Orthopaedics – Surgeries – Treatment
Elbow Condition Treatment
Cartilage Transplantation
Articular cartilage is a smooth, soft tissue that lines the joints, allowing for fluid movement and shock absorption. When the cartilage wears down, it can result in pain, swelling, friction between the bones, and, in more severe cases, the formation of loose bodies within the joint. Patients typically seek medical evaluation due to pain and limited mobility. Magnetic resonance imaging (MRI) is crucial for an accurate diagnosis, as it determines the extent and causes of the damage, as well as the stability of the joint. Depending on the severity of the lesion (Outerbridge scale 1–4), the appropriate treatment is selected.
Therapeutic options:
- Conservative Approach: In the early stages, anti-inflammatory medications, physical therapy, hyaluronic acid, or PRP (platelet-rich plasma) are used.
- Arthroscopic Technique: In cases of larger lesions, this involves debridement of unstable fragments, removal of loose bodies, and microfracture repair.
The procedure is performed under general anesthesia or regional nerve block and typically lasts a few hours. The surgeon removes the damaged tissue, prepares the bone surface, and places a cartilage graft as needed. Postoperatively, the patient usually remains in the hospital for one day, although same-day discharge is possible in some cases. Recovery involves physiotherapy and specific exercises to prevent joint stiffness.
Possible Complications:
Infection, graft loosening, or nerve injury are rare but possible complications. If further cartilage degeneration occurs over time, revision surgery or even joint replacement may become necessary. For this reason, it is crucial that the procedure is performed by a specialized surgeon, such as Dr. Sahinis.
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