Treatment of patients with gonarthrosis using extraarticular microfracturing of subchondral zones and medullary stimulation according to RISC “RTO” technique

Шевцов В.И., Макушин В.Д., Чегуров О.К., Бирюкова М.Ю.


The new medical extraarticular technology of gonarthrosis treatment presented is based on trophostimulating effect secondary to microfracturing articular parts in combination with cellular-and-medullary stimulation. Pathogenetical reasons of using microfractures in subchondral zones and grafting cellular-and-tissue substance from tubular bone medullary canal consist in creation of the conditions for coming out the blood clot with growth factors, biologically active substances to wound cavity, as well as the bone marrow with polypotent mesenchymal stromal autocells, that results in reparative chondrogenesis activation.


the knee (joint), gonarthrosis, surgical treatment, medullary stimulation


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