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Cartilage Preservation Techniques

Sports Medicine Service

Colorado Springs Orthopaedic Group

Sports injuries can happen to competitive athletes, active adults, weekend athletes, and anyone who enjoys staying physically active. Whether caused by an acute injury or repetitive stress, these problems can affect your performance and keep you from doing the activities you enjoy.

CSOG provides comprehensive sports medicine care for a wide range of injuries and conditions affecting the joints, muscles, tendons, and ligaments. Our specialists emphasize accurate diagnosis and individualized treatment, with options that may include rehabilitation, physical therapy, injections, minimally invasive procedures, and surgery when necessary.

Our approach is focused not only on treating the immediate injury but also on helping you safely regain strength, mobility, and confidence. The goal is to help you return to your sport or activity at the appropriate stage of recovery.

What are Cartilage Preservation Techniques?

Cartilage preservation techniques can be defined as surgical measures employed to restore deteriorating joint cartilage in order to prevent or delay joint replacement surgery such as knee and hip replacement.

Articular cartilage is the white tissue lining the end of bones where these bones connect to form joints. Cartilage acts as cushioning material and helps in smooth gliding of bones during movement. An injury to the joint may damage this cartilage which cannot repair on its own due to a lack of blood supply. Cartilage can be damaged with increasing age, normal wear and tear, or trauma. Damaged cartilage cannot cushion the joints during movement and the joints may rub over each other causing severe pain and inflammation (arthritis).

Cartilage preservation techniques help to preserve or re-grow existing cartilage, restore normal joint function, and prevent additional surgeries in the future. Arthritis can be delayed or prevented through cartilage preservation techniques.

Indications for Cartilage Preservation Techniques

Cartilage restoration is indicated for patients with cartilage deterioration or damage as a result of:

  • Repetitive use of the joint
  • Trauma or injury
  • Hormonal conditions, such as osteochondritis dissecans (OCD)
  • Congenital bone deformities
  • Degenerative joint conditions

Preparation for Cartilage Preservation Techniques

Preoperative preparation for cartilage preservation techniques will involve the following steps:

  • A thorough examination by your doctor is performed to check for any medical issues that need to be addressed prior to surgery.
  • Depending on your medical history, social history, and age, you may need to undergo tests such as bloodwork and imaging to screen for any abnormalities that could threaten the safety of the procedure.
  • You will be asked if you have allergies to medications, anesthesia, or latex.
  • You should inform your doctor of any medications, vitamins, or supplements that you are taking.
  • You should refrain from medications or supplements such as blood thinners, aspirin, or anti-inflammatory medicines for 1 to 2 weeks prior to surgery.
  • You should refrain from alcohol or tobacco at least a week before and 2 weeks after surgery.
  • You should not consume solids or liquids at least 8 hours prior to surgery.
  • Arrange for someone to drive you home after surgery.
  • A written consent will be obtained from you after the surgical procedure has been explained in detail.

Cartilage Preservation Techniques

Most cartilage restoration procedures can be performed arthroscopically, a minimally invasive surgery that involves making 2 to 3 small keyhole incisions around the joint using an arthroscope, a small flexible tube with a light and video camera at the end that enables your surgeon to view the inside of the joints and perform surgery. In certain cases, open surgery may be required to access the affected area requiring longer incisions. Your surgeon will discuss the best surgical options for you based on your condition. All procedures are performed under regional or general anesthesia.

Some of the most common procedures for cartilage restoration include:

  • Microfracture: Microfracture technique involves poking multiple holes into the subchondral bone below the cartilage with a sharp tool called an awl. This creates a blood supply to reach the damaged cartilage and stimulates the formation of new cartilage.
  • Drilling: In this method, a drilling instrument is used to create holes in the injured joint surface. Drilling holes creates a blood supply and stimulates the growth of new cartilage. Although the method is similar to microfracture, it is less precise, and the heat produced during drilling may damage other tissues.
  • Abrasion Arthroplasty: This procedure is similar to drilling, but a high-speed metal-like object is used to remove the damaged cartilage instead of drills or wires.
  • Osteochondral Autograft Transplantation: This is a procedure in which healthy cartilage tissue is taken from a non-weight bearing part of the bone and placed into the defect area creating a smoother surface on the cartilage of the joint. This procedure is done for smaller defects and can be performed with arthroscopic technique.
  • Osteochondral Allograft Transplantation: This procedure is performed when the cartilage defect is large enough for an allograft to be used. An allograft, a block of cartilage or bone obtained from a deceased donor, is used. The allograft is sterilized and prepared so as to fit exactly into the defect area. This procedure does require a larger, open incision.
  • Autologous Chondrocyte Implantation: In this method, a piece of healthy cartilage from another site is removed using an arthroscopic technique and is cultured in the laboratory for 3 to 5 weeks to increase their number. Cultured cells form a larger patch which is then implanted into the damaged area by open surgery.

