In part 1 of this 2-part Current Concepts article, the authors reviewed the basic science of normal articular and meniscal cartilage and its response to injury. They reviewed the historical perspectives and basic science behind these various methods and presented a rationale for patient evaluation, treatment selection, and timing. In part 2, the authors review the specific indications for the treatment of chondral injuries and describe the techniques and outcomes of the various treatment options, including palliative, reparative, and restorative procedures. In addition, they will examine specific complex clinical scenarios emphasizing treatment options of comorbid conditions including ligament instability, meniscal deficiency, and malalignment. A limited review of the application of these techniques in joints other than the knee will also be presented. A conceptual algorithm is developed to assist in clinical decision making.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
81% Article relates to my practice (9/11)
9% Article does not relate to my practice (1/11)
9% Undecided (1/11)

Will this article lead to more cost-effective healthcare?

45% Yes (5/11)
36% No (4/11)
18% Undecided (2/11)

Was this article biased? (commercial or personal)

9% Yes (1/11)
90% No (10/11)
0% Undecided (0/11)

What level of evidence do you think this article is?

0% Level 1 (0/11)
0% Level 2 (0/11)
45% Level 3 (5/11)
18% Level 4 (2/11)
36% Level 5 (4/11)