Distal Femur Cartilage Injury Treatment in Chillicothe, OH

Your distal femur is the bottom part of your thigh bone where it connects with the kneecap. Trapezoidal in shape, it sits behind your kneecap, making up the top part of your knee joint. (In addition to the distal femur, your knee joint is formed by the upper end of the tibia [shin bone] and the patella [kneecap] as well as cartilage, ligaments, and tendons.)

Because your knee is one of your body’s weight-bearing joints and plays a major role in your mobility, injury to any of its various components will have an impact on your lifestyle and well-being. This includes injury to the articular cartilage that covers the distal femur, which serves as a smooth surface to allow the bones to slide freely in the joint.

Distal Femur Cartilage Injury Symptoms

Knee Cartilage X-RayArticular cartilage lesions of the distal femur occur when the cartilage covering the distal femur tears or breaks. Damaged articular cartilage does not heal on its own because it does not contain blood vessels.

Symptoms of distal femur cartilage injury include:

  • Intermittent swelling
  • Pain, especially with prolonged walking or climbing stairs
  • Buckling or giving way under weight
  • Locking or catching
  • Noise during motion (crepitus)

Knee Cartilage Damage Grading

Doctors classify damage to knee cartilage using a grading scale based on what is seen via arthroscopy. The grades are listed below:

  • Grade zero is normal cartilage.
  • Grade one is when the cartilage has a softening, blistering or swelling.
  • Grade two is when minor tears are visible in the cartilage.
  • Grade three is when the lesions have deep crevices.
  • Grade four is when the underlying bone is exposed.

Causes of Distal Femur Cartilage Injury

Distal Femur (Knee) Cartilage Injury Treatment for Columbus & Grove City, OH patientsDamage to the articular cartilage surface can come from many sources, including any of the following:

  • Being overweight
  • Previous injury
  • A misaligned bone
  • Osteoarthritis
  • Inflammatory arthritis
  • Everyday wear and tear
  • Pivot or twist of the knee
  • Direct blow to the knee
  • An accompanying injury to a ligament or meniscus

Unfortunately, articular cartilage cannot regrow or repair itself.

Why Choose Dr. Cohen?


One of the first orthopedic surgeons employed by a large hospital. Dr. Cohen spent 20 years.


Over his distinguished career, Dr. Cohen has cultivated a reputation of excellence and trust among his patients and his peers.


To achieve the best surgical outcomes, Dr. Cohen utilizes the most advanced technologies and techniques, keeping his practice state of the art.


An individualized, patient-focused process coupled with decades of training and experience help ensure maximum safety for all of Dr. Cohen’s patients.

Distal Femur Cartilage Treatment Options

Dr. Cohen will discuss your damaged cartilage treatment options with you. Treatment may include weight loss, exercises to strengthen surrounding muscles, changes in physical activity, procedures to help the cartilage repair or regenerate, or transplant procedures. If the cartilage is worn so much that the underlying bone is exposed, a partial or total knee replacement may be necessary.

Arthroscopic Knee Surgery

Dr. Cohen may use arthroscopic surgery to treat your damaged cartilage. During arthroscopic surgery, small incisions are made in the knee area. Dr. Cohen then uses an arthroscope (a device about the size of a pencil that carries a tiny video camera) to look inside the knee at the cartilage and special tools to perform the surgery.

Schedule Your Consultation

If you are suffering from knee pain, schedule a personal consultation with orthopedic surgeon Dr. Brian Cohen by calling or emailing his office today. Dr. Cohen has extensive experience treating knee pain and can diagnose and help you learn more about your knee pain treatment options.


Cohen Orthopedic

Lets get moving


Phone  (614) 788-0375

Outpatient Clinic:

4850 E. Main St Suite 110 Columbus, OH 43213

Outpatient Clinic:

2030 Stringtown Rd Suite 210
Grove City, OH 43123

Outpatient Clinic:

869 N. Bridge Street
Chillicothe, OH 45601

Surgical Center:

323 E Town St.
Columbus, OH 43215

Surgical Center:

1375 Stringtown Rd
Grove City, OH 43123