When Knee Alignment Must Come Before Cartilage RepairCartilagerepair fails in aCartilage repair fails in a
Distal femoral osteotomy for lateral knee cartilage damageouter knee compartment, acceleratingcartilagewear over time. Distalouter knee compartment, accelerating cartilage wear over time. Distal
Autograft or allograft for large knee cartilage defectsKneecartilagedefects smaller than roughlyKnee cartilage defects smaller than roughly
Symptoms That Warrant a Cartilage SpecialistArticularcartilagecannot repair itself becauseArticular cartilage cannot repair itself because
ACI for talar cartilage repairbone plugs to restorecartilagebut requires medial malleolarbone plugs to restore cartilage but requires medial malleolar
When cartilage repair is the right choiceCartilagerepair succeeds for aCartilage repair succeeds for a
When OATS mosaicplasty beats other ankle cartilage repairsLesions exceeding 150 mm² require OATS mosaicplasty: marrow stimulation produces fibrocartilage that breaks down within two to three years, whilst transplanted hyalinecartilagelasts decades.Lesions exceeding 150 mm² require OATS mosaicplasty: marrow stimulation produces fibrocartilage that breaks down within two to three years, whilst transplanted hyaline cartilage lasts decades.
Osteochondral Allograft for Ankle Cartilage DefectsLesions on the talus larger than 15mm fail with microfracture repair; osteochondral allograft instead restores thecartilageand bone using donor tissue, achieving 85% survivorship at ten years.Lesions on the talus larger than 15mm fail with microfracture repair; osteochondral allograft instead restores the cartilage and bone using donor tissue, achieving 85% survivorship at ten years.
Allograft vs autograft for large knee cartilage defectsAutograft for kneecartilagedefects larger than roughlyAutograft for knee cartilage defects larger than roughly
Injectable scaffold vs surgical knee cartilage repairprogenitor cells in regeneratingcartilage-like tissue, overcomingcartilage's inability to repair itselfprogenitor cells in regenerating cartilage-like tissue, overcoming cartilage's inability to repair itself
When is it too late for cartilage repair?Oncecartilageloss becomes generalised and surfaces contact bone, no restoration procedure works; repair is viable only for focal defects.Once cartilage loss becomes generalised and surfaces contact bone, no restoration procedure works; repair is viable only for focal defects.
AMIC versus MACI for focal cartilage repairAMIC repairs focalcartilagedefects in one operation:AMIC repairs focal cartilage defects in one operation: