Table 2.
Strategies for good results from chondral lesions, according to Farr et al.(59), treatment recommendations based on lesion size, according to Jones and Peterson(58)
Technique | Good results Farr et al (59) | Poor results Farr et al (59) | Lesion size Jones and Peterson (58) |
---|---|---|---|
Microfracture | Age < 40 years Focal lesion Femoral condyle Lesion < 4 cm2 | Age > 40 years Multiple lesions Patellar lesion Lesion > 4 cm2 | 1-2.5 cm2 |
Mosaicplasty | Femoral lesion < 2.5 cm2 | Patellar lesion Bipolar lesion Lesion with bone loss | 1-2.5 cm2 |
Allograft osteochondral transplantation | Lesion with bone and chondral loss Large diffuse lesions | Bipolar lesion Diffuse osteoarthritis | > 4 cm2 |
Chondrocyte culturing | Chondral lesion > 2 cm2 | Extensive lesions Bipolar lesion | > 2 cm2 |