Joint Preservation Surgery

Xray of Fractures

The ends of the bones are covered with articular cartilage, within the joints where the bones contact each other. This serves to protect the bone and create an extremely smooth surface to allow motion. Unlike many other tissues in the body, the cartilage has a very poor blood supply and a limited ability to heal after injury. Arthritis involves the progressive and generalized degeneration of the covering cartilage and is commonly treated with a joint replacement surgery. However, there is a wide spectrum of cartilage injuries that can occur and there are a great many options for treating earlier or more focal forms of the disease such as osteochondritis dissecans, osteochondral defects, chondromalacia, focal cartilage degeneration in one compartment of the knee and genu valgus or varus. Procedures available include combinations of:

  • Autologous chondrocyte implantation (Laboratory growing of cartilage sample taken arthroscopically from your knee and re-implantation)
  • OCD fragment fixation and repair
  • Arthroscopic microfracture
  • Autograft (your own tissue) and allograft (donated tissue) osteoarticular graft
  • Osteotomies: high tibial, distal femoral and/or tibial tubercle