Microfracture surgery

ARTICULAR CARTILAGE REPAIR


A procedure to treat small areas of knee cartilage damage by making tiny holes in the bone surface to form new cartilage

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What is microfracture surgery?

Surface cartilage covers the ends of the bones that form your joints. Smooth, healthy cartilage allows the bones to glide across each other smoothly and painlessly as you move. If you have significant damage to an isolated patch of the surface cartilage in your knee, your consultant might recommend microfracture surgery to encourage new cartilage to form.

Need to know

Microfracture surgery is performed as a keyhole procedure (arthroscopic), which involves inserting a tiny camera called an arthroscope and specialised surgical instruments into small keyhole cuts around your knee. The arthroscope sends images to your surgeon via a monitor, which allows them to see the inside of your knee in detail.

Before the procedure, your consultant may suggest several tests, including an X-ray or MRI scan to assess your knee. They will explain the procedure and answer any questions you may have. Like all procedures, there may be some potential risks and side effects involved. Your consultant will explain these to you.

You should be able to go home the same day as your procedure. You will be given painkillers to help keep any discomfort to a minimum immediately following surgery. Ice may be helpful to reduce pain and swelling, as can elevating your leg.

To allow the microfracture to work, you will need to use crutches for several weeks, and you will likely need to use a continuous passive motion machine (CPM). CPM is an integral part of your recovery and return to your everyday activities. Your consultant will let you know what to expect and you may be given physiotherapy exercises to help improve your mobility as you recover. They will also let you know when you can get back to your usual routine, including work or exercise.

Our Microfracture surgery locations

The Lister Hospital

The Lister Hospital

Chelsea Bridge Road, SW1W 8RH London
The Wellington Hospital

The Wellington Hospital

8A Wellington Place NW8 9LE London
London Bridge Hospital

London Bridge Hospital

27 Tooley Street SE1 2PR London
The Princess Grace Hospital

The Princess Grace Hospital

42-52 Nottingham Place W1U 5NY London
Institute of Sport Exercise and Health (ISEH)

Institute of Sport Exercise and Health (ISEH)

170 Tottenham Court Road W1T 7HA London
The Shard Outpatients

The Shard Outpatients

The Shard, 32 St Thomas Street SE1 9BS London
Chelsea Outpatients

Chelsea Outpatients

280 King's Road SW3 5AW London
The Princess Grace Hospital Outpatients

The Princess Grace Hospital Outpatients

30 Devonshire Street W1G 6PU London
Elstree Waterfront Outpatients

Elstree Waterfront Outpatients

Beaufort House WD6 3BS Elstree
Golders Green Outpatients

Golders Green Outpatients

Golders Green Outpatients and Diagnostic Centre NW11 9PY London
The Wellington Hospital Outpatients

The Wellington Hospital Outpatients

15 - 17 Lodge Road NW8 7JA London

Patient stories

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.