Algorithms for articular cartilage repair.

The treatment of cartilage lesions in the knee joint is still controversial. There are many approaches for restoration of diseased cartilage, but no single procedure is universally accepted for each kind of lesion and every patient. The goal of any reconstructive or regenerative procedure is to relieve the symptoms of the cartilage defect and restore joint function. Most current approaches to cartilage repair accomplish this objective. However, it is clear that there is no "gold standard" in the treatment of cartilage defects and the choice of treatment is the key element. The patient with knee joint pain undergoes a detailed history and clinical examination. It is important to evaluate the factors like the nature of the cartilage failure, the joint findings, leg alignment, and muscle balance, as well as patient's activity level, expectations, and ability to follow the rehabilitation regimen. This study sought to create a clinical algorithm for management of diseased articular knee joint cartilage that was suitable for patients with traumatic full-depth lesions.