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Specialist consultation at London Cartilage Clinic

You may have more options than you think

Most patients have more treatment options than they have been told

At London Cartilage Clinic we follow a structured clinical framework across four areas of treatment. Understanding which combination applies to you starts with your joint.

Prof Paul LeeReviewed byProf Paul LeeLast reviewed 1 May 2026

Four areas of treatment. One integrated approach.

Every treatment we offer falls within this framework. Many span more than one area. Your consultation determines the right combination for your situation.

Preserve

Protect what you have. Slow degeneration and manage symptoms with targeted injections and non-surgical treatments.

Repair

Fix specific damage. Surgical procedures that restore torn tissue, unstable ligaments, and structural problems.

Regenerate

Rebuild lost tissue. Advanced biological treatments that stimulate your body to grow new cartilage and repair itself.

Replace

When every alternative has been explored. Joint replacement as a last resort, not a first recommendation.

Select your joint to see your options

Each page shows every treatment we offer for that joint, organised by clinical approach.

Knee treatments

Knee

15+ treatments

Ankle treatments

Ankle

8+ treatments

Shoulder treatments

Shoulder

8+ treatments

Hip treatments

Hip

10+ treatments

Wrist treatments

Wrist

6+ treatments

Hand treatments

Hand

6+ treatments

Foot treatments

Foot

6+ treatments

Elbow treatments

Elbow

6+ treatments

Not sure where to start? Speak to us directly.

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Specialist discussing treatment options with patient

Before replacement what options have you explored?

Joint replacement is a proven, life-changing procedure. But it is permanent and irreversible. Once a joint is replaced, the biological options are no longer available.

Many patients are referred for replacement without being assessed for the treatments that could preserve, repair, or regenerate their joint first. Not because replacement is wrong, but because the clinic they visited may not offer the full range of alternatives.

  • Biological injections that reduce inflammation and support cartilage at the cellular level.
  • Regenerative treatments that stimulate your body to rebuild damaged tissue.
  • Surgical repair and reconstruction techniques that restore joint structure without replacing it.

At London Cartilage Clinic, replacement is always the last resort. We explore every viable alternative first, because the best outcome is keeping your own joint whenever possible.

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A framework built around you not around a procedure

Preserve, Repair, Regenerate, Replace is not a menu you pick from. It is a clinical framework that structures how we assess your joint and determine the best path forward.

Many treatments work across multiple areas. PRP supports both preservation and regeneration. Cartilage micrograft spans repair and regeneration. Some patients need a single targeted injection. Others benefit from a staged plan that combines two or three approaches over time.

  • Your consultation determines the combination, not you guessing from a website.
  • Treatment plans are built around your joint condition, your goals, and your lifestyle.
  • The full pathway from first injection through to complex surgery is available under one roof, with one clinical team.

This integrated approach means your treatment can evolve as your condition changes, without losing continuity or starting from scratch with a new provider.

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Professor Lee explaining treatment plan during consultation
Professor Paul Lee at London Cartilage Clinic

Led by Professor Paul Lee surgeon, engineer, scientist

The Preserve, Repair, Regenerate, Replace framework exists because Professor Lee built it. His background is unusual in orthopaedics: he is both a consultant orthopaedic surgeon and a medical engineer, with a PhD in Medical Engineering and over 50 peer-reviewed publications in cartilage science and regenerative medicine.

This dual perspective shapes everything at London Cartilage Clinic. Surgical decisions are informed by tissue biology. Biological treatments are guided by structural engineering principles. The result is a clinic that can offer what most cannot: the full spectrum of joint treatment, from the simplest injection to the most advanced cartilage regeneration, all delivered by a team that understands both sides.

  • Visiting Professor of Sports Medicine, University of Lincoln.
  • International Cartilage Repair Society designated Teaching Centre of Excellence.
  • Author of Musculoskeletal Regeneration Medicine: Interdisciplinary Approach.
Professor Lee's Profile
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Ready to explore your options?

Select your joint to see every treatment we offer, organised by clinical approach.

Knee

15+ treatments

Ankle

8+ treatments

Shoulder

8+ treatments

Hip

10+ treatments

Wrist

6+ treatments

Hand

6+ treatments

Foot

6+ treatments

Elbow

6+ treatments

Or speak to us directly

Free Discovery CallBook a Consultation
consulting-in-office-with-pen

Frequently Asked Questions

How do I know which treatment is right for me?

You do not need to know before your consultation. The right treatment depends on the nature of your condition, the joint involved, your activity goals, and clinical factors that can only be assessed through examination and imaging. Your consultation with Professor Lee determines the best approach.

Do I need a referral to be seen at London Cartilage Clinic?

No. You can book a consultation directly without a GP or specialist referral. Many patients come to us for a second opinion after being told they need a joint replacement elsewhere.

What if I have been told I need a joint replacement?

A replacement recommendation from another clinic does not mean there are no other options. Many patients referred to us for a second opinion discover they are candidates for biological or regenerative treatments that can delay or avoid replacement entirely. We assess every patient individually.

How many of these treatments are available on the NHS?

Some treatments such as steroid injections and standard surgical procedures are available through the NHS, though waiting times can be significant. Many of our advanced biological and regenerative treatments, including ChondroFiller, STACi, and Arthrosamid, are not currently available on the NHS.

Can I have a consultation without committing to treatment?

Absolutely. Many patients come to us simply to understand their options. The consultation is an assessment, not a commitment. You will leave with a clear picture of what is possible and can take as much time as you need to decide.

Still have more specific concerns?

Free Discovery Call

London Cartilage Clinic

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