The knee has three layers of cartilage. There is lining or articular cartilage on both sides of the bone. In between the articular cartilage (like meat in the sandwich) is floating or meniscal cartilage. There are two menisci, the medial (inside) and lateral (outside).
When injured, the articular cartilage tends to wear, whereas the meniscal cartilage tends to tear. Meniscal tears can be treated with a knee arthroscope .
Articular cartilage problems are more complex and ultimately lead to knee arthritis . While there is good evidence for surgery in severe arthritis, the surgical strategies for mild to moderate articular cartilage degeneration are still developing. An exciting new treatment involves cartilage replacements and most surgeons are currently evaluating their own suucess with this method.
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