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By Oxford Orthopaedics

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  • Foot & Ankle

Services

Best for: Early cartilage wear or mild arthritis

Non-Surgical Treatments

Best for: Early cartilage wear or mild arthritis

Benefits:

  • Minimal downtime
  • Repeatable every 6–12 months (based on symptoms)
  • Often delays the need for joint surgery

Options Include:

  • Hyaluronic Acid (HA): Lubricates joints, reduces stiffness and improves shock absorption
  • Autologous Protein Solution (APS): Blood-derived therapy that reduces inflammation and promotes joint healing
  • Novel Orthobiologic: Early cartilage preservation using next-gen cell-derived injectables
  • Extracorporeal Shock Wave Therapy: Stimulates healing in tendons and ligaments
  • Clinical Pilates and Associated Physical Therapies: Focused on joint stability, alignment, and reducing biomechanical stress

Keyhole Arthroscopy (Minimally Invasive Surgery)

Best for: Structural cartilage or soft tissue injuries, such as tears or unstable lesions

Benefits:

  • Walk same day for most procedures
  • Shorter recovery time vs open surgery
  • Focused on joint preservation, not replacement

Procedures Include:

Cartilage Lesion Preservation or Stabilisation

Using techniques such as AMIC (Autologous Matrix-Induced Chondrogenesis) or AMIC+ (scaffold-based repair, with BMAC or minced cartilage for biologic enhancement). 

Learn more under Dr Francis Wong’s Published Cartilage Restoration Techniques.

Including scaffold-supported regeneration (e.g. Hyalofast) or OATS (Osteochondral Autograft Transfer) for focal lesions.
Often using AMMR (Arthroscopic Medial Meniscus Root Repair) to restore load distribution and joint shock absorption.

Including ACL, MCL, or ATFL repair to stabilise joint biomechanics.

Cartilage Regeneration & Biologic Augmentation

Best for: Patients with focal cartilage defects or early degeneration. These specialised techniques stimulate new cartilage growth and restore joint surface integrity

Benefits:

  • Performed arthroscopically or via limited access
  • Suitable for active patients looking to avoid joint replacement
  • Tailored to lesion type, location, activity level, and age

Techniques May Include:

Scaffold-Based Regeneration

Using biologically active matrices like Hyalofast or collagen-based implants to promote cartilage growth over defect sites.

Enhancing repair using cell therapies, growth factors, or exosome-derived injectables to accelerate healing at a cellular level.
Stimulates natural cartilage regrowth while preserving subchondral bone integrity, reducing long-term degeneration risks.
Supports integration and recovery post-surgery, often as part of a biologic treatment plan.

Dr Francis Wong’s Published Cartilage Restoration Techniques

Cartilage Restoration Technique: with AMIC+

This technique showcases how Dr Francis can template a perfectly shaped scaffold into a defect. The scaffold is augmented with Bone Marrow Aspirate Concentrate to improve clinical outcomes. This paper also demonstrates the preoperative and postoperative considerations.

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This technique is challenging for many surgeons, who often struggle with handling the patella. In this paper, Dr Francis has demonstrated that it can be achieved, along with the use of minced cartilage, to further enhance clinical outcomes. 

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By Oxford Orthopaedics