Knee cartilage replacement / Top clinic in Germany, Friedrichshafen

Knee cartilage replacement

Department of traumatology, orthopedics and endoprosthesis at the Clinic of Friedrichshafen offers the most efficient methods of surgical and non-surgical knee cartilage treatment. More than 5000 thousand knee cartilage transplantation procedures have been carried here since 2008. Head of the Department, Professor E. Winter is an experienced joint surgeon. Due to the extensive experience in the field of orthopedic knee surgery and replacement, his team can guarantee the desired result of the highly standartized joint surgery.

The special are of specialization of the Department is minimally invasive joint and cartilage replacement surgery. Orthopedic treatment at the Department of Orthopedics in Friedrichshafen implies that you will be offered the most sparing and safe technique of cartilage treatment.

When is cartilage replacement treatment necessary?

Cartilage plays a very important role, acting as a cushion inside joints. Healthy cartilage tissue of the joints is smooth, flexible and painless. The knee joint is fully covered with a thin layer of cartilage in the zone, which accounts for the largest load.

Damage to cartilage may be due to several reasons, including:

  • Knee injury
  • constant wear and tear due to excessive weight or heavy physical activity,
  • metabolic disorders,
  • incorrect location of the joint elements
  • age-related changes
  • inflammation process
  • Koenig's disease
  • Knee cartilage necrosis

If the cartilage is destroyed to more than 20%, it is high time to consider knee cartilage treatment (replacement).

Koenig's disease (osteochondrosis or osteochondritis) is a direct indication for knee cartilage replacement. The disease affects the knee and hip joint cartilage, resulting in necrosis of a limited area of ??the articular cartilage. As a result of necrosis the affected area is "off" from the surface of the cartilage, forming the "articular mouse". Causes of knee cartilage necrosis has not yet been established. It is assumed that a predisposing factor is the violation of the blood supply to the small bones under the cartilage area, which results in excessive load on joint cartilage.

How is knee cartilage damage diagnosed

To clarify the diagnosis the specialists at the Clinic of Friedrichshafen use the following research methods:

  • Radiography oft he knee cartilage are
  • CT scan. It allows you to identify the cartilage diseases at the advanced stages.
  • MRI of the knee joint
  • Arthroscopic study of the knee joint (the most reliable and valid method. It allows the specialist to evaluate the condition of the articular surfaces
  • Studies of rheumatoid factor in the blood

The basic diagnosis of knee cartilage problems take 1-2 days and costs about 1 500- 3 000 euro.

If the conservative treatment of the knee cartilage, such as acupuncture, physiotherapy or hyaluronic acid injections proved to be inefficient, the operation on the cartilage may be key to the problem. Depending on the age of the patient, and the degree of cartilage damage, the specialist offers tot hink about three possibilities:

  • Autologous transplantation of cartilage in the knee joint (AST)
  • Surgergical cartilage replacement
  • Arthroscopic cartilage repair

Arthroscopic cartilage repair

In case of serious damage to the cartilage the arthroscopic surgery technique called chondroplasty is implemented. If cartilage is severy destroyed conducts the so-called microfracturing. Small holes are drilled on the open surface of the bone with a special tool. Through these incisions the arthroscope with a special camera is inserted. Under the video-control the specialist smoothes the degenerative cartilage, trimms the unstable cartilage flaps and treats chondral lesions. The cost of the chondroplasty is about 5 000 euro. After this operation there comes a period of rehabilitation, which lasts for about 3 weeks.

Knee cartilage replacement as an alternative to chondroplasty

Patients with minor injuries of cartilage tissue have the opportunity to get cartilage replacement. The artificial cartilage is made of porous synthetic material, consisting of a copolymer and calcium sulfate. The tissue grafts are selected individually and are different in size. This technique of knee cartilage replacement helps to repair cartilage damage up to 24 x 24 mm.

This surgery is also performed arthroscopic ally. The damaged cartilage is removed and in its place the artificial graft TruFit. Is introduced. The rehabilitation period lasts about 2 weeks. The surgery of knee cartilage replacement costs about 8 000-10 000 euro.

Knee cartilage transplantation as an alternative to cartilage surgery

Modern medicine has found an original solution to the problem of knee cartilage degeneration. Cartilage can be regenerated naturally within the patient's body. It was found out that the cartilage tissue seized from a patients body can be grown out in a laboratory. The amount of cartilage damage, must not exceed 1.5 x 1.5 cm.

During minimally invasive surgery a small sample of healthy cartilage cells are taken from the knee of a patient. The necessary cartilage mass is grown in the laboratory for about 15 days. After this period, the cells are ready for transplantation. After surgery of cartilage transplantation the knee patient should undergo the special rehabilitation course (6 to 12 weeks). After the surgery the knee functionality is restored to up to 95%. The cost oft he knee cartilage transplantation makes up about 15 000-20 000 (depending on the cartilage mass which should be regenerated).

If you have problems with knee or hip cartilage and would like to get more information, don’t hesitate to consult the specialist at the international office of the Clinic of Friedrichshafen.

Knee cartilage replacement

4.7/5 (1336 votes)

Comments and questions

RD 2020-12-17 / 04:15

dear sir
I am interested in getting help with my knees and hip to rebuild cartilage for my knee and hip for cartilage.
I am a rep for avacen medical that helps microcirculation in the body.
it also has helped save lives for the covit without the use of ventilators as they damage the lungs .
the avacen helps greater relaxation and does not damage the lungs.
I want so bad to replace cartilage in my body asap.

VB 2018-07-02 / 11:31

Hello, I have arthrosis of both knees (2-3rd degree). I feel pain when I walk and after walking. I would like to ask if it is possible to repair the cartilage in my case? Thank you.

SV 2018-04-23 / 18:03

I have been diagnosed with knee arthritis and would like to know if in my case a cartilage transplant is viable.

SN 2018-01-25 / 02:50

I have been diagnose with hip osteoarthritis and with a severity of 4 out of 10 where 10 is bad. I wanted to know if this could be treated and if cartilage can be restored in the hip?

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Medical Staff

Prof MD Eugene Winter

Prof MD Eugene Winter
Head of the Orthopedic Department of Clinical center of Friedrichshafen

MD Norbert Heuer

MD Norbert Heuer
Head physician assistant

MD Christoph Kaiser

MD Christoph Kaiser
Senior physician

MD Rainer Schnell

MD Rainer Schnell
Senior physician

Ingrid Glauss

Ingrid Glauss
Medical secretary








Facts and Figures

  • 12000 outpatient
  • 2523 inpatients
  • 2500 surgeries
  • 735 arthroplasty of the joints of the hip, knee and shoulder
  • 1500 hand surgeries

+49 163 59-51-511


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