The Subchondroplasty procedure (or SCP) is a new minimally-invasive surgery that can be used for the treatment of subchondral defects due to chronic bone marrow edema. Chronic bone marrow edema is the swelling of the soft bone in the subchondral layer, which is located underneath the joint. Researchers have recently discovered that chronic bone marrow edema is commonly found in patients who have osteoarthritis in their knee. If left untreated, these microscopic subchondral defects will continue to cause pain and further degradation of the joint.

Conservative, non-invasive treatments like physical therapy and medication may be ineffective in certain cases of knee arthritis, as the underlying cause of the inflammation and pain is not directly addressed. On the other end of the spectrum, traditional surgical intervention can eliminate the symptoms of osteoarthritis, but these types of procedures are much more invasive and require either a full or partial replacement of the knee joint. The revolutionary Subchondroplasty procedure may be an effective alternative for eligible patients who do not yet necessarily require a knee replacement. The team of surgeons at Knee Surgery Center of Excellence is comprised of leading joint preservation and restoration experts that specialize in advanced forms of treatment like the Subchondroplasty.

What is Bone Marrow Edema?

Bone marrow edema is a buildup of fluid in the bone marrow. It is typically occurs as a reaction to inflammation or an injury to the bone or the surrounding tissue. Bone marrow edema can be caused by bone bruises, bone fractures, and ligament injuries, and has also been shown to be frequently linked with osteoarthritis. Osteoarthritis is a degenerative joint disease that involves the gradual degeneration of the joint tissue with age. The damage caused by osteoarthritis can trigger the fluid buildup that leads to severe pain and swelling. Bone marrow edema that is present in osteoarthritic joints can cause irritation and damage to the articular cartilage and can accelerate the progression of the arthritis.

How is Subchondroplasty Preformed and Who is Eligible?

The Subchondroplasty procedure is a minimally-invasive surgery used to repair microscopic insufficiency fractures within the bone that are associated with bone marrow edema. During the procedure, these fractures within the bone are filled with biologic bone void filler. This procedure can be performed with or without other arthroscopic knee treatments, depending on the requirements of the case.

Osteoarthritis may be responsible for the development of these microscopic defects that cause the accumulation of fluid, and may be the source of increased pain and swelling. The Subchondroplasty procedure will only be effective in treating knee pain that is caused by subchondral defects associated with bone marrow edema. Patients with chronic knee pain resulting from other conditions will likely experience little to no relief from this procedure.

Contact a Los Angeles Subchondroplasty Expert

The orthopedic surgeons at Knee Surgery Center of Excellence are leading experts in a variety of advanced knee procedures. From state-of-art facilities and equipment to a comfortable and private atmosphere, our goal at the Knee Surgery Center of Excellence is to provide each patient with the best individualized, high-quality knee pain treatment in Los Angeles. To learn more about the Subchondroplasty procedure or to schedule your initial consultation, you may call (888) 429-6865 or fill out our online contact form.