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Knee Preservation Surgery Patients younger than 50 may be candidates for knee cartilage repair procedures. These treatments aim to restore the cartilage in your knee with your own tissue or donor tissue (donated human tissue from a cadaver). You may also have: Ligament repair or reconstruction—Your orthopedic surgeon will reattach or reconstruct the torn ligament during a ligament surgery. Younger patients with cartilage damage often have a ligament injury. For example, you may have an anterior cruciate ligament (ACL) reconstruction if you’ve torn your ACL. Osteotomy—This procedure will realign your bones to take pressure off your injured knee. You may have an osteotomy alone or in addition to a cartilage restoration procedure. Partial knee replacement—Your orthopedic surgeon will replace the damaged portion of your knee. Patients younger than 60 may have a partial knee replacement to delay or avoid a total knee replacement.