Cartilage Damage in Knee

Knee Cartilage Problems?

Knee Cartilage & Meniscus

When cartilage becomes damaged or deteriorates, it limits the knee’s normal movement and can cause significant pain. If cartilage damage is not treated, it can worsen and eventually require knee replacement surgery.

There are two types of cartilage in the knee:

With injury or normal aging, the articular cartilage can wear away. This often begins as a crack or fissure known as chondromalcia and can progress to exposed bone.

Dr. Goradia’s goal is to treat patients’ knees with the least invasive approach possible.

As such he is one of few orthopedic surgeons in the U.S. to offer Stem Cell  and PRP injections in the office.

Cartiform

Cartiform® Cartilage Transplant

 

If surgery is needed, he offers the latest techniques including BioCartilage® and Cartiform®.

What Are Knee Cartilage Damage Symptoms?

Common symptoms include:

  • Swelling
  • Catching, locking, giving-way
  • Grinding
  • Inability to fully straighten or bend knee

A patient may have one symptom or all of them. And it’s quite common for meniscus or cartilage injury symptoms to vary from day to day.

How Is Knee Cartilage Damage Diagnosed?

Knee cartilage damage or chondromalcia may be diagnosed through a careful medical history, a thorough physical examination and X-rays. Although chondromalcia and meniscus tears are not visible on x-rays, the x-ray can provide important information regarding arthritis, fractures and osteochondral defects (a more severe cartilage injury that also damages the underlying bone). If the x-rays are normal, a MRI can be ordered to show chondromalcia or a meniscus tear.

Severe cartilage damage can progress to arthritis which can be diagnosed with x-rays.

Knee Cartilage Damage Treatment – The Latest Technology

Dr. Goradia is trained in the the latest technologies in knee cartilage surgery to provide the best possible treatment to patients including:

  • BioCartilage (Arthrex Inc., Naples, FL) – Small particles donor cartilage are mixed with the patients’ blood to create a paste-like material that is placed over the defect. BioCartilage is a tissue scaffold that your body’s cells can attach to and produce new reparative cartilage tissue in the defect.
  • Cartiform (Arthrex Inc., Naples, FL) – Another technology in which a small “patch” of cartilage is inserted into the patients’ cartilage defect to stimulate new growth.

Chondroplasty

  • This is the most common treatment for damaged articular cartilage. When loose areas repeatedly catch, small flaps become larger flaps over time. These loose pieces can be removed and the damaged cartilage smoothed. It is impossible to make the damaged cartilage completely smooth like normal cartilage but the goal of this procedure is to reduce pain and slow down the progression of cartilage damage.

Microfracture

  • Microfracture is a treatment used to stimulate the body to grow fibrocartilage in an area of damage. It requires only one surgery and can be completed entirely arthroscopically. It does not grow normal cartilage but can provide good short term results.

Osteochondral Grafting

  • With this technique, the damaged cartilage is replaced with a plug (graft) of cartilage and bone known as an osteochondral graft. This graft can come from the patient’s own tissue(autograft) or from a cadaver (allograft).

Autologous Chondrocyte Implantation (ACI)

  • This is the most complex technology currently in use. In this two-step procedure, cartilage cells are harvested in the first surgery and re-implanted in the second.
  • The second surgery is a traditional open surgery and not arthroscopic so it is more invasive. After surgery there is an extensive period of recovery and rehabilitation.

Diffuse Chondromalcia (also known as Knee Arthritis)

  • If you have large area of cartilage thinning and damage, this is known as osteoarthritis or degenerative joint disease. A chondroplasty may be an option if you experience swelling, catching and giving-way. The arthritis however cannot be removed.  If symptoms persist, other options for treatment include medications, injections, bracing and ultimately joint replacement.
  • As technology has improved, there are customized options for robotic partial or computer guided total knee replacement including MAKOplasty® robotic advanced technology for minimally invasive knee surgery. Dr. Goradia is one of only three orthopedic surgeons in Central Virginia who utilize this technology.

 

See What Dr. Goradia’s Patients Say About Their Treatment


Karen McCormick

Dr. Vic Goradia

“At first, I went to an orthopedic practice close to home. I felt more like a number than a patient.

A close friend recommended I see Dr.Goradia for a second opinion. The great staff and personalized treatment I received at Dr. Goradia’s office made the drive to see him worth it.

After having knee surgery with Dr.Goradia, I am back on my exercise bike.”

See more Patient Success stories here.

Why G2 Orthopedics and Sports Medicine?

Whether working with recreational athletes, injured workers, or any other individuals, Dr.Goradia provides each patient with the quality of care given to professional athletes.

Dr. Goradia is a leading knee and shoulder specialist and one of the first U.S. orthopedic surgeons to be certified in sports medicine as a subspecialty.

When you come to Dr. Goradia you don’t get shuffled among various doctors or PA’s. You are personally treated by Dr. Goradia whose expertise and orthopedic success is extensive.