Diagnosis
Assessment combines examination and appropriate radiographs, with MRI used to characterize cartilage defects, subchondral bone and associated injuries.
Non-operative treatment
Activity modification, rehabilitation, weight optimization and treatment of mechanical contributors may be appropriate for many symptomatic lesions.
Surgical options
Selected patients may be candidates for debridement, marrow stimulation, osteochondral procedures or other cartilage restoration strategies.
Treat the mechanical environment
Successful cartilage restoration may require correction of instability, meniscal deficiency or malalignment when these contribute to overload.
Rehabilitation
Rehabilitation varies substantially by procedure and may include protected weight bearing and controlled range of motion before progressive loading.
Frequently Asked Questions
Does every cartilage defect need surgery?
No. Treatment depends on symptoms, lesion characteristics and the overall mechanical environment of the knee.
Can cartilage become completely normal again?
Some procedures can improve the joint surface and symptoms, but the biology and quality of repair tissue vary by technique and condition.
Individualized Care
Treatment recommendations depend on symptoms, examination, imaging, activity demands and patient goals rather than any single test result.