Stimulation of cartilage formation using reduced pressure treatment
System and methods for stimulating cartilage formation at a first tissue site through a second tissue site is presented. The system includes a fluid source for supplying a therapeutic solution, a reduced pressure source for supplying reduced pressure, a fluid delivery manifold for deploying adjacent the first tissue site, and a vacuum manifold for deploying within the second tissue site. The fluid delivery manifold extends between a proximal end fluidly coupled to the fluid supply and a distal end having at least one aperture for delivering the therapeutic solution to the defect adjacent the articulating surface of the first tissue site. The vacuum manifold extends between a proximal end fluidly coupled to the reduced pressure source and a distal end having at least one aperture for delivering the reduced pressure to the first tissue site adjacent the opposing surface of the first tissue site.
1. A method for stimulating formation of cartilage at a defect in cartilage adjacent an articulating surface of a first bone or a second bone of at least two bones forming a joint the method comprising:
positioning the distal end of a fluid delivery manifold having at least one aperture within the joint adjacent the articulating surface of the first bone;
connecting the proximal end of the fluid delivery manifold to a fluid source containing a therapeutic solution;
positioning the distal end of a vacuum manifold having at least one aperture within a condyle of either one of the first bone and the second bone;
connecting the proximal end of the vacuum manifold to a reduced pressure source for delivering reduced pressure to the condyle;
delivering the therapeutic solution to the defect; and
delivering the reduced pressure to the condyle to draw the therapeutic solution from the fluid delivery manifold through the defect.
2. The method of claim 1 , further comprising making an incision in soft tissue adjacent the joint and the first bone for positioning the fluid delivery manifold within the joint adjacent the defect and the articulating surface of the first bone.
3. The method of claim 1 , further comprising drilling a hole into the condyle adjacent the opposing surface of the first bone for positioning the vacuum manifold within the condyle.
4. The method of claim 3 , wherein the second bone is a femur.
5. The method of claim 3 , wherein the second bone is a tibia.
6. The method of claim 1 , further comprising delivering the therapeutic solution toward the defect in the first bone.
7. The method of claim 1 , further comprising delivering the reduced pressure toward the defect in the first bone.