the case outline for this demonstration
Preparing the Defect
Wayne Gersoff, M.D. prepares a cartilage defect for MACI
Sizing and Shaping
Wayne Gersoff, M.D. fits the MACI implant to the defect
Implantation
Wayne Gersoff, M.D. affixes the MACI implant
Kevin Freedman, M.D. demonstrates the use of MACI in thetreatment of a defect located in the lateral femoral condyle.
Biopsy procurement
Kevin Freedman, M.D. describes the tools and techniques for obtaining the cartilage biopsy
PLAY VIDEOPatient profile
Kevin Freedman, M.D. describes the case outline, including location and size of lesion
PLAY VIDEOAssessment and debridement
Kevin Freedman, M.D. prepares the defect for MACI implantation
PLAY VIDEOShaping the implant
Kevin Freedman, M.D. creates an exact fit by templating the MACI implant
PLAY VIDEOImplantation of MACI
Kevin Freedman, M.D. inserts the implant into the defect and secures it with fibrin adhesive
PLAY VIDEO
Biopsy procurement
Kevin Freedman, M.D. describes the tools and techniques for obtaining the cartilage biopsy
Patient profile
Kevin Freedman, M.D. describes the case outline, including location and size of lesion
Surgical approach
Kevin Freedman, M.D. prepares the knee and exposes the defect
Assessment and debridement
Kevin Freedman, M.D. prepares the defect for MACI implantation
Shaping the implant
Kevin Freedman, M.D. creates an exact fit by templating the MACI implant
Implantation of MACI
Kevin Freedman, M.D. inserts the implant into the defect and secures it with fibrin adhesive