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Clinical Considerations and Joint Preservation Principles in the Management of Patients with Symptomatic Chondral Lesions

  • 1Department of Orthopedics and Rehabilitation, University of Wisconsin Madison, 4602 Eastpark Boulevard, 3rd Floor, Madison, WI 53718, USA.
  • 2Midwest Orthopaedics at Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA.
  • 3Midwest Orthopaedics at Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA. Electronic address: brian.cole@rushortho.com.
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June 13, 2025

Abstract

Focal articular cartilage injuries of the knee are common and can be challenging to manage. To appropriately counsel and indicate patients for treatment, having a complete understanding of a patient's symptoms, goals for treatment, activity level, physical examination, and imaging findings is critical. Conservative measures, including activity modification, anti-inflammatory medication, physical therapy, and injections can result in substantial symptom relief. Reoperation after cartilage procedures is common and should be discussed preoperatively. Similarly, a successful outcome may be associated with incomplete pain relief or functional return. Treatment paradigms will continue to evolve as techniques improve and novel technologies are investigated.

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