title: All-arthroscopic technique of biological meniscal tear therapy with collagen matrix.
abstract: OBJECTIVE
  The number of meniscus surgeries, including partial or complete meniscectomy, has increased considerably with the progress in knee arthroscopy. An analysis of treatment results, carried out at several centres by numerous study groups, showed a development of early degenerative changes in the knees of treated patients.
  
  
  METHODS
  This study is aimed at developing a fully arthroscopic technique to treat meniscal tears by suturing and wrapping them in collagen matrix, followed by injection of liquid bone-marrow collected from the tibial proximal epiphysis, into the area of meniscal lesion.
  
  
  RESULTS
  In this paper, we presented arthroscopic technique for wrapping meniscal tears using the collagen matrix sutured with the Fast-Fix sutures.
  
  
  CONCLUSIONS
  Proposed surgical technique is not straightforward to perform, but can be learned by adhering to strict arthroscopic principles. The use of collagen matrix and bone marrow aspirate from bone-marrow blood, including stem cells, creates favourable biological conditions for meniscus healing, which may increase the rate of healing.
authors.affiliation: Department of Pediatric Orthopedic Surgery, University of Medical Sciences, Poznań, Poland and Rehasport Clinic, Poznań, Poland. tomasz.piontek@rehasport.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Piontek
authors.forename: Kinga
authors.initials: K
authors.lastname: Ciemniewska-Gorzela
authors.forename: Andrzej
authors.initials: A
authors.lastname: Szulc
authors.forename: Michał
authors.initials: M
authors.lastname: Słomczykowski
authors.forename: Roland
authors.initials: R
authors.lastname: Jakob
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D001691:Biological Therapy / Q000379:methods; D016026:Bone Marrow Transplantation / Q000379:methods; D024042:Collagen Type I / Q000627:therapeutic use*; D005109:Extracellular Matrix / Q000637:transplantation; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D022125:Lacerations / Q000628:therapy*; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery*; D013536:Suture Techniques; D000070600:Tibial Meniscus Injuries
chemical_list: D024042:Collagen Type I; D015718:Fibrin Tissue Adhesive