OATS and Mosaicplasty for Knee Cartilage Repairgenuine hyaline cartilage — theknee's native resilient material — togenuine hyaline cartilage — the knee's native resilient material — to
OATS or microfracture for active knee patientsMicrofracture improves early but deteriorates progressively beyond two years because it deposits fibrocartilage, whilst OATS transplants intact cartilage that remains stable long-term.Microfracture improves early but deteriorates progressively beyond two years because it deposits fibrocartilage, whilst OATS transplants intact cartilage that remains stable long-term.
Chondroplasty for knee cartilage damageChondroplasty removes loose cartilage fragments that cause catching and grinding, relieving mechanical symptoms, but does not rebuild the cartilage itself; it is palliative, not restorative.Chondroplasty removes loose cartilage fragments that cause catching and grinding, relieving mechanical symptoms, but does not rebuild the cartilage itself; it is palliative, not restorative.
Who benefits from an unloader knee braceUnloader braces use three-point pressure to shift load away from damaged cartilage. They work only for single-compartment osteoarthritis, and success depends more on professional fitting and follow-up than the device itself.Unloader braces use three-point pressure to shift load away from damaged cartilage. They work only for single-compartment osteoarthritis, and success depends more on professional fitting and follow-up than the device itself.
What IKDC and MOCART data show about ChondroFillerChondroFiller injection improveskneefunction by an averageChondroFiller injection improves knee function by an average
How defect size determines OATS or OCAfrom the patient's ownknee; larger lesions require OCA,from the patient's own knee; larger lesions require OCA,
How long osteochondral allografts laston patient BMI, priorkneesurgery, and adherence toon patient BMI, prior knee surgery, and adherence to
How defect size and age decide OATS or OCAfrom the patient's ownknee) or donor allograft (OCA):from the patient's own knee) or donor allograft (OCA):
ChondroFiller NHS status and private access in the UKscaffold that improves IKDCkneescores by roughly 30scaffold that improves IKDC knee scores by roughly 30
What the ChondroFiller evidence actually showsChondroFiller, a collagen scaffold, increaseskneefunction scores by 30 points at three years — roughly double the clinical significance threshold — but no large independent randomised trial has been completed.ChondroFiller, a collagen scaffold, increases knee function scores by 30 points at three years — roughly double the clinical significance threshold — but no large independent randomised trial has been completed.
How strong is ChondroFiller's clinical evidenceChondroFiller produces clinically meaningful functional improvement of approximately 30 IKDC points inkneepatients, sustained at three-year follow-up, but published evidence extends no further, leaving long-term durability unproven.ChondroFiller produces clinically meaningful functional improvement of approximately 30 IKDC points in knee patients, sustained at three-year follow-up, but published evidence extends no further, leaving long-term durability unproven.
Choosing treatment after an ACL teara sense that thekneewill give way, especiallya sense that the knee will give way, especially