Knee Surgery



What is articular cartilage?

Articular cartilage is the tissue that covers the ends of bones and providing a joint surfaces forming a smooth,provide sliding structure smooth movement of the joint surfaces from one to another. Through the cartilage surface pressure, distributed friction force is minimized.

What are the findings of the joint cartilage problems?

Initially, pain isn’t felt in articular cartilage defects. The reason is the lack of nerve endings of the cartilage tissue. If there is a major damage in the articular cartilage and underlying bone, pain is felt at that time. Cartilage damage levels are classified into 4 groups: Grade 1: articular cartilage softening, Grade 2: superficial cracks in articular cartilage, Grade 3: deeper damage to the articular cartilage, craters, Grade 4: articular cartilage damage occurs following bone.The broken parts free of cartilage in the Grade 4 cartilage damage, joints that wandering crashes and cause pain and cartilage abrasion.

How to diagnose problems in the Knee Cartilage?

In the knee joint cartilage problems,evaluate the patient’s main complaint helps to understand the reason of pain. How long you feel pain?What is the positions that increase and decrease pain?Is the reason of pain are activities or rest?The orthopedics can expose anatomic disorders and sensitivity of pain areas in the examination.The Radiographs and MR examines can spot the lesions area and level in the joint cartilage lesion suspected patients.

What are the reasons of the joint cartilage disease?

The joint cartilage problems oftenly seen in patients who has knee sprain and direct trauma during the sport activity. Other than that, the property of traffic accidents and  advanced age patients with impaired cartilaginous damage to the cartilage in the knee sprains entail joint disorders. Also supply to the bone under the cartilage breaks down when the index because of mechanical disorders of the joint surface cartilage problems in patients with load distribution is disrupted.

How to cure the problems of Knee Cartilage?

The most important problem of articular cartilage defects of cartilage synovial fluid is fed only with the help of a vascular structure and the lack of feeding. There is no self-renewal property of damaged articular cartilage. Type of cartilage called articular cartilage consists of hyaline cartilage. Type of cartilage called fibrocartilage is composed of a case of damage on the inside with the non-characteristics of this type of cartilage is hyaline cartilage.

In treatment planning, cartilage damage, size and level are scheduled according to the cause. In supporting cartilage and cartilage defects with mild exercise,drugs may be enough. If you have a condition that causes damage to the cartilage,first thing that you are going to do is removing. For example, the current meniscus tear, loose body in the knee, the knee cap allowed for cartilage damage problems such as deliberately turned the primary problems are treated primarily with arthroscopic surgery. Then exercise in patients with grade 1-2, grade 3 lesions in the mouth cartilage support is recommended medications and physical therapy applied to intra-articular injections that we call viscosupplements. Grade 4 call of bone lesions occur primarily regulated by the edges of the region arthroscopic cartilage damage. In patients under 30 years of age, and the resulting bone under the cartilage knee arthroscopy applied that method called microfracture. Generally, the areas under 2cm2 applied. Other than that, the load-bearing areas intact parts of the damaged areas from the index method call mosaicplasty cartilage hyaline cartilage repair by applying bone cylinders are provided. Other than that, the load-bearing areas intact parts of the damaged areas from the index method call mosaicplasty cartilage hyaline cartilage repair by applying bone cylinders are provided. Gained currency in recent times with the knee joint arthroscopic surgery method, which were taken from private laboratories, cartilage cell cultures produced an average of 6 weeks, a second operation is applied to the area of cartilage loss.

About the author

Prof.Dr. Seref Aktas