Specialties
Orthopaedics
Specialties
Shoulder
144 results found in 3ms
Unloader knee brace or surgery for cartilage damageUnloader knee brace or surgery for cartilage damage
Unloader braces open the joint 0.3 mm, modulating cartilage chemistry without rebuilding damage; high tibial osteotomy substantially outperforms bracing for pain relief in younger patients.Unloader braces open the joint 0.3 mm, modulating cartilage chemistry without rebuilding damage; high tibial osteotomy substantially outperforms bracing for pain relief in younger patients.
OATS mosaicplasty for sports knee cartilage repairOATS mosaicplasty for sports knee cartilage repair
In a ten-year trial of athletes, osteochondral autograft transfer showed 14% treatment failure versus 38% for microfracture, a divergence emerging between years five and ten because fibrocartilage stimulated by microfracture degrades under repetitive athletic loading whilst transplanted hyaline cartilage retains structural integrity.In a ten-year trial of athletes, osteochondral autograft transfer showed 14% treatment failure versus 38% for microfracture, a divergence emerging between years five and ten because fibrocartilage stimulated by microfracture degrades under repetitive athletic loading whilst transplanted hyaline cartilage retains structural integrity.
ACI versus MACI for knee cartilage repairACI versus MACI for knee cartilage repair
Cartilage defect size on MRI drives the choice between single-stage repair (AMIC, OATS) and two-stage cell therapy (MACI): below 2–4 cm², simpler alternatives often provide comparable results; at 3 cm² or larger, MACI demonstrates superiority.Cartilage defect size on MRI drives the choice between single-stage repair (AMIC, OATS) and two-stage cell therapy (MACI): below 2–4 cm², simpler alternatives often provide comparable results; at 3 cm² or larger, MACI demonstrates superiority.
Knee cartilage damage symptoms and who to seeKnee cartilage damage symptoms and who to see
Articular cartilage lacks a blood supply and cannot repair itself; untreated defects larger than 1 cm risk progressive worsening and osteoarthritis.Articular cartilage lacks a blood supply and cannot repair itself; untreated defects larger than 1 cm risk progressive worsening and osteoarthritis.
Knee Cartilage Repair and PreservationKnee Cartilage Repair and Preservation
Articular cartilage lacks blood vessels, so when damaged it forms fibrocartilage—a mechanically inferior scar tissue that typically deteriorates within two to three years. This biological constraint shapes every treatment option, from temporary symptom relief to procedures attempting true cartilage regeneration.Articular cartilage lacks blood vessels, so when damaged it forms fibrocartilage—a mechanically inferior scar tissue that typically deteriorates within two to three years. This biological constraint shapes every treatment option, from temporary symptom relief to procedures attempting true cartilage regeneration.
ACI versus MACI for Knee Cartilage RepairACI versus MACI for Knee Cartilage Repair
MACI seeds cultured cartilage cells onto a porcine-collagen scaffold fixed with fibrin glue; ACI injects them as liquid suspension sealed with a sutured flap. This mechanical difference determines recovery time, complication risk, and surgical complexity.MACI seeds cultured cartilage cells onto a porcine-collagen scaffold fixed with fibrin glue; ACI injects them as liquid suspension sealed with a sutured flap. This mechanical difference determines recovery time, complication risk, and surgical complexity.
Knee cartilage damage left untreated and when repair helpsKnee cartilage damage left untreated and when repair helps
Cartilage lacks blood vessels, nerve fibres, and lymph channels, so repair cells cannot reach injuries and pain does not warn of damage, allowing lesions to expand silently until they become clinically serious.Cartilage lacks blood vessels, nerve fibres, and lymph channels, so repair cells cannot reach injuries and pain does not warn of damage, allowing lesions to expand silently until they become clinically serious.
OATS Mosaicplasty Knee Recovery TimelineOATS Mosaicplasty Knee Recovery Timeline
Full recovery from OATS mosaicplasty spans 6–12 months, extending to 12–18 months for competitive sport, because transplanted bone-and-cartilage plugs require time for biological integration and graft maturation.Full recovery from OATS mosaicplasty spans 6–12 months, extending to 12–18 months for competitive sport, because transplanted bone-and-cartilage plugs require time for biological integration and graft maturation.
ChondroFiller injection for knee cartilage defectsChondroFiller injection for knee cartilage defects
The injected collagen scaffold gels in place and recruits the body's own progenitor cells to repair the cartilage defect without surgery or general anaesthetic. Functional scores improve from 48 to 80 on the IKDC scale over three years in independent European cohorts, with most of that improvement within six months.The injected collagen scaffold gels in place and recruits the body's own progenitor cells to repair the cartilage defect without surgery or general anaesthetic. Functional scores improve from 48 to 80 on the IKDC scale over three years in independent European cohorts, with most of that improvement within six months.
OATS or MACI for mid-size knee cartilage defectsOATS or MACI for mid-size knee cartilage defects
Within the 2–4 cm² range, cartilage defects are large enough that a single plug fails to cover them, yet small enough that two repair techniques remain viable: osteochondral autograft restores cartilage and bone in one operation but creates coverage gaps, whilst matrix-induced autologous chondrocyte implantation requires two operations with laboratoryWithin the 2–4 cm² range, cartilage defects are large enough that a single plug fails to cover them, yet small enough that two repair techniques remain viable: osteochondral autograft restores cartilage and bone in one operation but creates coverage gaps, whilst matrix-induced autologous chondrocyte implantation requires two operations with laboratory culture but accommodates irregular shapes without gaps.
ChondroFiller for focal knee defects versus early osteoarthritisChondroFiller for focal knee defects versus early osteoarthritis
Focal cartilage defects and early osteoarthritis produce identical symptoms but differ structurally — a contained lesion versus compartment-wide degeneration — and imaging determines which pathway applies. ChondroFiller, an injectable collagen scaffold into which the body's progenitor cells migrate and lay down new cartilage tissue, addresses only focal lesions.Focal cartilage defects and early osteoarthritis produce identical symptoms but differ structurally — a contained lesion versus compartment-wide degeneration — and imaging determines which pathway applies. ChondroFiller, an injectable collagen scaffold into which the body's progenitor cells migrate and lay down new cartilage tissue, addresses only focal lesions.
144 results found in 3ms