Postoperative Care and Instructions

In general, postoperative care instructions and recovery after cartilage preservation techniques will involve the following:

  • You will be transferred to the recovery area where your nurse will closely observe you for any allergic or anesthetic reactions and monitor your vital signs as you recover.
  • You may notice pain, swelling, and discomfort in the operated area. Pain and anti-inflammatory medications are provided as needed.
  • You will be provided with assistive devices such as crutches with instructions on restricted weight-bearing for a specified period of time. You are encouraged to walk with assistance as frequently as possible to prevent blood clots.
  • Keep the surgical site clean and dry. Instructions on surgical site care and bathing will be provided.
  • Refrain from strenuous activities or lifting heavy weights for at least 2 to 3 months. Gradual increase in activities over a period of time is recommended.
  • An individualized physical therapy protocol will be designed to help strengthen joint muscles and optimize joint function.
  • You will be able to return to your normal activities in a month or two; however, return to sports may take 4 to 6 months or longer.
  • A periodic follow-up appointment will be scheduled to monitor your progress.

Risks and Complications

Cartilage preservation techniques are relatively safe procedures; however, as with any surgery, there are risks and complications that could occur, such as:

  • Postoperative pain
  • Bleeding
  • Blood clots or deep vein thrombosis (DVT)
  • Infection
  • Stiffness of the joint
  • Numbness around the incisions
  • Injury to vessels, nerves, or healthy cartilage
  • Allergic/anesthetic reactions
  • Failure of the graft
  • Loosening of the graft

For more information about our services or to schedule an appointment, call us at or click here to request an appointment online. We'll respond to you as soon as possible.

How Can You Reach CSOG Sports Medicine Center
  • Schedule An Appointment
  • Send a Referral
  • Send Medical Records
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  • Additional Inquires
Sports Medicine Center Specialists
Colorado Springs Locations
Orthopaedic Care Across Colorado Springs

Visit CSOG at convenient locations for specialty care, Express Care, imaging, therapy, and recovery support.

North Campus

4110 Briargate Parkway
Suite 300
Colorado Springs, CO 80920

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
South Campus

1655 Quail Lake Loop
Colorado Springs, CO 80906

Mon - Thu : 7:00 am to 5:00 pm
Fri : 7:00 am to 4:00 pm

Schedule an Appointment
East Campus

6140 Tutt Blvd
Suite 110
Colorado Springs, CO 80923

Mon - Fri : 7:00 am to 6:00 pm

Schedule an Appointment
Ready to Take the Next Step Toward Better Movement?

Whether you are dealing with a new injury, chronic pain, arthritis, or recovery after surgery, CSOG can help you find the right orthopaedic care path.

