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Updated: Feb 27, 2026
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Topical Review: MACI as an Emerging Technology for the Treatment of Talar Osteochondral Lesions
Travis J Dekker1, Brandon Erickson2, Samuel B Adams1
11 Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Abstract:
Matrix-induced autologous chondrocyte implantation (MACI) is a viable procedure that can be used as both a primary or revision cartilage regenerative procedure in high-functioning individuals without tibiotalar arthritis. Both short-term and midterm follow-up results demonstrate clinical, radiographic, and functional improvements with high rates of return to full activities. Cost remains a chief concern with the use of this technique, but theoretical improvements in the durability of repair with type II cartilage replacement may offer long-term benefits.
Level Of Evidence:
Level V, expert opinion.
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