The best treatment for a knee injury or disease Is one of biologic origins that restores the knee to a state near normal. ACL (anterior cruciate ligament) reconstruction, anatomic repair of knee fractures, and meniscal repair are three types of biological surgical repairs that are very successful for injured knees.
Patients and orthopedists often have problems managing a full-thickness, symptomatic chondral lesion of the knee.
Injury that causes articular cartilage cell death can be treated effectively by restoring the joint's surface cells. The articular cartilage is the shiny white surface that composes all the joints in the body. It is the surface cell layer of the joint.
There are 4 ways to treat damage to this tissue. They are: Autologous Chondrocyte Implantation (ACI), Osteochondral Allograft, Osteoarticular transfer system (OATS), and Microfracture.
Click here for more on Arthroscopy of the Knee.
If the patient is young, a small lesion can be repaired with Microfracture surgery. When using this method, a pick-like tool will be used to enter the marrow of the knee multiple times under the chondral defect. These entries will stimulate the bone marrow. This causes repair tissue to be created. The repair tissue fills the chondral defect with fibrous cartilage tissue.
In this situation, the patient will use crutches for four to eight weeks. The patient must agree not to participate in sports for 6 to 12 months. Also, the patient must understand and accept that it may be eighteen months before complete freedom of pain can be expected.
There is a procedure that can restore the knee surface to almost normal condition. This is called autologous chondrocyte implantation (ACI). This procedure is used in the case of large knee defects.
Articular cartilage cells harvested from the healthy part of the injured knee are used in ACI. This surgery may be used under very specific conditions.
The patient must have a full-thickness, weight-bearing, symptomatic chondral injury to the femoral articular surface. Additionally, the patient must be physiologically young. Furthermore, the patient must agree to an 18 month rehabilitation process.
There is no guarantee of successful surgery to the tibia and patella. In fact, insurance companies will often refuse to pay for this type of surgery. It is important to note that ACI is not a workable procedure for the treatment of osteoarthritis. In this condition, two reciprocal joint surfaces experience damage. X-rays will reveal narrowing of the joint space. Additionally, bone spurs will be in evidence. 3T MRI (magnetic resonance imaging) may be used to assess for ACI. By using this procedure, the proper treatment can be determined.
Click here for more on Dr. Stefan Tarlow, a leading Phoenix knee surgeon.
Patients and orthopedists often have problems managing a full-thickness, symptomatic chondral lesion of the knee.
Injury that causes articular cartilage cell death can be treated effectively by restoring the joint's surface cells. The articular cartilage is the shiny white surface that composes all the joints in the body. It is the surface cell layer of the joint.
There are 4 ways to treat damage to this tissue. They are: Autologous Chondrocyte Implantation (ACI), Osteochondral Allograft, Osteoarticular transfer system (OATS), and Microfracture.
Click here for more on Arthroscopy of the Knee.
If the patient is young, a small lesion can be repaired with Microfracture surgery. When using this method, a pick-like tool will be used to enter the marrow of the knee multiple times under the chondral defect. These entries will stimulate the bone marrow. This causes repair tissue to be created. The repair tissue fills the chondral defect with fibrous cartilage tissue.
In this situation, the patient will use crutches for four to eight weeks. The patient must agree not to participate in sports for 6 to 12 months. Also, the patient must understand and accept that it may be eighteen months before complete freedom of pain can be expected.
There is a procedure that can restore the knee surface to almost normal condition. This is called autologous chondrocyte implantation (ACI). This procedure is used in the case of large knee defects.
Articular cartilage cells harvested from the healthy part of the injured knee are used in ACI. This surgery may be used under very specific conditions.
The patient must have a full-thickness, weight-bearing, symptomatic chondral injury to the femoral articular surface. Additionally, the patient must be physiologically young. Furthermore, the patient must agree to an 18 month rehabilitation process.
There is no guarantee of successful surgery to the tibia and patella. In fact, insurance companies will often refuse to pay for this type of surgery. It is important to note that ACI is not a workable procedure for the treatment of osteoarthritis. In this condition, two reciprocal joint surfaces experience damage. X-rays will reveal narrowing of the joint space. Additionally, bone spurs will be in evidence. 3T MRI (magnetic resonance imaging) may be used to assess for ACI. By using this procedure, the proper treatment can be determined.
Click here for more on Dr. Stefan Tarlow, a leading Phoenix knee surgeon.
About the Author:
Dr. Tarlow is a Board Certified Orthopaedic Surgeon with over 20 years specializing in knee surgery. He opened his own clinic, Advanced Knee Care, with a focus on specialty patient care. Click here to learn more about Dr. Tarlow, Phoenix knee surgeons and Phoenix and Mesa-area Knee Arthroscopy.
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