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Expert Orthopaedic Insights

Evidence-based articles from MSK specialists

Explore our latest guidance on joint health, sports injuries and personalised treatment pathways. All content is written and reviewed by our consultant specialists.

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OCA18 Jun 2026

Fresh osteochondral allograft for ankle lesions

Microfracture produces only a 3% success rate for ankle osteochondral lesions exceeding 15 mm in diameter. Fresh osteochondral allograft replaces cartilage and bone together and is indicated for lesions too large or structurally complex for simpler repairs ...

John Davies

ChondroFiller17 Jun 2026

ChondroFiller injection for thumb base cartilage damage

ChondroFiller is an injectable collagen scaffold that self-gels into focal cartilage defects at the thumb base, recruiting the patient's own progenitor cells to rebuild damaged tissue — treating the gap between pain-relief injections and joint replacement.

John Davies

ACI / MACI / STACI17 Jun 2026

ACI with HTO for medial knee cartilage repair

Varus malalignment creates a mechanical environment that undermines cartilage repair; combined ACI implantation and corrective osteotomy address both the tissue damage and the load concentration that drives it.

John Davies

OATS / Mosaicplasty16 Jun 2026

OATS mosaicplasty knee results at 10 years

OATS transplants mature hyaline cartilage to damaged knee surfaces; this tissue resists load-induced degeneration far longer than the fibrocartilage produced by microfracture, explaining superior 10-year durability.

John Davies

ChondroFiller16 Jun 2026

ChondroFiller or Arthrosamid for knee cartilage

ChondroFiller, a collagen scaffold, stimulates cartilage regeneration, whilst Arthrosamid, a permanent hydrogel, integrates into the synovial lining to reduce inflammation-driven pain. Because they address separate anatomical structures, both can be combine...

John Davies

Spine16 Jun 2026

Why your MRI might not explain your back pain

Most back pain resolves within six weeks without imaging; MRI detects abnormalities in 97 per cent of completely pain-free people, yet these structural findings fail to explain pain.

John Davies

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