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Institute of Advanced Orthopedics, MOSC Hospital and Medical College, Kolenchery, Ernakulam, Kerala

ChondroFiller Technique for Cartilage Restoration

Cartilage damage in the knee can cause pain, swelling, catching sensations, and difficulty with daily activities or sports. Because cartilage has very limited healing capacity, untreated defects may gradually worsen and lead to early arthritis. ChondroFiller is a modern, minimally invasive technique designed to treat focal cartilage defects and preserve the natural joint.

What is ChondroFiller?

ChondroFiller is an injectable, biocompatible cartilage scaffold that is placed directly into the cartilage defect. It acts as a temporary filler and support structure, restoring the smooth joint surface and providing a framework for the body’s own healing cells to form new cartilage-like tissue over time.

How Does ChondroFiller Work?

After the damaged cartilage area is carefully prepared during arthroscopy, the ChondroFiller material is injected precisely into the defect.

  • It immediately fills the cartilage gap and contours to the joint surface
  • It provides mechanical cushioning and reduces uneven joint loading
  • It serves as a scaffold that allows cells from surrounding cartilage and bone marrow to grow into the defect

Over time, the filler integrates with the surrounding tissue and is gradually replaced by newly formed cartilage-like tissue.

Who is ChondroFiller Suitable For?

ChondroFiller is best suited for patients with:

  • Localized (focal) cartilage defects
  • Early cartilage wear without advanced arthritis
  • Persistent knee pain despite conservative treatment
  • Young or middle-aged active individuals aiming to preserve their joint

It may be used alone or in combination with biological treatments such as bone marrow stimulation or BMAC, depending on the defect and joint condition.

The Procedure

  • Performed arthroscopically through keyhole incisions
  • The cartilage defect is cleaned and prepared
  • ChondroFiller is injected and shaped to restore the joint surface
  • The procedure is usually done as day-care surgery

Because it is minimally invasive, tissue trauma is limited and recovery is smoother compared to more extensive cartilage surgeries.

Recovery and Rehabilitation

Rehabilitation is carefully structured and guided by physiotherapy.

  • Weight-bearing may be restricted initially depending on defect location
  • Range-of-motion exercises begin early
  • Strengthening and activity are progressed gradually
  • Full return to sports may take several months

Cartilage healing is a slow biological process, and patience during rehabilitation is essential for optimal results.

Expected Benefits

Patients may experience:

  • Reduction in pain and swelling
  • Improved joint movement and function
  • Smoother joint mechanics
  • Slowing of further cartilage degeneration
  • Delay or avoidance of more invasive surgeries

Important to Understand

ChondroFiller is a joint preservation technique, not a cure for advanced arthritis. Results depend on correct patient selection, joint alignment, stability, and adherence to rehabilitation protocols. When used in the right indication, it can play a valuable role in protecting the knee and extending the life of the natural joint.

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