Focal femoral condyle resurfacing

Bone Joint J. 2013 Mar;95-B(3):301-4. doi: 10.1302/0301-620X.95B3.29998.


Focal femoral inlay resurfacing has been developed for the treatment of full-thickness chondral defects of the knee. This technique involves implanting a defect-sized metallic or ceramic cap that is anchored to the subchondral bone through a screw or pin. The use of these experimental caps has been advocated in middle-aged patients who have failed non-operative methods or biological repair techniques and are deemed unsuitable for conventional arthroplasty because of their age. This paper outlines the implant design, surgical technique and biomechanical principles underlying their use. Outcomes following implantation in both animal and human studies are also reviewed.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Cartilage, Articular / injuries*
  • Cartilage, Articular / surgery
  • Femur / surgery*
  • Finite Element Analysis
  • Hemiarthroplasty / instrumentation
  • Hemiarthroplasty / methods*
  • Humans
  • Knee Injuries / surgery*
  • Knee Joint / physiology
  • Knee Joint / surgery
  • Knee Prosthesis
  • Treatment Outcome