What is cartilage and why does it matter?
Articular cartilage is the covering on the ends of bones which allows them to smoothly glide past one another during movement. This cartilage acts as a cushion and takes stress off of the underlying bones. While cartilage damage itself does not cause pain, it does result in increased stress on the underlying bone and inflammation in the joint. These two consequences can result in a significant amount of pain.
Depending on the extent of damage, the patient’s age, and the presence of additional injuries to the joint, Dr. Burrus has several treatment options.
How is it treated?
The recommendations to avoid surgery can include weight loss, physical therapy, anti-inflammatory medications, specialized knee braces, steroid injections, hyaluronic acid injections (also known as gel, cushion, or rooster comb injections), platelet-rich plasma (PRP) injections, and stem cell injections.
To repair, replace or restore articular cartilage, there are multiple options which must be individualized to each patient. Whereas sometimes a simple clean-out surgery will help alleviate the symptoms, there are multiple more restorative options which each have very specific criteria. Dr. Burrus has specialized training and experience with these options and will be able to help make the right decision for each patient.
Cartiform® Viable Osteochondral Allograft
Cartilage Repair with Arthrex® BioCartilage®
Microfracture with Arthrex® PowerPick™
BioUni® OATS® Surgical Technique
Intrasseous BioPlasty® (IOBP) Surgical Technique – Direct Approach
HTO with Arthrex® iBalance® HTO
How MACI Works