CAUSES
- Trauma
- Sports Injury
- Aging
PREOP
- X-ray
- MRI Scan-Evaluate all ligaments, meniscus, cartilage
TREATMENT CARTILAGE INJURY OF THE KNEE
- Multiple types of surgery are available including:
- Microfracture plus biocartilage
- Autograft OATS: transfer of cartilage from elsewhere in the knee
- Allograft OATS: transfer of fresh donor cartilage
- Cell Based Therapy (MACI): cartilage is biopsied and grown in lab and reimplanted as a disc
- Treatment is individualized based on size of defect, location of defect, and age of patient
DAY OF SURGERY
- General and block anesthesia
- Surgery can last 2-3 hours depending on the complexity of the injury.
- 1-2 night hospital stay
CONCOMITANT PROCEDURES
- Sometimes osteotomy, ligament reconstruction, or meniscus transplant are needed
RECOVERY
- Partial or non-weightbearing for 4-6 weeks
- 3 months physical therapy after
- Non-impact activity: 4 months
- Impact activity: 6 months
SUCCESS RATE
- 85% return to sport
- 10-15% reoperation rate
-
Donor Cartilage
-
Allograft OATS
Questions?
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