The Evolution of Cartilage Restoration

After more than 30 years, cartilage restoration continues to be a highly dynamic field. Not only are the cartilage implants changing, but also the surgical approach to using the implant and the undeniable restrictions imposed by social medicine and insurance. Initially, various schools of surgical thought would propose use of their one specific implant. However, this has gradually evolved to a common goal of applying the best implant for the individual knee lesion and specific patient. At the same time, it has become evident to all that it is necessary to optimize the limb and joint environment for all implants—not only mechanically but also biologically. This fusion of thought has resulted in a demand match approach for applying and adapting treatment algorithms. This chapter will present a broad overview of cartilage restoration from inception to present with future chapters exploring each approach in detail.

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