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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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Cartilage Repair05 Aug 2026

Does Cartilage Repair Surgery Actually Prevent Knee Replacement?

Nine of ten appropriately selected patients with focal cartilage injuries avoid total knee replacement after cartilage repair over a decade, provided the defect is isolated and the joint otherwise sound.

John Davies

Joint Preservation04 Aug 2026

HTO or partial knee replacement for medial knee OA

High tibial osteotomy redirects load by reshaping bone; partial knee replacement resurfaces the medial compartment with artificial components—the choice between them depends on cartilage status more than age.

John Davies

ChondroFiller04 Aug 2026

Ultrasound-guided ChondroFiller for hip cartilage damage

Hip injections guided by landmark technique miss the target 28–30% of the time; ultrasound guidance achieves 100% accuracy. For ChondroFiller — a collagen scaffold that gels irreversibly within minutes — off-target placement cannot be corrected.

John Davies

ChondroFiller03 Aug 2026

ChondroFiller Injection Cost and NHS Availability

ChondroFiller costs £3,000 to £8,000 depending on defect size and is unavailable on the NHS, as no NICE technology appraisal has been published.

John Davies

OCA03 Aug 2026

OCA transplant outcomes for posttraumatic knee damage

Fresh osteochondral transplants achieve 99% graft survival at ten years in young patients with isolated posttraumatic knee defects, but survivorship falls to 60% by twenty-five years in broader populations.

John Davies

ACI / MACI / STACI02 Aug 2026

When MACI Is the Right Cartilage Repair Choice

MACI produces hyaline-like repair tissue through cell culture and seeding, achieving ten-year survival and satisfaction rates of 75–90%, compared with simpler repairs that typically degrade within three years.

John Davies

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