Mega patella OCA: Isolated patellar high grade (3 and 4) chondral lesions can be treated by fresh matched for size osteochondral allograft (OCA) transplantation surgery. The patellar cartilage is like a double stuffed Oreo- it is twice as thick as most of the other knee cartilage. Replacing a lesion with actual fresh donated patellar OCA plug has been performed for over 20 years. I do several every week.
Answered 9/27/2020
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Injections: There are also injections that can be tried before surgery. There is also a procedure to decrease force to kneecap by cutting and moving a part of the tibia (osteotomy) that can work well.
Answered 9/29/2020
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