Can patellar chondral defects be treated without surgery?
Although there are many surgical techniques to treat patellar chondral defects, there are several non-operative approaches that patients can pursue to treat this condition. Oftentimes, weight loss is suggested to reduce the stress placed on the knee joint. Physical therapy is another great option. Physical therapy can help to increase knee range of motion, promote the lower extremity strengthening, and decrease knee swelling. Articular cartilage cannot heal itself or regrow. However, increasing leg muscles strength can reduce the pain and damage caused by the lack of cartilage. Medications such as NSAIDs (non-steroid anti-inflammatory drugs) are also often prescribed for pain relief.
In some cases, patella chondral defects cause great pain and severely reduce mobility to a degree that non-operative measures are not effective. In such circumstances, surgery it typically recommended as a means of helping patients return to their normal activities. Dr. Williams may perform one of the following surgical procedures:
- Joint arthroscopy with debridement
- Osteochondral autograft transplantation (mosaicplasty)
- Osteochondral Allograft Transplantation
- Particulate Juvenile Articular Cartilage Implantation
- Autologous Chondrocyte Implantation (ACI)
- Tibial tubercle osteotomy