Yesterday, at Galeazzi Institute, we held a course/meeting on “osteochondral lesions of the talus bone and the AT-AMIC technique”. Once again, we wanted to highlight the importance of the preservative surgery and the maintaining of the tibio-tarsal joint movement.

Preserving movement, a possible challenge

Preserving movement is not only a synonym of ankle prosthesis. In fact, when one encounters malalignments or cartilaginous lesions which can affect non-arthrosic ankles, the reconstructive surgery becomes essential.

For us, reconstruction means to preserve the articular cartilage through biological reconstruction or articular realignment techniques (supramalleolar osteotomies)

The AT-AMIC technique

The biological reconstruction sees us involved in the front line. The AT-AMIC technique, conceived and published by us, aims at the reconstruction of the articular cartilage lesions made through arthroscopy, by using the AMIC membranes. After analysing our case history, the achieved results are promising and they show us how biology is a resource to be especially used in young patients who still have a regenerative potential.

If the biological reconstruction is not enough, since the articular damage is being associated with a malalignment, the open surgery will be mandatory, though. Corrective foot and ankle osteotomies are our good standard.

For the first time ever, we have dealt with the topic in its entirety.

Prof. Peretti talked about the cartilage from a biological point of view: an important present, but a even more compelling future! New treatments will take and use nasal chondrocytes to insert them inside the damaged articulations!

Dr. Ursino and Dr. Valli, instead, approached the topic of the suprasegmental deformities: ankles or knees are not the only ones to exist. It is clear that a hip deformity can influence the lower limb but, even more directly, the knee can influence the ankle, and vice versa.

All subjects which perfectly supplement the studies promoted and conducted by my team.

Thanks to everyone, and thanks to Prof. Banfi for the space he gave us!