Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO

What Are Chondral Ulcers And How Can Surgery Help?

What Are Chondral Ulcers And How Can Surgery Help? undefined

The joints in our body are important for our motion, daily functioning, and long-term well-being. However, accidents can happen at any age that compromise our motion. 

Chondral ulcers are just one of the many types of conditions that affect joints and can range in severity and lead to rather severe complications if left unchecked. 

Orthopaedic surgeon Dr Henry Chan took DoctorxDentist readers through the causes, treatments, and surgical procedures for chondral ulcers in Singapore. 

Here's what he had to say.

 

What is a chondral ulcer?

a knee joint model


"Chondral" means cartilage. Meant to absorb shock and let the knee joint glide smoothly without any pain, articular cartilage in the knee are important in smooth limb function and movements.

Chondral ulcers are caused by impact to the knee or an overly strong twisting motion on the knee.

A chondral ulcer means that there is a "hole" in your cartilage which results in "clicking" sensations, swelling, and pain in the affected joint. [1]

Chondral ulcers are challenging to deal with

a hand holding a tablet

In the past, there were limited treatment options. Doctors had to resort to glucosamine or lubricant injections (hyaluronic acid). However, these treatment options produced poor results that did not really solve the problem. [2]

It is still a challenge today to manage a chondral ulcer.

Today, we have more effective treatment

a doctor checking a patient's kene

If the chondral ulcer is not severe, then a technique called "microfracture" can be performed. This process creates tiny holes in the bone, releasing stem cells that repair the cartilage.

This is supplemented with cartilage scaffold injections to improve effective recovery. [3]

Bigger ulcers may require bone marrow stem cells

injection into the knee

Recently, plenty of breakthroughs have been made in the treatment of chondral ulcers, one of which is stem cell treatment. If an ulcer is larger than expected or if there are multiple ulcers, doctors may need to use bone marrow stem cells to increase the success rate.

During Bone Marrow Aspirate Stem Cell Concentrate (BMAC) surgery, surgeons apply small injections to the pelvis to extract stem cells, adding the cells in turn to the cartilage repair site. [4]

These procedures are performed as keyhole surgeries

doctors preparing in operating theatre

Dr Chan explains that the repair techniques mentioned above are grouped under Mesenchumal cell-induced chondrogenesis (MCIC), and are conducted as keyhole surgeries that aim to be minimally invasive.

If you undergo any of the procedures described above, you may opt for a day surgery procedure or choose to spend one day resting in hospital after surgery. [5]

a patient talking to a doctor

The advancement of medical science has helped contribute to a safer and more promising future for sufferers of chondral ulcers.

With that being said, it is important that you seek treatment as soon as possible and get a thorough assessment from your medical doctor before trying any treatment for knee pain.

 

Would you like to ask any related health questions? 

You can Ask A Doctor right away, or view the complete list of DoctorxDentist Sessions.

 

References:

1. G. Mayer, H. Seidlein. Chondral and osteochondral fractures of the knee joint —Treatment and results. Archives of orthopaedic and traumatic surgery. April 1988, Volume 107, Issue 3, pp 154–157. Accessed April 2019.

2. Carey-Beth James and Timothy L. Uhl. A Review of Articular Cartilage Pathology and the Use of Glucosamine Sulfate. J Athl Train. 2001 Oct-Dec; 36(4): 413–419. Accessed April 2019.

3. Mayo Clinic Staff. Stem cells: What they are and what they do. Mayo Clinic. 2 April 2019. Accessed April 2019.

4. Jorge Chahla, Chase S. Dean, Gilbert Moatshe, Cecilia Pascual-Garrido, Raphael Serra Cruz, Robert F. LaPrade. Concentrated Bone Marrow Aspirate for the Treatment of Chondral Injuries and Osteoarthritis of the Knee: A Systematic Review of Outcomes. Orthopaedic Journal of Sports Medicine, Vol 4, Issue 1. 13 January 2016. Accessed April 2019.

5. William Morrison. Knee Arthroscopy. Healthline. 2019. Accessed April 2019.

144 views 8 Apr 2019 Medically reviewed by Dr Henry Chan on 16 Apr 2019.
Not the answer you're looking for? ask your own question now FOR FREE.