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Steroid injections can weaken the patellar tendon and mask progressive damage; starting with eccentric loading exercises, then moving to ultrasound-guided PRP if conservative care fails, produces better outcomes.
Surgery for knee OA requires both functional signals — pain limiting daily activities — and structural evidence of cartilage loss on imaging; neither finding alone justifies the decision.
High tibial osteotomy shifts weight-bearing force from a damaged inner knee compartment to the outer one by realigning the tibia—preserving the native joint rather than replacing it. It suits younger, active patients seeking sustained physical capacity, accepting less predictable pain relief than...
ChondroFiller injection fills surface cartilage defects with a collagen scaffold that the patient's own cells repopulate; OATS transplants intact cartilage and bone plugs for deeper osteochondral lesions. The depth of damage determines which approach is appropriate.
An ultrasound-guided injection of ChondroFiller, a collagen scaffold, produced mean 32-point improvement on the IKDC functional score in patients with focal knee cartilage defects, with gains sustained at three-year follow-up.
Articular cartilage cannot regenerate. Microfracture repairs full-thickness defects with fibrocartilage, which weakens from two to three years onwards; OATS and mosaicplasty transplant the patient's own hyaline cartilage instead, providing mature tissue that integrates and outperforms marrow stim...
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