Articular Knee Cartilage Stabilisation & Debridement
WHAT IS ARTICULAR CARTILAGE STABILISATION & DEBRIDEMENT?
Arthroscopic debridement is the surgical management of progressive arthritis, mechanical knee symptoms and synovitis. The procedure aims to relieve knee pain by debriding mechanical irritants that inhibit knee function and reduce the production of cytokines.
Normally, the procedure is carried out with the patient in the supine position. Anaesthetic is administered to help keep the patient calm while the orthopaedic surgeon examines and treats the knee. Prior to the primary procedure, a diagnostic knee arthroscopy is performed to view all the knee compartments (the medial and lateral gutters, the suprapatellar pouch, the lateral and medial joints, the femoral notch and the posterolateral and posteromedial joints) in great detail.
Various stabilisation & debridement procedures exist, such as the following:
- Bone Marrow Stimulation
Bone marrow stimulation is a simple yet efficient way to resolve minor cartilage and bone (chondral) defects in patients with tiny lesions younger than forty years without specialised surgical tools. Once the joint is cleared, bone marrow stimulation is performed. As a result, Dr Vardi creates a bleeding bed and injects BioCartilage to fill the osteochondral lesion. - Osteochondral Grafting
Osteochondral grafting is a surgical procedure to rejuvenate damaged articular cartilage. Articular cartilage converges the tips of the bones allowing smooth, gliding motion of the joints- however, when the cartilage becomes damaged, the texture of the surface changes, causing it to become rough.
Once the inside of the damaged cartilage is identified, Dr Vardi removes the underlying bone in a similar fashion to how you core an apple. Then, a replacement core (graft) is removed from another site in the knee or donor tissue is used to fill the hole. - Shaving and Coblation
Shaving and coblation involve smoothing and stabilising the injured articular cartilage surface. There’s a misconception that coblation wands burn cartilage tissue. However, coblation chondroplasty offers tidier results than an arthroscopic shaver. - Plasma Stabilisation
Platelet-rich plasma regenerates damaged cartilage by stimulating the production of collagen. As a result, PRP therapy is created to stimulate the natural healing process by regenerating injured cartilage.
Frequently Asked Questions
- Meniscal symptoms
- Loss of ligamentous stability
- • Bony loose bodies or osteophytes