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Microfracture Doom to FailMicrofracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle to…Microfracture surgery, commonly used to repair damaged knee cartilage, is often questioned for its long-term success. This article explores why microfracture surgery fails and discusses alternatives for cartilage repair such as autologous chondrocyte implantation (ACI), mosaicplasty, and mesenchymal stromal cells. The limitations of microfracture surgery include the body's struggle to balance between durable healing and repeated injury, resulting in the breakdown of repair tissue over time. Additionally, the articular cartilage's limited capacity to heal leads to pain recurrence and post-traumatic arthritis. Long-term outcomes vary, with a risk of osteoarthritis progression in older patients. Alternatives like ACI and mosaicplasty show promise, although ACI has a high reoperation rate. Mesenchymal stromal cells are also being considered for enhancing cartilage repair.
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Comprehensive Guide to Lower Back Pain: Causes, Symptoms and TreatmentsExperience lower back pain? This comprehensive guide explores the causes, symptoms and treatment options for this common condition. Learn the difference between acute and chronic back pain, and understand the phenomenon of 'referred pain'. The guide also discusses possible disease conditions that can cause pain in the lower back, such…Experience lower back pain? This comprehensive guide explores the causes, symptoms and treatment options for this common condition. Learn the difference between acute and chronic back pain, and understand the phenomenon of 'referred pain'. The guide also discusses possible disease conditions that can cause pain in the lower back, such as problems with internal organs, pelvic issues or abdominal disorders. Find out about the range of treatment options, from pain relievers and physical therapy to injections and surgery. The article emphasises the importance of lifestyle changes for prevention and management of lower back pain. Consult a healthcare professional for a personal treatment plan.
