This first image shows an acute, or fresh cartilage defect, which occurred in association with an ACL tear.

We elected to fix this with a cartilage plug or osteochondral autograft transfer system … what’s called an OATS procedure, shown in the second image below.

If the defect or hole in the cartilage is isolated, fresh or acute, and it’s NOT secondary to arthritis, there are a number of other options available:

  • Arthroscopy and Chondroplasty (removal of loose fragments)
  • Microfracture
  • OATS Procedure
  • Autologous Chondrocyte Implantation

All of the above options are discussed in this section.

Disclaimer:  this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations. Some links on this page may be affiliate links. Read the full disclaimer.

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About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

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