Microfracture in Cartilage Repair: Efficacy, Adverse Outcomes, and Clinical ControversiesMicrofracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability for…Microfracture Technique: Limitations and Concerns. This article discusses the limitations and potential adverse outcomes associated with the microfracture technique used for cartilage repair. Concerns include subchondral bone overgrowth, formation of less durable fibrocartilage instead of hyaline cartilage, and the lack of long-term durability. Other limitations include the technique's suitability for large lesions, the formation of granulation tissue and subchondral cysts, and the need for extended rehabilitation. These factors raise concerns about the efficacy and long-term outcomes of microfracture as a sole treatment for cartilage defects.