Author(s): Biant L.C.; McNicholas M.J.
Source: Orthopaedics and Trauma; 2019
Publication Date: 2019
Publication Type(s): Article
Available at Orthopaedics and Trauma – from ScienceDirect
Abstract:Articular cartilage lesions of the knee are common, although the majority are asymptomatic. If conservative measures fail in painful lesions, or if mechanical symptoms are evident, then surgical intervention may relieve symptoms. Awareness of current national guidelines is important in the appropriate consenting of patients undergoing surgery. Arthroscopic debridement is recommended as the initial intervention, unless primary fixation of a loose osteochondral lesion is required. If structured rehabilitation is unsuccessful, then there are effective surgical options available. Bone marrow stimulation, osteochondral grafting, osteochondral scaffolds, chondrocyte cell therapy, stem cell therapies, osteochondral allografts and focal replacements may offer relief of symptoms. Their relative merits and shortfalls are discussed in detail in this review article.
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