athletes. College players. Energetic exercisers. Spirited seniors.
Whether you're a "weekend warrior" or a fitness fanatic, the more active
you are in sports and exercise, the greater the possibility of getting
From the delicate bones in your hands to the tendons in your feet—and
all the ligaments, cartilage, muscles and joints in between—the Orthopedic
Center at Bryn Mawr Hospital in the Philadelphia suburbs can get you
back on track should an injury put you on the sidelines.
If you are injured, the important first step is to seek medical
attention from a physician or trainer. Many problems can be resolved
with nonoperative treatments, such as medications, splinting, taping and
physical therapy. Should you need surgery, however, Bryn
Mawr's team of orthopedists are specialists in getting athletes
back to active.
Knee injuries are common among amateur and professional athletes alike.
Cartilage restoration, one of the most significant advances in
orthopedic surgery since joint replacement, offers an alternative to
simply living with knee pain.This treatment utilizes techniques to
preserve, repair and replace damaged knee cartilage. The significant
advantage is that natural biological methods are used instead of
replacing the damaged knee cartilage with metal and plastic .Active
people under age 50 who have cartilage injuries may be good candidates
for cartilage restoration. Treatment depends on the extent of the
damage, the patient's age and his or her level of activity.The Cartilage
Restoration Program at the Bryn Mawr Hospital Orthopedic Center in the
Philadelphia suburbs uses advanced technology and biological engineering
to treat articular cartilage and meniscus cartilage injuries of the
knee. Our goals are to repair damaged cartilage, resolve pain and
Anatomy of the Knee
Cartilage is the tough, fibrous tissue that provides cushioning
where bones come together to form the body's joints. There are two types
of cartilage in the knee, both of which are prone to injury. The
meniscus cartilage are the cartilage rings inside the knee that function
as a cushion between the bones. The articular cartilage is the lining
that covers the ends of the bones and provides a smooth gliding surface.
Injury to either type of cartilage can cause considerable pain.
Cartilage restoration may help restore the function and alleviate
symptoms from injuries to both types of knee cartilage.
What Is Cartilage Restoration?
Cartilage restoration is one of the most significant advances in
orthopedic surgery since total joint replacement and arthroscopy. The
procedure is performed by an orthopedic surgeon who specializes in
restoration techniques to preserve, repair and replace cartilage. The
surgeon may repair an injury or recontour areas of wear and tear to
resolve pain, restore function and possibly delay the progression of
arthritis. Replacement techniques are also available in which actual
donor cartilage (your own cartilage or donated tissue) is grafted to the
Good candidates for cartilage restoration are active people under age 50
who have cartilage injuries or diseases and are at risk for premature
arthritis. The exact procedure that is most beneficial to you will be
determined by your age and the extent of cartilage damage you have
Cartilage Restoration Techniques
Autologous chondrocyte implantation: Healthy
cartilage cells are harvested from your own knee. These cells
are then cultivated and implanted in the area of the damaged or
Osteochondral autografting: A plug of bone and
healthy cartilage is harvested from one area and transplanted to
the injury site.
Osteochondral allografting: This procedure is
used for larger injuries and requires a cartilage graft from a
Meniscus transplantation: Surgeons can now
replace the meniscus with donor cartilage. The donor tissue
functions as your own to restore the cushion and stability of
the knee joint.
Cartilage Repair Techniques
Articular cartilage repair: In this
arthroscopic procedure the surgeon repairs the site of damaged
cartilage by reattaching the piece of loose cartilage, usually
with pins or screws.
Microfracture: This procedure is used to
stimulate new growth when bone has been exposed by the cartilage
loss. Tiny holes are created in the bone, which leads to the
formation of a cartilage repair tissue.
Meniscus Repair: Our specialists can repair a
damaged or torn meniscus arthroscopically by securing the tear
with sutures to preserve its function.
Procedures for Established Arthritis
If you have established arthritis, your orthopedist may recommend an
alternate procedure to cartilage restoration, such as:
Viscosupplementation: The knee joint is
injected with a lubricating substance that helps to alleviate
pain and restore function.
Osteotomy: A wedge of bone is added or removed
to realign the knee joint and take pressure off of the damaged
Partial knee replacement: The damaged side of
the knee joint is reconstructed to delay or avoid the need for a
total knee replacement.
Total knee replacement: This procedure to
reconstruct the entire knee joint remains the most effective and
lasting treatment for advanced arthritis.
Bryn Mawr Hospital Orthopedics
1.866.CALL.MLH or 484.580.1000
Bryn Mawr Hospital Orthopedic Center 130 South Bryn Mawr Avenue
Bryn Mawr, PA 19010
For more information, call 1.866.CALL.MLH.