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Online ISSN 1827-1707
ORTHOPEDIC SPORTS MEDICINE
Gobbi A.1, Karnatzikos G. 1, Malchira S. 1, Turgeon D. 2
1 O.A.S.I. Bioresearch Foundation, Gobbi N.P.O., Milan, Italy
2 Texas Health, Presbyterian Hospital, Dallas, TX, USA
Articular cartilage injury in the athlete’s knee presents a difficult clinical challenge and has been identified as an important cause of permanent disability because of the high mechanical joint stresses in athletes. Management of chondral defects in the athlete is complex and multi-factorial. Various techniques have been developed to treat this injury and research is still going on to improve the outcome. The techniques vary from intra articular injection of viscosupplements and platelet-rich plasma to more invasive techniques like ACI, OATS, MACI and microfracture. More recently the role of bone marrow derived mesenchymal stem cells is being extensively explored with early good results. Irrespective of the technique used the role of good post operative rehabilitation cannot be over emphasised. There is little high-level evidence to support one procedure over another, although good short-term and midterm outcomes with a fair rate of return to pre-injury level of sports can be achieved with cartilage repair and restoration in the athlete.