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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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OATS / Mosaicplasty01 Aug 2026

OATS vs microfracture for knee cartilage in athletes

OATS restores hyaline cartilage; microfracture produces fibrocartilage that degrades under athletic load. A ten-year prospective trial found OATS' durability advantage widened progressively over time, establishing it as the stronger choice for active patien...

John Davies

OATS / Mosaicplasty31 Jul 2026

When Ankle Cartilage Damage Needs OATS

Bone marrow stimulation fails for ankle cartilage defects exceeding 15 mm; OATS instead transplants native cartilage from the knee, preserving tissue integrity rather than accepting scar.

John Davies

ChondroFiller31 Jul 2026

ChondroFiller recovery at 12, 24 and 36 months

ChondroFiller is an ultrasound-guided collagen injection that triggers acellular matrix-induced chondrogenesis: the scaffold recruits the body's own progenitor cells, which mature into functional repair tissue over 12–36 months, with outcomes continuing to ...

John Davies

OCA30 Jul 2026

OCA for Large Osteochondral Lesions of the Talus

Microfracture—the standard repair for ankle cartilage injuries—fails above 15 mm diameter because it produces fibrocartilage, a scar tissue that deteriorates at 12–18 months under load. Fresh osteochondral allografts address this by transplanting living car...

John Davies

ChondroFiller30 Jul 2026

ChondroFiller and hyaluronic acid treat different problems

ChondroFiller, a collagen scaffold, triggers tissue repair in focal cartilage defects; hyaluronic acid restores synovial-fluid viscosity for lubrication. They work in separate anatomical compartments and address distinct clinical problems — one cannot subst...

John Davies

Cartilage Repair28 Jul 2026

Can Cartilage Repair Delay a Knee Replacement?

Articular cartilage has no capacity to repair itself; lesions larger than roughly 1 cm² progressively spread and accelerate osteoarthritis. Cartilage repair can delay knee replacement by many years, but only in appropriately selected patients—typically youn...

John Davies

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