ArticleArthroscopy techniques2026
Surgical Technique for Treating Focal Osteochondral Knee Lesions Using an Aragonite-Based Biphasic Scaffold.
Article in Arthroscopy techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Osteochondral lesions of the knee, particularly in patients with early osteoarthritic changes, remain a clinical challenge. The Agili-C implant (CartiHeal, Smith & Nephew), an aragonite-based osteochondral scaffold, offers a single-stage, off-the-shelf solution designed to regenerate both cartilage and subchondral bone. Unlike cell-based therapies, Agili-C eliminates the need for cell harvesting, culturing, or bioreactors, and avoids the morbidity associated with autografts and allografts. Recent multicenter randomized controlled trials have showed superior functional outcomes and pain reduction with Agili-C compared to microfracture and debridement, even in patients with early osteoarthritis (Kellgren-Lawrence grades 0-3). This Technical Note describes the surgical technique for Agili-C implantation and highlights key technical pearls to optimize outcomes.
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