The Joint Clinic

Articular Cartilage Repair

About Articular Cartilage Repair

Articular cartilage is the smooth slippery layer covering the portion of bones inside the joint. Localised defects of this cartilage can be repaired by arthroscopic techniques like microfracture, mosaic-plasty, osteochondral transfer (OATS), or by two-stage procedure using cartilage cell culture techniques (ACI).  In OATS or mosaic-plasty, healthy cartilage plugs from unimportant areas in the knee are used as “spare parts” to replace lost cartilage in important weight bearing areas.

In ACI, a small sample of healthy cartilage is harvested through arthroscopic surgery, and sent to the lab where it is processed and incubated to get a huge number of healthy cartilage cells in 6 to 8 weeks’ time. The knee is then opened and these cells are implanted using a gel matrix to cover the cartilage defect at the second stage operation.
Microfracture for articular cartilage defect

Knee Treatments

Knee Arthroscopy

Knee Arthroscopy: Arthroscopy, or Minimally Invasive “keyhole” surgery, allows the surgeon…

ACL Reconstruction

Anterior Cruciate Ligament (ACL) is an important ligament which holds together the thigh bone…

PCL Reconstruction

Similar to ACL, the PCL is a strong and important ligament holding the bones in the knee together. 

Meniscus Surgery

Meniscus is a special cartilage cushion, present only in the knee, which helps in uniform load…

Articular Cartilage Repair

Articular cartilage is the smooth slippery layer covering the portion of bones inside the joint…

Medial & Lateral Ligament

Peripheral ligaments of the knee are often damaged either singly, or in combination with other ligaments

Arthroscopic Arthrolysis

Stiffness or restricted movements in the knee can occur after injury, after surgery, or due to arthritis…

Multi Ligament Reconstruction

Multiple ligaments of the knee are damaged in cases of knee dislocation. The ACL, PCL, MCL…

Dislocating Patella Surgery

The Knee-cap (Patella) can dislocate during an injury, particularly in children and…

High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) : This is a joint conserving surgery for young and active people with…

Unicompartmental Knee Replacement

Older and less active patients who have severe unicompartmental knee

Total Knee Replacement

Rough and damaged cartilage surfaces in cases of knee arthritis are replaced with smooth artificial…

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