Name: Articular Cartilage Preparation Using the PowerPick™ Instrument
Uploaded: 2019-02-01T00:00:00Z
Channel: Arthrex
Description: Thomas M. DeBerardino, MD, (San Antonio, TX) chooses the PowerPick™ device for all lesions prior to placing BioCartilage ® matrix to enhance healing. Dr. DeBerardino prefers the PowerPick device because of the quick and repeatable one-handed process. He also shares that the PowerPick device reduces skiving as opposed to the typical dull, reusable pick that requires assistance with a mallet.

<p>Thomas M. DeBerardino, MD, (San Antonio, TX) chooses the PowerPick™ device for all lesions prior to placing BioCartilage<sup>®</sup> matrix to enhance healing. Dr. DeBerardino prefers the PowerPick device because of the quick and repeatable one-handed process. He also shares that the PowerPick device reduces skiving as opposed to the typical dull, reusable pick that requires assistance with a mallet.</p>

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VID1-000020-en-US | A | Articular Cartilage Preparation Using the PowerPick™ Instrument

Thomas M. DeBerardino

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Articular Cartilage Preparation Using the PowerPick™ Instrument

So here we have a prepared medial femoral condyle cartilage using clearly grade four. Here's our Arthrex PowerPick. It's the curved or angled one. It comes in two different formats. You can see the curvature there as I bring it into the notch. The PowerPick comes in non-deployed. And then there's a plastic handle that you pull toward the shaver with one of your hands as the surgeon deploys the drill. I like to deploy it before I turn the drill on to make sure everything is working good. And I know how far in this knee, how much room I have between condyle and sheath. So then you go only in the forward direction in my hands. And here we're going to start just like we would in a standard microfracture technique. We're going to come up visually with a pattern. I work in the periphery first here, here, here, here and here. And then we'll do 2 or 3 in this smaller lesion. So we'll do the periphery first. And I'll use two hands to do this one to steady at the skin or the portal and go in flush. Pull straight out. Move over. Go in till I'm flush. Pull out. Go over in the other corner in flush. Pull out. Then we'll take a shaver and you can see it looks like honeycomb. And right now we're looking right at it. That looks pretty good, but a shaver. What a shaver does is just cleans out the orifices of the different poke holes or drill holes. And I'll turn it on. Just oscillating. Just a little light suction. You can turn down your pump at this time. Now you see the final nice honeycomb pattern. Sometimes I'll just pat the leg. And because I don't do a tourniquet that actually shakes the marrow elements literally out of the holes. And now after this would either open or arthroscopically put our BioCartilage over this lesion, because I never in the past three years do just a microfracture alone. We like to biologically augment it and do a super microfracture or BioCartilage application over this. So there's a good use of the PowerPick to have a controlled microfracture picking of a medial femoral condyle. Grade four lesion.

Articular Cartilage Preparation Using the PowerPick™ Instrument

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Knee

Microfracture

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Imaging and Resection

PowerPick™ Microfracture Instruments

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