Case: 8.K.KKS.15.19.20.22
Patient: 20 years old, male
Symptoms:
Knee pain during weight-bearing, at rest, and in daily activities. The patient had to stop competitive sports 2 years ago.
Diagnosis:
Focal cartilage damage on the posterior surface of the patella with involvement of the subchondral bone (defect size 1.2 cm in diameter, Stage IV) in the left knee joint.
Treatment:
An open classical surgery was performed, including:
- Open curettage of the subchondral cyst, bone marrow stimulation, and augmentation with Hyalofast as part of matrix-augmented bone marrow stimulation retropatellar in the left knee.
Images 1, 3, 5, 7, 9, 11:
- Image 1: Sagittal MRI scan
- Image 3: Axial MRI scan
- Images 5, 7, 9, 11: Coronal MRI scans of the left knee showing the condition before the open surgery corresponding to the diagnosis.
Images 2, 4, 6, 8, 10, 12:
- Image 2: Sagittal MRI scan
- Image 4: Axial MRI scan
- Images 6, 8, 10, 12: Coronal MRI scans of the left knee showing the condition 8 months after the open surgery, where a significant deterioration of the affected structures, bone, and cartilage is visible.
Surgical Outcome (Classic Method and Pre-Procedure Using ASGSS Method of MIBRAR® System):
Pain and mobility restrictions steadily increased after the surgery.
14 months after the open surgery, the patient decided to undergo surgery using the MIBRAR® method.
Surgical Outcome (After Surgery Using the ASGSS Method of MIBRAR® System):
In the first few days after the surgery, a significant symptomatic improvement was observed, which steadily increased. The patient was symptom-free 1 month after surgery. By the second month after surgery, he was able to resume daily training with 3 full basketball sessions as a competitive athlete.
