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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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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

ChondroFiller28 Jul 2026

Why ChondroFiller injection comes before knee surgery

Many patients with focal knee cartilage defects do not require surgery; ChondroFiller injection is appropriate first-line treatment, providing a collagen scaffold that recruits the body's own progenitor cells to lay down new cartilage over six to twelve mon...

John Davies

OATS / Mosaicplasty27 Jul 2026

OATS for Hip Cartilage Repair

OATS transplants healthy cartilage and bone from a low-load hip region into a focal defect, restoring durable hyaline cartilage rather than the fibrocartilage that develops after marrow-stimulation procedures.

John Davies

ChondroFiller27 Jul 2026

Ultrasound guidance for ChondroFiller hip injection

ChondroFiller's collagen scaffold attracts progenitor cells to repair cartilage, but only if placed directly over the lesion—a requirement real-time ultrasound guidance confirms, whereas unguided hip injections miss their target in up to 30% of cases.

John Davies

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