Cartilage Repair-Compare and Contrast

TREATMENT	ADVANTAGES	DISADVANTAGES
Arthroscopic Shaving or Debridement	minimally invasive cost-effective short rehabilitation time	recurring symptoms shoulder instabliity chronic deterioration
Microfracture	cost-effective technically feasible clinical data: Dr. Steadman reported improvements in function and symptoms of 75% of patients, average 7 years post operation (n=485) (Steadman-Hawkins Clinic)	does not reliably produce hyaline cartilage restriction of mobility lack of strength leading to instability
OATS	high survival rate of articular chondrocytes hyaline cartilage characteristics	donor site morbidity long rehabilitation articular surface injury due to plug implantation leading to inflammation and joint mobility restriction
Osteochondral Allografts Resurfacing	high survival rate of articular chondrocytes hyaline cartilage characteristics	immunological reaction and disease transmission cell viability and fixation problems limited supply of grafts long rehabilitation articular surface injury due to plug implantationleading to inflammation and joint mobility restriction
ACI/ACT	hyaline cartilage repair and characteristics autologous cell implantation less post-restriction in range of motion one time treatment	restricted activity for 1 year to allow cell integration expensive two surgeries

Cartilage Repair