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plen 01506 333 129 Mon - Sat: 8.30 - 17.00
Broom House, Quarrywood Court, Livingston EH54 6AX

Articular Cartilage – Wear Syndrome

Articular Cartilage – Wear Syndrome

Each joint in our body has articular cartilage, which – separated by synovial fluid – is in contact with the articular cartilage lying opposite. The articular cartilage slips, causing the joint to work smoothly within the range of its mobility.

Articular cartilage is found in every joint, both in small joints (e.g. finger and wrist joints) and large joints (knee, hip, shoulder). Normal articular cartilage consists of 3 layers.

These are:

  • Vitreous cartilage (hyaline cartilage),
  • Fibrous cartilage (fi broid cartilage),
  • Layer under the cartilaginous (perichondrium),
  • The next layer below is bone.

The main overload condition affecting articular cartilage is cartilage wear syndrome. In addition, a separate group are traumatic fractures, the treatment of which contains many significant differences.

The severity of articular cartilage wear syndrome was classified according to the American Outerbridge scale (I, II, III, IV), currently it is still used, but from the point of view of the development of medical science – somewhat anachronistic.

Currently, classifications according to the International Cartilage Regeneration & Joint Preservation Society (ICRS: www.cartilage.org) are used as a standard. It is an extended, 9-level scale – as a conceptual development of the Outerbridge scale: IA, IB, II, IIIA, IIIB, IIIC, IIID, IVA, IVB.

Treatment of articular cartilage is carried out in the following teams:

  • A doctor very well versed in modern standards of treatment,
  • An experienced physiotherapist, whose task is in the second part of the treatment – to develop static and dynamic stabilization of the joint / joints,
  • Orthopedic nurse dealing with intravenous drips in the team – strong regenerators of articular cartilage (of course, only with high cartilage degenerations).

In causal treatment, we can use:

  • Hyaluronic acid – is a medical preparation that builds synovial fluid, only indirectly can regenerate, so its use is limited to temporary treatment; is very effective in the treatment of cartilage pathologies in children and adolescents and the elderly with cartilage at IVA, IVB levels, whose clinical condition is better than the MRI image and who want to avoid surgery – joint replacement,
  • Orthobiological treatment – which could be divided into two segments – treatment in the conditions of the clinic (clinic), PRP or in the operating room. Arthroscopic repair techniques of articular cartilage engineering (transposition of cartilage from outside the pressure zones, treatment with mesenchymal cells (MSc) taken from bone marrow, umbilical cord blood – Wharton’s jelly, stromal cells (SSc), Lipogems (fat derived cells) treatments and many others – including the best results always gives combination treatment), almost always physiotherapy and restorative drip infusions.

The ultimate effect that the therapy strives for is to obtain new, multimillion, undamaged cartilage cell cultures. It is very useful to administer liquid collagen of good quality (alone, with hyaluronic acid or PRP).

The objective effect of orthobiological treatment should be documented by MRI examination after about a year.

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