Microfracture Surgery

Microfracture surgery is a surgical procedure that is used in individuals with damaged or missing cartilage in the knee joint. While it is not indicated for everyone, patients who choose to undergo the procedure and adhere to strict rehabilitation can enjoy years of full knee function without having to give up their favorites sports and activities.

Microfracture surgery is indicated in patients who have isolated cartilage damage, are physically limited by knee pain or uncontrolled swelling. Patients with widespread arthritis, sedentary lifestyle and those not willing to follow a specific rehabilitation process do not make good candidates for the surgery.

Microfracture surgery is performed arthroscopically, inserting instruments through three small incisions in the knee joint. The surgical area is cleaned by removing loose or damaged cartilage. A sharp awl is used to puncture the surface of the bone where the new cartilage is to grow. The surgeon makes a series of holes in the bone; usually five to fifteen holes per two centimeter area.

Physical Therapy is essential to achieving a full recovery and can guide your rehabilitation to assure you return to 100% as quickly and safely as possible. Post surgical rehabilitation is one of the most important factor in the success of the procedure. Patients should be prepared to adhere to strict rehabilitation guidelines for as long as four to nine months before they can return to sports activities. When microfracture surgery is performed on the weight bearing surfaces of the knee, patients should be prepared to walk with crutches for six to eight weeks following surgery. If the microfracture procedure is used on the trochlear surface of the knee, the patient will likely be instructed to wear a brace for six to eight weeks to avoid pressure in the knee joint when the knee is flexed while weight bearing. Many surgeons also recommend using a continuous passive motion machine (CPM) eight hours per day during the initial eight weeks of healing.

For more information regarding rehabilitation following microfracture surgery email info@vvmc.com. To make an appointment for therapy, please call Howard Head Sports Medicine at (888) 652-7640.