Portals (2 standard medial and lateral; additional based on lesion location) |
Joint entry |
Graduated probe or ruler and calipers |
Size the lesion |
Shaver |
Debride loose tissue |
Sharp ring or curette |
Debride fibrous tissue |
Sharp curette or cutter |
Remove intralesional osteophytes |
Spinal (or similar thin) needle |
Ipsilateral placement to aid drainage |
|
Inject fibrin sealant |
Large-bore, valveless cannula |
Facilitate membrane insertion and removal |
Retractors, surgical loops, silastic catheters |
Retract tissue, fat pad, other structures from lesion area |
10-mL silastic Foley catheter inflated with water |
Smooth the cell-seeded membrane into the lesion |
Epinephrine-soaked swab |
Achieve hemostasis prior to graft placement |