What are the alternatives to knee replacement in younger people?
A. Where suitable, I do perform cartilage surgery by arthroscopic and open methods. Abrasion chondroplasty and microfracture are arthroscopic procedures. Autologous cartilage implantation is suitable for small to medium areas of cartilage loss. In this your own cartilage cells are removed, cultured and put back in a damaged area of your knee. An osteotomy is advisable you have mal alignment; if your job is strenuous and the cartilage wear is one sided only (Seen on weight bearing x rays).
