Cartilage damage in the knee—whether from injury, wear and tear, or underlying conditions—can cause pain, swelling, and reduced mobility. If left untreated, it may lead to osteoarthritis or chronic joint problems.
Mr. Andrew Pearse specialises in cartilage preservation and repair using the latest surgical options. With expert care and a personalised treatment plan, patients can regain function and delay or avoid more extensive surgery like knee replacement.
This guide explains what cartilage surgery involves, who it’s suitable for, and what to expect during recovery.

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What is cartilage surgery?

Cartilage surgery refers to a range of procedures aimed at repairing or regenerating damaged cartilage in the knee joint. Cartilage is the smooth, rubbery tissue that cushions the bones in your knee and enables pain-free movement. Unlike other tissues, cartilage does not heal well on its own, making surgical intervention important in many cases.

There are several techniques Mr. Pearse may use, depending on the size, location, and severity of the damage, including:

• Debridement and chondroplasty – smoothing or trimming damaged cartilage to reduce irritation.
• Microfracture – stimulating new cartilage growth by creating small holes in the bone beneath the cartilage.
• Osteochondral autograft transfer (OATS) – transplanting healthy cartilage from a non-weight-bearing part of the joint.
• Autologous chondrocyte implantation (ACI) – harvesting and re-implanting your own cartilage cells to regrow tissue.

The goal of cartilage surgery is to relieve symptoms, restore knee function, and delay the progression of arthritis.

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Who can benefit from cartilage surgery?

Cartilage surgery may be suitable for individuals who:

• Have knee pain, swelling, or catching due to focal cartilage damage.
• Are experiencing limited mobility or difficulty with physical activity.
• Have sustained a cartilage injury from sports or trauma.
• Are younger or middle-aged and wish to avoid early joint replacement.
• Have not responded to non-surgical treatments such as physiotherapy or injections.

Mr. Pearse will conduct a full assessment, including imaging (MRI) and a clinical examination, to determine the best surgical option for your specific condition.

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Cartilage Surgery in Worcestershire: The Procedure

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Pre-operative preparation

Ahead of surgery, Mr. Pearse and his team will prepare you by:

• Conducting a thorough consultation and imaging review.
• Ordering any necessary pre-operative tests (blood tests, X-rays, MRI).
• Providing guidance on strengthening exercises to support recovery.
• Explaining the planned procedure and expected outcomes in detail.

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The surgery itself

Cartilage procedures are typically performed arthroscopically (keyhole surgery) under general or spinal anaesthesia. The type of surgery will depend on the size and location of the cartilage damage.

During the procedure, Mr. Pearse may:

• Remove loose fragments of damaged cartilage.
• Stimulate healing using microfracture or drilling techniques.
• Transplant healthy cartilage from another area of your joint.
• Apply cell-based treatments if appropriate.

Cartilage surgery is performed at leading local facilities, including:

• The Droitwich Spa Hospital
• Spire South Bank Hospital in Worcester
• Worcestershire Acute Hospitals NHS Trust

Each location offers state-of-the-art surgical suites and expert post-operative care to support your recovery.

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Duration and post-operative care

After the procedure:

• You’ll be monitored in recovery and discharged the same day or after a short hospital stay, depending on the procedure.
• You may need crutches to offload the knee for a period.
• A physiotherapy plan will be initiated early to support healing and regain function.
• Pain will be managed with medication and cold therapy.

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Recovery and aftercare

Recovery varies depending on the type and extent of cartilage repair, but a general timeline may look like:

• Weeks 1-2: Pain and swelling management, limited weight-bearing as advised.
• Weeks 3-6: Gradual increase in movement and light physiotherapy.
• 6-12 Weeks: Strengthening exercises and improved mobility.
• 3-6 Months: Return to low-impact activities such as walking or swimming.
• 6+ Months: Gradual return to sport or high-demand activities, if appropriate.

Mr. Pearse provides individualised aftercare with regular check-ins to ensure your knee is healing properly and you’re progressing as expected.

Risks and complications

While cartilage surgery is generally safe, risks may include:

• Infection
• Blood clots
• Incomplete healing of the cartilage
• Knee stiffness or swelling
• Need for further surgery if symptoms persist

Mr. Pearse minimises these risks by using advanced surgical techniques and a meticulous approach to post-operative care.

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Why choose Mr. Andrew Pearse in Worcestershire?

Mr. Andrew Pearse is a respected Consultant Orthopaedic Surgeon with extensive experience in treating knee conditions and injuries. Patients benefit from:

• Access to top local facilities equipped for advanced knee surgery.
• Personalised treatment plans that consider your lifestyle and long-term goals.
• Expertise in minimally invasive techniques and cartilage-preserving procedures.
• A commitment to evidence-based care and excellent outcomes.

Whether you’ve experienced a cartilage injury or are dealing with early knee wear, Mr. Pearse offers specialist care to help restore your joint health and quality of life.

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FAQs

Is cartilage surgery painful?
Some discomfort is expected after surgery, but it is usually well managed with pain relief and supportive care.

Will I need physiotherapy?
Yes. A tailored physiotherapy programme is essential to maximise recovery and regain knee function.

How long before I can walk normally again?
Most patients use crutches for a few weeks, then gradually return to full weight-bearing as healing progresses.

Does cartilage surgery cure arthritis?
Cartilage surgery doesn’t cure arthritis, but it can significantly slow its progression and reduce symptoms in early stages.

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Book your consultation

If you’re struggling with persistent knee pain or cartilage damage, speak with Mr. Andrew Pearse to find out if cartilage surgery is the right solution for you.