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. 2018 Mar 19;7(4):e361–e365. doi: 10.1016/j.eats.2017.10.005

Fig 2.

Fig 2

(A) Arthroscopic view from the modified anterior portal showing a full-thickness chondral lesion of the right superior acetabulum (11- to 2-o'clock position) after microfracture, showing the use of shaver suction to aspirate fluid. The defect and central compartment must be dried thoroughly before graft placement to prevent over-hydration and/or washout of the graft. Long swabs are also used to wick excessive moisture from the space, and the patient is placed in Trendelenburg positioning of 30° to ensure gravity-dependent flow away from the graft site of any excess fluid within the hip joint. The patient is positioned supine. (B) Arthroscopic view of the same lesion during delivery of the graft to the lesion using the supplied cannulated 10-gauge delivery needle. The graft is applied in strips across the lesion using a slow, twisting motion. (C) Arthroscopic view of the same lesion after delivery of BioCartilage graft. By use of the rounded aspect of a slotted cannula or a polished arthroscopic elevator, the graft is smoothed and slightly recessed with respect to the surrounding cartilage border to allow for placement of fibrin sealant. (D) Arthroscopic view of the repaired chondral lesion in the same patient after the fibrin glue has dried and as traction is slowly released. (AL, anterior labrum; FH, femoral head.)