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WARNING: The first few results returned by this query are the same as returned by 2 other queries! 
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170Sports Medicinesports-medicine/sports-medicine-orthopaedic-specialists-colorado-springs-co/012026-07-15 18:25:022026-07-15 18:25:02
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/home/csogy/public_html/sports-medicine/cartilage-preservation-techniques-orthopaedic-specialists-colorado-springs-co.phprequire_once()117
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SELECT 
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FROM 
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WHERE 
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idtitlepage_urlspecialty_idtypeslugstatus
718Arthritis Surgery/sports-medicine/arthritis-surgery-orthopaedic-specialists-colorado-springs-co/171arthritis-surgery1
719Arthroscopic Surgery/sports-medicine/arthroscopic-surgery-orthopaedic-specialists-colorado-springs-co/171arthroscopic-surgery1
720Robotic-Assisted Joint Replacement/sports-medicine/robotic-assisted-joint-replacement-orthopaedic-specialists-colorado-springs-co/171robotic-assisted-joint-replacement1
721Fracture Surgery/sports-medicine/fracture-surgery-orthopaedic-specialists-colorado-springs-co/171fracture-surgery1
722Fracture Care/sports-medicine/fracture-care-orthopaedic-specialists-colorado-springs-co/171fracture-care1
723Corticosteroid Injections/sports-medicine/corticosteroid-injections-orthopaedic-specialists-colorado-springs-co/171corticosteroid-injections1
724Joint Preservation Surgery/sports-medicine/joint-preservation-surgery-orthopaedic-specialists-colorado-springs-co/171joint-preservation-surgery1
725Ligament Preservation/Repair/sports-medicine/ligament-preservation-repair-orthopaedic-specialists-colorado-springs-co/171ligament-preservation-repair1
726Sports Physical/sports-medicine/sports-physical-orthopaedic-specialists-colorado-springs-co/171sports-physical1
727Tendon Repair Surgery/sports-medicine/tendon-repair-surgery-orthopaedic-specialists-colorado-springs-co/171tendon-repair-surgery1
728Joint Replacement/sports-medicine/joint-replacement-orthopaedic-specialists-colorado-springs-co/171joint-replacement1
729Cartilage Transplantation/sports-medicine/cartilage-transplantation-orthopaedic-specialists-colorado-springs-co/171cartilage-transplantation1
730Cartilage Preservation Techniques/sports-medicine/cartilage-preservation-techniques-orthopaedic-specialists-colorado-springs-co/171cartilage-preservation-techniques1
731Outpatient Joint Replacement/sports-medicine/outpatient-joint-replacement-orthopaedic-specialists-colorado-springs-co/171outpatient-joint-replacement1
732Ligament Reconstruction/sports-medicine/ligament-reconstruction-orthopaedic-specialists-colorado-springs-co/171ligament-reconstruction1
733Joint Reconstruction Surgery/sports-medicine/joint-reconstruction-surgery-orthopaedic-specialists-colorado-springs-co/171joint-reconstruction-surgery1
734Bone Scan/sports-medicine/bone-scan-orthopaedic-specialists-colorado-springs-co/171bone-scan1
735Cartilage Restoration/sports-medicine/cartilage-restoration-orthopaedic-specialists-colorado-springs-co/171cartilage-restoration1
736Ultrasound Guided Joint Aspiration/sports-medicine/ultrasound-guided-joint-aspiration-orthopaedic-specialists-colorado-springs-co/171ultrasound-guided-joint-aspiration1
737Proximal Hamstring Repair/hip/proximal-hamstring-repair-orthopaedic-specialists-colorado-springs-co/171proximal-hamstring-repair1
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013 
SELECT 
    * 
FROM 
    cs_specialties_condestions_procedures 
WHERE 
    specialty_id = '17' 
    AND type = '2'
idtitlepage_urlspecialty_idtypeslugstatus
750Arthritis/sports-medicine/arthritis-orthopaedic-specialists-colorado-springs-co/172arthritis1
751Post-traumatic Arthritis/sports-medicine/post-traumatic-arthritis-orthopaedic-specialists-colorado-springs-co/172post-traumatic-arthritis1
752Inflammatory Arthritis/sports-medicine/inflammatory-arthritis-orthopaedic-specialists-colorado-springs-co/172inflammatory-arthritis1
753Joint Injuries/sports-medicine/joint-injuries-orthopaedic-specialists-colorado-springs-co/172joint-injuries1
754Tendon Injuries/sports-medicine/tendon-injuries-orthopaedic-specialists-colorado-springs-co/172tendon-injuries1
755Bursitis/sports-medicine/bursitis-orthopaedic-specialists-colorado-springs-co/172bursitis1
756Ligament Injuries/sports-medicine/ligament-injuries-orthopaedic-specialists-colorado-springs-co/172ligament-injuries1
757Workplace Injuries/sports-medicine/workplace-injuries-orthopaedic-specialists-colorado-springs-co/172workplace-injuries1
758Musculoskeletal Injuries/sports-medicine/musculoskeletal-injuries-orthopaedic-specialists-colorado-springs-co/172musculoskeletal-injuries1
759Muscle Spasms (Cramps)/sports-medicine/muscle-spasms-cramps-orthopaedic-specialists-colorado-springs-co/172muscle-spasms-cramps1
760Concussions/sports-medicine/concussions-orthopaedic-specialists-colorado-springs-co/172concussions1
761Slip and Fall Injuries/sports-medicine/slip-fall-injuries-orthopaedic-specialists-colorado-springs-co/172slip-and-fall-injuries1
762Tendonitis/sports-medicine/tendonitis-orthopaedic-specialists-colorado-springs-co/172tendonitis1
763Osteoporosis/sports-medicine/osteoporosis-orthopaedic-specialists-colorado-springs-co/172osteoporosis1
764Osteoporosis Pain/sports-medicine/osteoporosis-pain-orthopaedic-specialists-colorado-springs-co/172osteoporosis-pain1
765Complex Fractures/sports-medicine/complex-fractures-orthopaedic-specialists-colorado-springs-co/172complex-fractures1
766Osteoarthritis/sports-medicine/osteoarthritis-orthopaedic-specialists-colorado-springs-co/172osteoarthritis1
767Musculoskeletal Tumors/sports-medicine/musculoskeletal-tumors-orthopaedic-specialists-colorado-springs-co/172musculoskeletal-tumors1
768Overuse Injuries/sports-medicine/overuse-injuries-orthopaedic-specialists-colorado-springs-co/172overuse-injuries1
769Muscle and Joint Pain/sports-medicine/muscle-joint-pain-orthopaedic-specialists-colorado-springs-co/172muscle-and-joint-pain1
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