Specialties
Cartilage Repair
Specialties
Joint Preservation
Specialties
Shoulder
171 results found in 4ms
When knee cartilage repair is worth consideringWhen knee cartilage repair is worth considering
Cartilage lacks a blood supply and cannot self-heal, but surgical or minimally invasive repair can restore focal defects in otherwise healthy joints, potentially delaying knee replacement by years or decades.Cartilage lacks a blood supply and cannot self-heal, but surgical or minimally invasive repair can restore focal defects in otherwise healthy joints, potentially delaying knee replacement by years or decades.
OCA vs MACI for large knee cartilage defectsOCA vs MACI for large knee cartilage defects
MACI (matrix-induced autologous chondrocyte implantation) is a surface repair requiring intact subchondral bone; osteochondral allograft (OCA) replaces both cartilage and bone. When knee cartilage defects breach underlying bone, OCA addresses what MACI cannot.MACI (matrix-induced autologous chondrocyte implantation) is a surface repair requiring intact subchondral bone; osteochondral allograft (OCA) replaces both cartilage and bone. When knee cartilage defects breach underlying bone, OCA addresses what MACI cannot.
AMIC vs MACI for knee cartilage repairAMIC vs MACI for knee cartilage repair
Standalone microfracture for knee cartilage defects has less than 60% survivorship at three years; AMIC adds a collagen membrane to stabilize repair, whilst MACI uses cultured chondrocytes and shows superiority in the SUMMIT trial for lesions over 3 cm².Standalone microfracture for knee cartilage defects has less than 60% survivorship at three years; AMIC adds a collagen membrane to stabilize repair, whilst MACI uses cultured chondrocytes and shows superiority in the SUMMIT trial for lesions over 3 cm².
How single-stage ACI differs from MACIHow single-stage ACI differs from MACI
MACI repairs cartilage defects over two operations, with weeks between them for external cell expansion; STACi compresses the entire process—harvesting, processing, and implantation—into a single surgical session.MACI repairs cartilage defects over two operations, with weeks between them for external cell expansion; STACi compresses the entire process—harvesting, processing, and implantation—into a single surgical session.
ACI or MACI for knee cartilage repairACI or MACI for knee cartilage repair
Both ACI and MACI require two operations: stage-1 biopsy yields too few chondrocytes for immediate repair, so stage-2 implantation must follow 3–6 weeks of laboratory expansion.Both ACI and MACI require two operations: stage-1 biopsy yields too few chondrocytes for immediate repair, so stage-2 implantation must follow 3–6 weeks of laboratory expansion.
When cartilage repair makes sense before knee replacementWhen cartilage repair makes sense before knee replacement
Total knee replacement achieves over 90% long-term success, yet patients under 55 face substantially higher revision risk within 20 years. For focal cartilage damage in the mid-40s, repair offers a joint-preservation pathway suited to this earlier disease stage—provided defect size and patient profile meet defined clinical criteria.Total knee replacement achieves over 90% long-term success, yet patients under 55 face substantially higher revision risk within 20 years. For focal cartilage damage in the mid-40s, repair offers a joint-preservation pathway suited to this earlier disease stage—provided defect size and patient profile meet defined clinical criteria.
OATS versus mosaicplasty for knee cartilage repairOATS versus mosaicplasty for knee cartilage repair
OATS and mosaicplasty are the same surgical technique applied at different scales: OATS transfers a single cartilage plug for knee defects under 2 cm², mosaicplasty tiles smaller grafts across 2–4 cm² lesions.OATS and mosaicplasty are the same surgical technique applied at different scales: OATS transfers a single cartilage plug for knee defects under 2 cm², mosaicplasty tiles smaller grafts across 2–4 cm² lesions.
OCA or MACI for large knee cartilage defectsOCA or MACI for large knee cartilage defects
When subchondral bone is damaged alongside large knee cartilage defects, OCA — a single-stage transplant of donor bone and cartilage — is the preferred choice; MACI, which implants cultured cells, cannot restore bone stock once lost.When subchondral bone is damaged alongside large knee cartilage defects, OCA — a single-stage transplant of donor bone and cartilage — is the preferred choice; MACI, which implants cultured cells, cannot restore bone stock once lost.
Osteochondral Allograft for Post-Traumatic Knee DefectsOsteochondral Allograft for Post-Traumatic Knee Defects
When post-traumatic knee injury damages both cartilage and underlying bone, osteochondral allograft transplants provide a single-stage solution that other repair methods cannot match. Roughly 75–82% of patients return to sport; grafts show 87% survival at five years, declining to 68% at twenty.When post-traumatic knee injury damages both cartilage and underlying bone, osteochondral allograft transplants provide a single-stage solution that other repair methods cannot match. Roughly 75–82% of patients return to sport; grafts show 87% survival at five years, declining to 68% at twenty.
MACI versus microfracture for knee cartilage repairMACI versus microfracture for knee cartilage repair
MACI outperforms microfracture for knee cartilage defects of 3 cm² or larger, according to the SUMMIT randomised trial, which found significantly greater improvements in pain and function at two years that persisted through five years.MACI outperforms microfracture for knee cartilage defects of 3 cm² or larger, according to the SUMMIT randomised trial, which found significantly greater improvements in pain and function at two years that persisted through five years.
AMIC vs microfracture for knee cartilage repairAMIC vs microfracture for knee cartilage repair
Both AMIC and microfracture improve pain and function in the first two years; beyond that point, microfracture outcomes progressively deteriorate whilst AMIC maintains stable gains through a decade of follow-up.Both AMIC and microfracture improve pain and function in the first two years; beyond that point, microfracture outcomes progressively deteriorate whilst AMIC maintains stable gains through a decade of follow-up.
ACI knee cartilage repair in the UKACI knee cartilage repair in the UK
ACI harvests a patient's own cartilage cells, cultures them to roughly 20 times their original number, then implants them in a second operation; NHS funding applies only to patients with defects over 2 cm², no prior cartilage repair, minimal arthritis, and access to a specialist centre.ACI harvests a patient's own cartilage cells, cultures them to roughly 20 times their original number, then implants them in a second operation; NHS funding applies only to patients with defects over 2 cm², no prior cartilage repair, minimal arthritis, and access to a specialist centre.
171 results found in 4ms