Knee Procedure
Expert cartilage restoration procedures to repair damaged knee cartilage and restore joint function. Dr. Daniel Feghhi is a board-certified orthopedic surgeon specializing in advanced cartilage repair and restoration techniques.
Cartilage restoration is a minimally invasive arthroscopic procedure designed to repair damaged knee cartilage and promote new cartilage growth. Articular cartilage is the smooth, protective tissue that covers the ends of bones in the knee joint, allowing for pain-free movement.
Dr. Daniel Feghhi, a board-certified orthopedic surgeon specializing in knee injuries, performs cartilage restoration using advanced arthroscopic techniques. When cartilage is damaged due to injury, wear, or conditions like osteoarthritis, it cannot heal on its own. Cartilage restoration procedures help regenerate healthy cartilage and delay or prevent the need for knee replacement surgery.
Preserves your natural knee joint and delays need for replacement
Reduces knee pain and improves mobility
Enables return to sports and daily activities
Proper healing provides durable cartilage repair
Are You a Candidate?
Not all cartilage injuries require surgery. Learn what factors determine if cartilage restoration is right for you.
Active individuals under age 40-50 with localized cartilage defects are ideal candidates. Cartilage restoration works best for patients who want to maintain an active lifestyle and preserve their natural knee joint.
Cartilage restoration is most effective for localized cartilage defects typically less than 2-3cm in size. Larger defects or widespread arthritis may require alternative treatments.
Younger patients with healthy surrounding cartilage tend to have the best outcomes. Overall knee health and absence of significant arthritis are important considerations.
Candidates should have stable ligaments (ACL, PCL intact). If there is ligament instability, this must be addressed before or during cartilage restoration.
Successful cartilage restoration requires a significant rehabilitation commitment of 6-12 months. Patients must be willing to follow weight-bearing restrictions and complete physical therapy.
If you've tried physical therapy, bracing, and injections but still experience knee pain and limited function, cartilage restoration may be the best option to restore joint health.
Step by Step
Understanding the surgical procedure helps you feel confident and prepared for your treatment.
You will receive general anesthesia to ensure comfort during the procedure. The surgical team prepares the knee with antiseptic solution and positions the leg for optimal access. A tourniquet may be used to minimize bleeding.
Dr. Feghhi makes 2-3 small incisions and inserts the arthroscope to visualize the damaged cartilage. The size, depth, and location of the cartilage defect are assessed to determine the best restoration technique.
Depending on your specific condition, Dr. Feghhi may perform microfracture, osteochondral autograft (OATs), or MACI procedure. Each technique stimulates new cartilage growth or transplants healthy cartilage to the damaged area.
The portals are closed with sterile strips and adhesive. A soft dressing and knee brace are applied. The entire procedure typically takes 90-120 minutes depending on the technique and complexity.
Recovery Timeline
Cartilage restoration requires a dedicated rehabilitation program of 6-12 months to allow the new cartilage to mature and strengthen. This extended timeline is essential for successful outcomes.
Initial Healing Phase
Early Rehabilitation
Building Strength
Return to Activity
New cartilage tissue is initially weak and requires time to mature and strengthen. Returning to activities too early can damage the healing cartilage and compromise results. Dr. Feghhi and our physical therapy team will guide you through each phase and clear you for sports only when the cartilage has sufficiently healed.
Benefits & Risks
Preserves your natural knee joint and delays or avoids the need for knee replacement surgery
Significantly reduces knee pain and improves overall function
Successful restoration enables return to sports and recreational activities
Arthroscopic surgery means smaller incisions, less pain, and faster initial recovery
Go home the same day – no overnight hospital stay required
The cartilage may not fully heal or integrate, potentially requiring additional procedures
Post-operative stiffness and loss of motion are common but usually resolve with aggressive therapy
Rare (<1%) but serious. Prevented with sterile technique and antibiotics
Very rare. Early mobilization and compression devices help prevent
Rare risk of the transplanted cartilage separating from underlying bone
Important: Dr. Feghhi will discuss all risks during your consultation. The overall success rate for cartilage restoration is 75-85%, and the benefits typically outweigh the risks for appropriate candidates who commit to the extended rehabilitation protocol.
Why Choose Dr. Feghhi
Dr. Daniel Feghhi combines advanced training with a patient-centered approach to deliver exceptional orthopedic care.
Dr. Feghhi is board-certified in orthopedic surgery, ensuring the highest standards of training and expertise in cartilage restoration procedures.
Completed advanced fellowship training at the Florida Orthopedic Institute, specializing in minimally invasive knee and cartilage surgery.
As a former patient himself, Dr. Feghhi understands the recovery process from a personal perspective, providing empathy and support.
Uses the latest arthroscopic technology and cartilage restoration techniques including MACI, OATs, and microfracture for optimal outcomes.
Schedule a consultation with Dr. Daniel Feghhi to discuss your cartilage restoration options. We'll create a personalized treatment plan to help you return to the activities you love.
FAQ
Our Locations
Dr. Feghhi sees patients at multiple convenient locations throughout New Jersey.
401 Hamburg Turnpike, Suite 308
Wayne, NJ 07470
(973) 988-2200
180 Tices Lane, Suite 107
East Brunswick, NJ 08816
(732) 555-0123
50 Nelson Street, Suite 1
Dover, NJ 07801
(973) 555-0456
126 State Street, Suite 1
Hackensack, NJ 07601
(201) 555-0789
288 North Broad St, Suite 3
Elizabeth, NJ 07208
(908) 555-0321