Case: 1.A.KAON.15.19.20.21.22
49 Years (male)
Anamnesis:
The patient was operated due to the knee osteoarthritis (grade IV) and meniscal tears (abrasion arthroplasty + micro-perforations) in an attempt to rebuild a cartilage. In the two and a half months after the surgery the situation worsened significantly. A progressive knee swelling and knee pain was identified. The patient was not able to walk independently, only with two underarm crutches. The knee was absolutely immobilized. An osteonecrosis has developed.
Diagnosis:
- left knee joint in a postoperative condition
- arthritis (grade IV)
- bone edema and osteonecrosis of a medial femoral condyle
- meniscus degeneration
Surgical report dated 29.01.2016:
- Intraosseous, intrameniscal and intraarticular transplantation of regenerative substances and growth factors concentrate via MIBRAR® method,
- received that was created from venous blood via CGF technology,
- also autologous concentrate from abdominal fatty tissue
- into the medial femoral condyle,
- medial meniscus and
- joint gap of the left knee joint.
Images description:
MIBRAR® surgery on the left knee joint:
The images 1, 3, 5 and 7 dated 12.01.2016
MRI images on different levels correspond to the preoperative status and show osteonecrosis, bone edema, meniscus degeneration and massive fluid retention.
Images 2, 4, 6 and 8 dated 02.06.2017
MRI images on different levels correspond to the postoperative status in 18 months after the MIBRAR® surgery. Osteonecrosis and bone edema can no longer be seen, a complete regeneration of meniscus and cartilage layer have been noted.
Surgery result:
All the symptoms disappeared within 4 weeks after the surgery, the patient can move freely without crutches. Within 8 weeks after the surgery the patient was able to do a competitive sport without any problems, up to the present day the patient is free of complaints.
