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Cartilage repair and joint-preserving procedures

18 articles

Acetabuloplasty

Acetabuloplasty is a pelvic osteotomy that reshapes or augments the hip socket to improve femoral head coverage in children and young adults with acetabular dysplasia.

Arthrolysis

Arthrolysis is a surgical procedure that releases scar tissue, adhesions, and contracted capsule around a stiff joint, most often the elbow or knee, to restore motion.

Artificial cartilage hydrogel

An artificial cartilage hydrogel is a water-rich, crosslinked polymer network engineered to replace or regenerate articular cartilage in joints; a 2022 Duke gel was the first to exceed cartilage's strength.

Autologous chondrocyte implantation

Autologous chondrocyte implantation (ACI) is a two-stage cell-based surgery that repairs cartilage defects, chiefly in the knee, first reported in humans by Brittberg and colleagues in 1994.

Bone marrow stimulation

Bone marrow stimulation (BMS) is an arthroscopic surgical technique used for focal defects in the knee and ankle, involving drilling through the subchondral bone to release marrow cells.

Capsular release

Capsular release is a surgical procedure, usually performed arthroscopically, that cuts a contracted joint capsule to restore range of motion and reduce pain, most often for frozen shoulder.

Chondroplasty

Chondroplasty is an arthroscopic surgical procedure that smooths damaged joint cartilage to relieve pain and improve function; it is palliative and does not restore cartilage.

Core decompression

Core decompression is an orthopedic operation that drills channels into the femoral head to relieve pressure and preserve the joint in early-stage avascular necrosis, with a pooled success rate of 65%.

Glenoid reconstruction

Glenoid reconstruction is a family of shoulder operations that restores the anteroinferior glenoid rim with a coracoid transfer or bone graft, such as the Latarjet procedure, to stabilize recurrent anterior instability.

Labral repair

Labral repair is a surgical procedure, usually arthroscopic, that reattaches a torn labrum to its bony attachment in the hip or shoulder rather than removing it.

Matrix-induced autologous chondrocyte implantation

Matrix-induced autologous chondrocyte implantation (MACI) is a two-stage cartilage repair technique in which a patient's own cultured chondrocytes are implanted on a collagen membrane, mainly for knee defects.

Meniscal repair

Meniscal repair is an arthroscopic knee procedure that sutures a torn meniscus in place rather than removing it, preserving load-sharing tissue and slowing joint degeneration.

Meniscectomy

Meniscectomy is a surgical procedure that removes part or all of a damaged knee meniscus, most often arthroscopically, to relieve pain and mechanical symptoms like locking.

Meniscus root repair

Meniscus root repair is an arthroscopic technique that reattaches a torn meniscal root to its tibial insertion, most often the medial meniscus posterior root, introduced in 2006.

Mosaicplasty

Mosaicplasty is a surgical technique that repairs cartilage and bone defects, mainly in the knee and talus, by transplanting small plugs of healthy tissue from the same joint.

Partial meniscectomy

Partial meniscectomy is an arthroscopic knee surgery that removes only the damaged portion of a torn meniscus, performed over 500,000 times a year in the United States.

Subchondral Arthroplasty

Subchondral arthroplasty (Arthroplasty, Subchondral, MeSH D054544) is the group of marrow-stimulation surgeries, abrasion arthroplasty, subchondral drilling, and microfracture, that perforate subchondral bone to fill cartilage defects with fibrocartilage.

Viscosupplementation

Viscosupplementation is the injection of hyaluronic acid into a joint, most often the knee, to relieve osteoarthritis pain; it is widely used despite most guidelines recommending against it.