Cartilage Restoration & Meniscal Transplantation
Advanced Orthopedic & Sports Medicine Specialist offers many of the latest methods to restore or replace damaged cartilage.
The five major procedures we perform are as follows:
- Microfracture helps to preserve and restore function by allowing the patient’s own body to repair the damage. Small holes are drilled on the surface of the knee where the cartilage is defective. Resulting blood clots prompt the formation of a cartilage-like scar and regenerate repair tissue.
- Chondral transfer involves a transfer of cartilage from a non-weight-bearing location in the joint to a damaged, weight-bearing area. By replacing cartilage in defective, weight-bearing areas, patients will have healthy cartilage where they need it the most.
- Autologous chondrocyte implantation involves the removal of cartilage cells from a non-weight-bearing area of the knee. The cells are sent to a laboratory where they can be cultured to grow more cartilage cells. The new cells then are transplanted back into the patient to replace large cartilage surface defects in the knee. These cells grow repair tissue that is quite similar to original cartilage.
- Meniscal allograft and osteochondral allograft surgery uses cartilage from a deceased donor to replace deficient cartilage in patients’ knees.
- Osteotomy is a complementary procedure that involves cutting the bone to change its alignment to improve the outcomes of cartilage restoration.
Any of these may help replace damaged cartilage, decrease pain and delay arthritis.
If your meniscus is severely damaged or has been removed, it is likely that the articular cartilage protecting your knee will begin to wear. As this cartilage wears away, it becomes frayed and rough. Moving the bones along this exposed surface is painful. This condition is osteoarthritis.
The goal of meniscal transplant surgery is to replace the meniscus cushion before the articular cartilage is damaged. The donor cartilage supports and stabilizes the knee joint. This relieves knee pain. The hope is that the transplant will also delay the development of arthritis.
For many older patients with this condition, a knee joint replacement might be the right option. But active people younger than 55 may be eligible for an alternative treatment: meniscal transplant surgery.