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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e165-e175
DOI: 10.1055/s-0041-1739163
Surgical Technique | Técnica Quirúrgica

Técnica AMIC para el tratamiento de las lesiones condrales de mano y muñeca

Article in several languages: English | español
Pau López-Osornio de Vega 
1   Department of Traumatology and Orthopedic Surgery, HM Nou Delfos, Barcelona, Spain
2   Traumaunit, Centro Médico Teknon, Barcelona, Spain
,
Vicente Carratalà Bauxauli
3   Hand Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
,
Fernando Corella 
4   Orthopedics andTraumatology Department, Hospital Universitario Infanta Leonor, Madrid, Spain
5   Hand Surgery Unit, Hospital Universitario Quirónsalud, Madrid, Madrid, Spain
6   Profesor asociado, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
,
Cristóbal Martínez Andrade 
3   Hand Surgery Unit, Hospital Quirónsalud Valencia, Valencia, Spain
2   Traumaunit, Centro Médico Teknon, Barcelona, Spain
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Resumen

Las matrices, ya sea utilizadas de forma aislada o asociadas al cultivo de condrocitos, se han demostrado una técnica quirúrgica eficaz para el tratamiento de las lesiones condrales u osteocondrales en rodilla, tobillo y cadera.

Son una alternativa más sofisticada, y aportan algunas ventajas respecto a las más tradicionales técnicas de microfracturas o nanofracturas, usadas éstas de forma aislada.

Asimismo, representan una técnica menos complicada logísticamente y mucho menos cara que las tradicionales del cultivo de condrocitos, al alcance de muy pocos pacientes.

En este artículo, detallamos la técnica a emplear, así como algunas recomendaciones, para el tratamiento de dichas lesiones, en mano y muñeca, mediante la utilización de la matriz de colágeno de origen porcino denominada Chondro-Gide (Geistlich Pharma AG, Wolhausen, Suiza) y su técnica registrada de condrogénesis autóloga inducida por matriz (autologous matrix-induced chondrogenesis, AMIC, en inglés; Geistlich Pharma AG).

Palabras clave

lesiones osteocondrales - técnica AMIC - cirugía reconstructiva mano-muñeca


Publication History

Received: 24 August 2021

Accepted: 01 October 2021

Article published online:
13 December 2021

© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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