AI Article Synopsis

  • * The wide-awake limited anesthesia no tourniquet (WALANT) technique allows these injections to be performed under local anesthesia in various settings.
  • * Two access techniques are described: the "decompression route," which drills through the closest bone cortex, and the "biologic route," which drills through healthy bone to enhance bleeding and support healing.

Article Abstract

Intraosseous injections of bone marrow aspirate concentrate have shown promise in the treatment of bone marrow lesions (BMLs) in the knee. With the wide-awake limited anesthesia no tourniquet (WALANT) technique, intraosseous injections can be performed with the patient under local anesthesia in the procedure room or operating room setting. This article describes 2 techniques to access the BML of interest. The "decompression route" involves drilling through the nearest cortex, and the "biologic route" involves drilling through healthy bone to promote bleeding and the introduction of healthy biologic tissue to the BML.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258708PMC
http://dx.doi.org/10.1016/j.eats.2024.102965DOI Listing

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