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Instr Course Lect. 2010;59:157-80.

Current strategies for nonsurgical, arthroscopic, and minimally invasive surgical treatment of knee cartilage pathology.

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  • 1Department of Orthopaedics, North Shore-Long Island Jewish Medical Center, Manhasset, New York, USA.


The current approaches to treating articular cartilage defects in the knee comprise a spectrum from pharmacologic therapies to total knee arthroplasty. Nonsurgical treatment can include anti-inflammatory medications, bracing, and physical therapy. Surgical treatments include reconstructive repair of a small or large defect using microfracture, osteochondral autograft transplantation, autologous chrondrocyte transplantation, or osteochondral allograft transplantation; realignment procedures including osteotomies; and unicompartmental arthroplasty. A comprehensive algorithm can be used to determine the appropriate treatment for knee defects.

[PubMed - indexed for MEDLINE]
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