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Markus Walther Schön Klinik München Harlaching – FIFA Medical Centre of Excellence, Harlachinger Straße, Munich, Germany
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Justus Maximilian University Wuerzburg, König-Ludwig-Haus, Brettreichstraße, Würzburg, Germany
Paracelsus Medizinische Privatuniversität, Strubergasse, Salzburg, Austria
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany

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Oliver Gottschalk Schön Klinik München Harlaching – FIFA Medical Centre of Excellence, Harlachinger Straße, Munich, Germany
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany

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Matthias Aurich Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
Martin-Luther-University Halle-Wittenberg, Universitätsklinikum Halle (Saale), DOUW - Abteilung für Unfall- und Wiederherstellungschirurgie, Ernst-Grube-Straße, Halle, Germany
BG-Klinikum Bergmannstrost Halle, Halle, Saale, Germany

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marrow stimulation (scientifically neutral term, includes protected trademarks like MFx®, Microfracture®, Nanofracture®, Microdrilling®) M-BMS Matrix-associated bone marrow stimulation (scientifically neutral term, includes protected trademarks

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital, Spain

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Supplemental bone marrow stimulation These techniques are designed to recreate the environment of an ACL reconstruction to enhance healing of isolated meniscal tears. While in ACL reconstruction drilling tunnels releases growth factors, blood and platelets

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Enrique Gómez-Barrena Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Norma G. Padilla-Eguiluz Servicio de Cirugía Ortopédica y Traumatología, Hospital La Paz-IdiPAZ, Universidad Autónoma de Madrid, Madrid, Spain

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Philippe Rosset Service de Chirurgie Orthopédique et Traumatologie, CHU Tours, Université de Tours, Tours, France

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cells to stimulate osteogenesis . Clin Orthop Relat Res 1998 ; 355 : S257 – S266 . 40. Connolly JF . Injectable bone marrow preparations to stimulate osteogenic repair . Clin Orthop Relat Res 1995 ; 313 : 8 – 18 . 41

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Simon Donell University of East Anglia, Faculty of Medicine and Health Sciences - Norwich Medical School, UK

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joint loading. Abnormal loading leads to microfractures within the osteochondral junction and within the subchondral bone. The advent of MRI scanning has shown bone marrow lesions within the subchondral bone, associated with degenerative changes in the

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Maurilio Marcacci Rizzoli Orthopaedic Institute - II Clinic- Biomechanics Laboratory, Bologna, Italy

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Luca Andriolo Rizzoli Orthopaedic Institute - II Clinic- Biomechanics Laboratory, Bologna, Italy

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Elizaveta Kon Rizzoli Orthopaedic Institute - II Clinic- Biomechanics Laboratory, Bologna, Italy

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Nogah Shabshin Carmel Medical Center, Department of Radiology, Haifa, Israel

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Giuseppe Filardo Rizzoli Orthopaedic Institute - II Clinic- Biomechanics Laboratory, Bologna, Italy

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Introduction Bone marrow lesions (BMLs) around the knee are a common MRI finding. BML is defined as an alteration of the signal intensity of the bone marrow, with high signal on fluid-sensitive sequences (T2/proton density with fat suppression

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Luca Pierannunzii Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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Luigi Zagra Gaetano Pini Orthopedic Institute, Milan, Italy
IRCCS Galeazzi Orthopedic Institute, Milan, Italy

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devascularised with surgical exposure, whichever approach is chosen. The latter is biologically richer in cells and growth factors, since the pelvis is mostly made up of cancellous bone with bone marrow content and blood vessels and the exposure rarely affects

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Paul L Rodham Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Vasileios P Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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Nikolaos K Kanakaris Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland
Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland

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Peter V Giannoudis Academic Department of Trauma & Orthopaedics, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland

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site morbidity to the patient ( 17 ). Augmentation of osteogenesis and osteoinduction can be provided through the use of bone marrow aspirate concentrates (BMACs); however, this provides no augmentation of osteoconduction and concerns have been raised

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Daniel Petek Clinic of Orthopaedics and Trauma Surgery, HFR-Fribourg District Hospitals, Fribourg, Switzerland

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Didier Hannouche Clinic of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland

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Domizio Suva Clinic of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland

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cortisone and alcohol have a profound effect on bone marrow differentiation and blood supply. However, these studies do not explain why the vast majority of patients who abuse alcohol never develop the disease. There is a hypothesis of a genetic

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Elena Gálvez-Sirvent Department of Orthopaedic Surgery, ‘Infanta Elena’ University Hospital, Valdemoro, Madrid, Spain

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Aitor Ibarzábal-Gil Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, ‘La Paz’ University Hospital-IdiPaz, Madrid, Spain

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at the fracture site can stimulate bone healing. 2 Nail dynamization can be accomplished by removing all locking screws on one side of the nail. The disadvantage of this is that instability then occurs, especially for rotation. A more stable

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Sakae Tanaka Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan

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mediated by teriparatide-induced RANKL expression in osteoblasts and/or bone marrow stromal cells, which leads to increased osteoclastogenesis. The anabolic effect of teriparatide is at least partially mediated by the direct effect of teriparatide on

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