For medical professionals

A cartilage operation, redesigned as a needle-delivered protocol.

NanoACi is a surgeon-led, point-of-care technique combining mechanically prepared autologous cartilage micrografts, a cell-free collagen matrix and autologous PRF before intra-articular needle delivery in one sitting.

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Working definition

Protocol—not a new manufactured product.

The intellectual value sits in patient selection, preparation sequence, ratios, timing, delivery and post-procedure care—the reproducible technique as a whole.

NANon-Arthroscopic

No arthroscopic access is used for delivery.

NNeedle-Delivered

Image-guided delivery by an appropriately trained surgeon.

OOne-Stage

Harvest, preparation, combination and delivery in one sitting.

ACAutologous Chondrogenic

Autologous tissue selected for a cartilage-supporting biological intent.

iinjection

The lower-case “i” distinguishes injection from conventional implantation.

Technique architecture

Cells. Matrix. Signal.

Separate components, brought together at point of care under a defined surgical protocol.

01 · autologous micrograft

Mytocel MSK / Rigenera

Auricular cartilage biopsy; mechanical disaggregation only. No culture, enzyme digestion or ex-vivo expansion. Prepared during the clinical sitting.

02 · scaffold

ChondroFiller® liquid

Cell-free native type I collagen matrix supplied in a two-chamber syringe, forming a hydrogel after component mixing.

03 · autologous matrix

Vivostat® PRF

Patient-derived platelet-rich fibrin providing a fibrin carrier with platelets and a controlled growth-factor release profile.

Same patientSame sittingNo storageNo culture

Scientific position

Component evidence is the foundation. NanoACi-specific evidence is the next task.

Published literature supports the individual technologies and the broader concepts of autologous micrografting, collagen scaffolds and platelet-rich fibrin. It does not yet answer every question about this exact combined technique.

The correct next step is not to overstate the conclusion. It is to measure the protocol prospectively, publish it and allow scrutiny.

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100

Founding outcomes programme

One hundred consecutive cases. One transparent dataset.

NanoACi 100 is designed as a prospective, consecutive-case programme with a locked protocol, baseline imaging and standardised patient-reported outcome collection.

Protocol lockConsecutive enrolmentFollow-upPublish
Baseline

Diagnosis, grade, imaging, prior treatment and patient goals.

Procedure

Joint, preparation variables, delivery details and protocol deviations.

Outcomes

Pain, function, quality of life, satisfaction, return to activity and safety.

Time

Consistent follow-up milestones, with longer-term data continuing beyond publication.

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Refer. Observe. Research. Learn.

Professional interest is open to surgeons, sports physicians, radiologists, physiotherapists and research collaborators who want to follow the evidence or explore future training.

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