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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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Tanvi Verma
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Early detection of knee cartilage damage is vital to prevent further deterioration and complications like osteoarthritis. Initial symptoms often include persistent knee pain, swelling, stiffness, and crepitus. Diagnosis involves physical examination and imaging techniques, with MRI being the gold standard. The synovium plays a crucial role in cartilage health by…Early detection of knee cartilage damage is vital to prevent further deterioration and complications like osteoarthritis. Initial symptoms often include persistent knee pain, swelling, stiffness, and crepitus. Diagnosis involves physical examination and imaging techniques, with MRI being the gold standard. The synovium plays a crucial role in cartilage health by producing lubricating synovial fluid; inflammation here can accelerate cartilage breakdown. Delayed treatment risks chronic pain, reduced mobility, and potential joint replacement. Seek specialist care if symptoms persist beyond a week, worsen, or involve instability or locking. Preventive measures include maintaining a healthy weight, proper exercise techniques, and muscle strengthening. Timely diagnosis and intervention improve recovery chances and preserve knee function.
