What is Joint Preservation Surgery?
The most common form of joint preservation & Replacement surgery is arthroscopic. In this circumstance, a clean out of all the pain mediators in the knee may be indicated. This would involve removing irritated synovium, releasing scar tissue and contractures, removing offending bone spurs, and trying to improve a patient’s motion in both their patellofemoral joint and the tibiofemoral joint. This would especially involve patellar mobilization and trying to regain full knee extension.
Other forms of joint preservation surgery can be more specific. These include treatment of localized areas of arthritis with a microfracture, an autogenous osteochondral transfer, or a fresh allograft. These can be performed with or without a proximal tibial or distal femoral osteotomy, or a meniscus transplant. All of these are considered to be "joint preservation surgeries," but are usually indicated in patients who have a thorough clinical exam, radiographic workup, and MRI scans which demonstrate their suitability for these procedures.