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Bob's ACL WWWBoard

Re: Microfracture concerns

Posted By: drmark
Date: Tuesday, 13 May 2008, at 3:29 p.m.

In Response To: Re: Microfracture concerns (p-dubs-uw)

> drmark,

> What do you do when you see articular cartilage damage in a
> knee?

It depends on where the lesion is. In the patella, and rehab and suppliments are not sucessful, I do an anteriorization or anteromedialization of the tibial tubericle. In the medial or lateral joint compartments, if there is a deformity, I do an tibial or femoral osteotomy to correct the deformity. If there is no deformity, (which is the case most of the time), I just do rehab, and put the patients on chondral support medications.

I have not been convinced that mirofracture, or ACI is worth the trouble. I have only minimal experience with OATS, don't believe it is indicated for chondral disease of the patella.

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