Got joint pain? It is common for both adolescents and adults to have joint pain that stops them from enjoying the activities they love. This pain can be from many different causes, including arthritic or pre-arthritic conditions.
Duncan Oughton of the Columbus Crew talks about his knee injury
Your joint preservation physician wants to identify the cause of your pain and offer a full range of contemporary treatment options to help you live your best life.
Your procedure is selected based upon your individual injury, your age and expected activity level. Many of these procedures are arthroscopic, outpatient procedures while others can require a one night hospital stay. In some cases we can expect to prevent or slow the onset or progression of arthritis using new methods for restoring damaged cartilage.
Among only a handful of cartilage restoration centers, Orthopedic ONE can elevate your lifestyle by restoring your hips and knees to their best function. It's our number ONE priority. Contact Orthopedic ONE today and let our Joint Preservation Specialists get you on the road to recovery.
The articular cartilage is a complex tissue that covers all joint surfaces in our bodies. It is just like the white, shiny, slippery gristle that covers the end of a chicken leg; white, because it has no blood supply; shiny, because its surface is smooth; and slippery, because it is covered with joint lining fluid. This elegantly designed surface is what wears as we develop arthritis. It can also be acutely injured, leading to “chondral defects" or “osteochondral lesions," which have previously been permanent flaws in the joint left by injury. This poorly vascularized tissue does not heal spontaneously, so routine repair surgery is rarely successful.
Fortunately, the treatment of articular cartilage is an exciting topic in musculoskeletal medicine, with new procedures on the horizon. Treatment options have become numerous for cartilage restoration but they must be tailoredyou're your unique needs. It is crucial to have experienced and knowledgeable physicians making your treatment decisions based on your activity level, your goals, and even the precise location and size of your injured tissue.
Cartilage Restoration Procedures
Micro fracture surgery, done hundreds of times annually by Orthopedic ONE cartilage surgeons, stimulates stem cell-like bone marrow cells to form a cap over the flaw in the joint. A second option is cartilage restoration. This can be done with both your own tissue and donor tissues.
Osteochondral transfer is a procedure which moves bone and its cartilage cap from a less important area of the joint to fill the traumatic defect and restore cartilage in the weight bearing area. This tissue can be harvested from your knee or donor tissue. Donor minced cartilage is another option that can be transplanted and fills defects with a healing matrix.
Finally, the autologous chondrocyte implantation (ACI) procedure is a cartilage transplant procedure allowing for restoration for those joint surfaces where the precise anatomy needs to be recreated. Your own cartilage cells become a medium to grow new cartilage. Other problems in the knee, such as misalignment and ligament injuries, might need to be addressed at the same time as your cartilage restoration procedure.
Your post-surgical care team is instrumental in a successful outcome as well. At Orthopedic ONE, after surgeons with decades of experience address your cartilage injury, our caring and expert therapists will help you obtain a lasting result.
The term "Joint Preservation" recognizes that your body has a natural ability to restore itself, and this miracle ability can be greater than prosthetic joints for some carefully selected patients. For these patients, procedures to let the body restore and repair itself are preferable in an effort to avoid complications from implant surgeries, infection, and loosening or failure of devices. The joint preservation surgeon tries to correct the anatomic abnormalities that are responsible for the patients' painful symptoms.
This conservative approach is one that all of our Orthopedic ONE surgeons embrace. Your surgeon will present you with a range of considerations, and will recommend what he or she believes is the best approach for a positive outcome and sustainable remedy to your condition or injury. However, in some cases, a total hip or knee replacement surgery is the best option for a variety of reasons. Learn more about our experienced joint replacement team.
Joint Preservation Procedures
The spectrum of joint preservation surgery includes minimally invasive procedures such as arthroscopy, articular cartilage restoration techniques, bone realignment procedures, and partial joint replacements. These can include but are not limited to:
- Total Hip Replacement
- Total Hip Resurfacing Arthroplasty
- Hip Arthroscopy
- Surgical Hip Dislocation
- Periacetabular Osteotomy
- Arthroscopic Debridement of the Knee
- Meniscal Transplantation
- DeNovo Cartilage Tissue Engineering
- Ligament Reconstruction
- Makoplasty Robotic Knee Replacement
- Autologous Chondrocyte Implantation
- Fresh Osteochondral Allograft
- High Tibial Osteotomy
- Distal Femoral Osteotomy
- Unicompartmental Knee Replacement
- Patellofemoral Arthroplasty
- Total Knee Replacement
- Diagnostic Ultrasound
- Ultrasound guided joint injections
- Platelet Rich Plasma