Surgical treatment for early osteoarthritis. Part I: Cartilage repair procedures

A. H. Gomoll, G. Filardo, L. de Girolamo, J. Esprequeira-Mendes, M. Marcacci, W. G. Rodkey, R. J. Steadman, S. Zaffagnini, E. Kon

Research output: Contribution to journalArticle

Abstract

Young patients with early osteoarthritis (OA) represent a challenging population due to a combination of high functional demands and limited treatment options. Conservative measures such as injection and physical therapy can provide short-term pain relief but are only palliative in nature. Joint replacement, a successful procedure in the older population, is controversial in younger patients, who are less satisfied and experience higher failure rates. Therefore, while traditionally not indicated for the treatment of OA, cartilage repair has become a focus of increased interest due to its potential to provide pain relief and alter the progression of degenerative disease, with the hope of delaying or obviating the need for joint replacement. This review of cartilage repair techniques will discuss currently available procedures, specifically pertaining to experiences in the setting of early OA. Level of evidence IV.

Original languageEnglish
Pages (from-to)450-466
Number of pages17
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume20
Issue number3
DOIs
Publication statusPublished - Mar 2012

Keywords

  • Cartilage repair procedures
  • Early osteoarthritis
  • Knee
  • Surgical treatment

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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