The management of articular cartilage lesions is currently the most researched topic in knee surgery.  It is often associated with a history of trauma or previous knee surgery.  Patients often complain of pain and swelling.  The investigation of choice is a MRI.  



Treatment depends on the size of the defect, the age of the patient, mechanical malalignment and other associated injuries.  The indications for this complex surgery are limited. Surgery will not be done if you have any co-morbidities (smoking, obesity, malalignment, ligamentous laxity, osteoarthritis or inflammatory conditions).


Surgical options are:

  • Debridement
  • Microfracture
  • Osteochondral allograft or autograft transplantation
  • Autologous chondrocyte implantation.

Your doctor will examine you and discuss the best treatment option for you.