Historial del paciente

For two yearsel paciente se quejaba de dolor en la rodilla derecha, que ocurría al caminar y flexionar. Bajo cargas aumentadas, la articulación se hinchaba y aparecían trastornos del sueño por dolor nocturno. En los últimos dos meses antes de visitar la clínica MIBRAR, la intensidad del dolor aumentó significativamente.

Previous conservative treatment (anti-inflammatory medication, physiotherapy) did not provide lasting improvement. A local orthopedist recommended arthroscopic meniscus resection — which the patient declined, seeking alternative treatment.

Diagnóstico

  • Complex tear of the posterior horn of the medial meniscus of the right knee joint — visualized on MRI as a tear line extending into the meniscus body
  • Patellofemoral cartilage wear — thinning of the patellofemoral joint cartilage
  • Tibiofemoral cartilage wear — degenerative changes of the medial tibiofemoral compartment
  • Gonarthrosis grade I–II — early arthrotic changes with joint space narrowing

Informe quirúrgico — Método MIBRAR®

Procedure performed on 03.05.2017 at the MIBRAR clinic (Munich) under Prof. Dr. med. Arsen Babayan. Outpatient, under local anesthesia, without general anesthesia or hospitalization.

  • Intra-articular transplantation of autologous regenerative concentrates into the right knee joint cavity via microperforations
  • Intrameniscal transplantation — targeted injection of concentrates directly into the tear zone of the posterior horn of the medial meniscus
  • CGF (Concentrated Growth Factors) — concentrado enriquecido con plaquetas, factores de crecimiento y factores antiinflamatorios, obtenido de la sangre venosa del paciente
  • Lipogems® (microfragmented adipose tissue) — preparation with high concentration of regenerative substances, obtained from the patient's subcutaneous adipose tissue
  • Injection sites: medial meniscus and right knee joint space

Resonancias magnéticas antes y después de MIBRAR®

La RM de control se realizó 4 semanas después del procedimiento (30.05.2017). Tres pares de imágenes en diferentes planos del mismo paciente confirman: MIBRAR® proporciona regeneración completa del menisco — no cicatrización, sino restauración de la estructura anatómica normal.

Knee MRI: posterior horn medial meniscus tear — before and 4 weeks after MIBRAR®
Images 1–2 (coronal slice): Left — posterior horn medial meniscus tear (green oval), cartilage wear. Right — 4 weeks after MIBRAR®: healed meniscal tissue, new cartilage layer.
Knee MRI sagittal: meniscus regeneration — before and 4 weeks after MIBRAR®
Images 3–4 (sagittal slice): Left — posterior horn meniscus tear line. Tibiofemoral cartilage degeneration. Right — cartilage layer restored, meniscus regenerated without resection.
MRI sagittal: posterior horn meniscus regeneration — before and 4 weeks after MIBRAR®
Images 5–6 (second sagittal slice): Left — tear zone in the posterior horn (green oval), condylar cartilage surface damage. Right — meniscus integrity restored, tear zone filled with new tissue.

Resultados del tratamiento

After 1 week
Patient complaints completely ceased. Free movement without limitations — no limp, no crutches, no pain medication.
After 3 weeks
The patient resumed full sports activities without any limitations. Knee swelling did not recur, nighttime pain absent.
After 4 weeks
RM de control (30.05.2017) confirmed full meniscus regeneration: healed tear tissue, new cartilage layer in the tibiofemoral compartment. Three slices in different planes rule out imaging artifacts.
A largo plazo
To this day, the patient has no complaints. Participates in sports, leads an active lifestyle without limitations. Arthroscopic resection, previously recommended, was not required.

Why MIBRAR® Instead of Arthroscopy

The standard approach for a complex posterior horn meniscus tear is arthroscopic partial meniscectomy (resección de la parte dañada). Sin embargo, la eliminación del tejido meniscal conduce a la redistribución de la carga en la articulación y al desarrollo acelerado de la artrosis: según metaanálisis, hasta el 50% de los pacientes después de meniscectomía requieren reemplazo articular en 15 años.

The MIBRAR® method is fundamentally different: instead of removing damaged tissue — stimulating its regeneration con concentrados autólogos CGF y Lipogems®. Los factores de crecimiento de las plaquetas desencadenan la proliferación de condrocitos, mientras que las células madre mesenquimales del tejido adiposo se diferencian en células meniscales y cartilaginosas.

In this case, the result is particularly indicative: full meniscus regeneration in 4 weeks — confirmed by three MRI slices — without resection, without arthroscopy, without hospitalization. The patient returned to sports in 3 weeks, while arthroscopy rehabilitation takes 6–8 weeks.

Otros casos clínicos

Articulación de rodilla
Medial Grade IV Arthrosis + Osteonecrosis
Male, 49 years. Meniscus regeneration, osteonecrosis resolved in 18 months.
Cervical spine
Spinal Canal Stenosis C4–C6
Female, 38 years. C5/C6 5.8 mm herniation no longer detectable after MIBRAR®.
Columna lumbar
Lumbar Stenosis After Nucleotomy
Female, 43 years. Full L4/L5 and L5/S1 disc reconstruction in 18 months.
Columna lumbar
Disc Degeneration + Spondylolisthesis
Female, 47 years. L4/L5, L5/S1 segment reconstruction in two procedures.

¿Tiene una situación similar?

Envíe sus resonancias magnéticas — el Prof. Babayan evaluará personalmente la posibilidad del tratamiento MIBRAR® en su caso. La consulta es gratuita.

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+49 160 5736643