Ankle cartilage injury
Patients with cartilage lesions on the weight-bearing surface of the ankle joint often experience pain and swelling.
The Stone Clinic's articular cartilage paste grafting technique, which has been used extensively in the knee joint, has also proven successful in the ankle joint. This technique is a key part of our BioAnkle® program for biologic treatment of the ankle.
Articular cartilage and bone are harvested, typically from the distal tibia, and a paste is created. The paste is then impacted into the defect in order to re-grow articular cartilage repair tissue at the site of the arthritis or lesion. This arthroscopic technique is performed as an outpatient procedure. It is followed by a month of continuous passive motion (CPM) machine use and the patient is non-weight bearing with a careful physical therapy program on a daily basis.
When the cartilage of the ankle is completely worn and the ankle is bone-on-bone we prefer to perform an ankle fusion as an outpatient arthroscopic technique. A well-done fusion permits you to return to most sports pain free with a gait that is far superior to the painful arthritic gait. While fusion is our last choice after our biologic joint repair procedures, sometimes it is the best choice for the arthritic ankle. By not opening the joint, the healing is rapid. Patient satisfaction has been extremely high.
Articular cartilage repair is one step in our BioAnkle® procedure to rebuild an ankle naturally using biologic procedures.