What is chondral disease of the knee?
What is chondral disease of the knee?
A chondral defect refers to a focal area of damage to the articular cartilage (the cartilage that lines the end of the bones). An osteochondral defect refers to a focal area of damage that involves both the cartilage and a piece of underlying bone.
How is a chondral defect of the knee treated?
Cartilage transplant or autologous cultured chondrocytes (cartilage cells) on a collagen membrane [MACI] can be used to treat focal cartilage defects. This is a two-stage cell-based procedure, because it requires an initial arthroscopic procedure to harvest the cells (small biopsy from your cartilage).
What is partial thickness chondral loss?
Chondral Knee Injuries Grading Scale Grade II: This stage will present a partial-thickness defect with fibrillation (shredded appearance) or fissures (depressions) on the surface that do not reach the bone or exceed 1.5 cm in diameter.
What does partial thickness cartilage defect mean?
Partial thickness defects arise when only the articular cartilage layer is damaged; the degradation and loss of the ECM proteoglycans and collagen fibrous networks follow after the trauma.
How do you fix a chondral defect?
This treatment involves using the patient’s own cartilage cells. The patient’s articular cartilage cells are arthroscopically removed from the injured knee and grown outside the body in tissue culture. After a growth period of three weeks, a second surgical procedure is performed to implant these cells into the defect.
Do you need surgery for chondromalacia?
Purpose of Chondromalacia Surgery Chondromalacia surgery is generally not a first-line procedure for this medical diagnosis. Your healthcare provider will suggest less invasive options first: R.I.C.E (rest, ice, compress, elevate): This will be the first recommended treatment option for chondromalacia injuries.
Can a chondral defect heal itself?
A chondral defect usually occurs following an injury such as a blow to the knee or other joints. Cartilage does not repair by itself and therefore other treatment is needed.
What are the symptoms of cartilage damage in the knee?
Symptoms of cartilage damage
- joint pain – this may continue even when resting and worsen when you put weight on the joint.
- swelling – this may not develop for a few hours or days.
- stiffness.
- a clicking or grinding sensation.
- the joint locking, catching, or giving way.
Is a chondral defect arthritis?
Background: Focal chondral defects (FCDs) of the knee are believed to contribute to the development of osteoarthritis (OA), resulting in pain and dysfunction.
Do cortisone shots help chondromalacia?
As chondromalacia patella worsens, corticosteroid injections may be provided in an attempt to relieve pain symptoms.
Does chondromalacia require knee replacement?
The goal of the surgery is to help remove or fix damaged tissue and cartilage surrounding the knee. While there are less invasive options, these rarely will fix the underlying problem and you still may need surgery.
How do you know if you need knee surgery?
5 Signs You Might Need Knee Replacement Surgery
- Persistent or reoccurring pain.
- The pain prevents you from sleeping.
- You have difficulty doing daily activities including walking or climbing stairs.
- Your knees are stiff or swollen.
- Knee deformity — a bowing in or out of the knee.