Abrasion arthroplasty

Written by Dr Sheila Strover on March 14, 2025

Abrasion arthroplasty is a surgical procedure to smooth off bits of damaged joint cartilage using a high-speed burr.

How abrasion arthroplasty is performed

With the camera in one hand and the shaver instrument in the other, the surgeon is able to view the damaged area on a monitor in front of him (like a TV screen).

Illustration of arthroscopic surgery where a light source is passed into the knee cavity, and instruments inserted via a different portal to deal with the issue.

The logic of abrasion arthroplasty

The word 'arthroplasty' means 'reshaping of the joint'. 'Abrasion' means to 'grind down'. So the term abrasion arthroplasty implies a surgical procedure to reshape the joint by grinding down the damaged surface.

However, the procedure is now considered to be one of the 'marrow stimulation' procedures whereby the abrading leads to the release of mesenchymal stem cells from the underlying bone marrow, and that these have the potential to repair to some extent the damaged cartilage.

"Abrasion arthroplasty is used for cartilage lesions of any grade....it is easy to perform especially if cartilage lesions are seen during a diagnostic procedure. For most other marrow-stimulating procedures, special drills have to be used whereas [arthroscopic abrasion arthroplasty] can be performed with a shaver."

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