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Case Reports in Orthopedics
Volume 2017, Article ID 8284548, 6 pages
https://doi.org/10.1155/2017/8284548
Case Report

Treatment of Knee Osteochondral Lesions Using a Novel Clot of Autologous Plasma Rich in Growth Factors Mixed with Healthy Hyaline Cartilage Chips and Intra-Articular Injection of PRGF

1Fundación García-Cugat, Barcelona, Spain
2Mutualitat Catalana de Futbolistes, Federación Española de Fútbol, Barcelona, Spain
3Artroscopia GC, Hospital Quirón, Barcelona, Spain
4Universitat Internacional de Catalunya, Barcelona, Spain

Correspondence should be addressed to Ramón Cugat; moc.amuartrops@taguc.nomar

Received 31 March 2017; Accepted 14 June 2017; Published 17 July 2017

Academic Editor: Dimitrios S. Karataglis

Copyright © 2017 Ramón Cugat et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Knee cartilage or osteochondral lesions are common and challenging injuries. To date, most symptomatic lesions warrant surgical treatment. We present two cases of patients with knee osteochondral defects treated with a one-step surgical procedure consisting of an autologous-based matrix composed of healthy hyaline cartilage chips, mixed plasma poor-rich in platelets clot, and plasma rich in growth factors (PRGF). Both patients returned to playing soccer at the preinjury activity level and demonstrated excellent defect filling in both magnetic resonance imaging and second-look arthroscopy (in one of them). The use of a clot of autologous plasma poor in platelets with healthy hyaline cartilage chips and intra-articular injection of plasma rich in platelets is an effective, easy, and cheap option to treat knee cartilage injuries in young and athletic patients.