Cartilage repair and regeneration is a viable treatment for joints that have damaged cartilage but are otherwise healthy, helping patients delay or avoid joint replacement surgery altogether. This approach is generally appropriate for patients who have specific cartilage injuries rather than widespread damage and are especially effective in patients who are under 50 and active.
Cartilage restoration procedures resurface, realign and regenerate cartilage and are performed most commonly in the knee, but can be also performed on the shoulder, ankle or hip. Some procedures can be performed through minimally invasive arthroscopic surgery that requires no overnight stay.
The Total Joint Center utilizes the latest techniques to perform cartilage repair and regeneration procedures, including:
- Microfracture – This method uses the body’s own healing abilities for tissue regeneration. Small incisions are made arthroscopically to remove damaged cartilage, then small holes are made in the exposed bone, bringing bone marrow cells into the damaged area to regenerate new cartilage.
- Osteochondral Autograft or Allograft Transplantation – These methods treat cartilage injuries by replacing both cartilage on the surface and the underlying bone. The tissue can come from other parts of the patient’s body (called osteochondral autograft) or from a tissue donor (osteochondral allograft). The grafts are then applied to the damaged area.
- DeNovo® NT – This method treats cartilage injuries by implanting juvenile cartilage cells that migrate, proliferate, and form new cartilage in the damaged area.
- Autologous Chondrocyte Implantation– This method treats cartilage injuries with a two-step procedure; first, cartilage cells are harvested arthroscopically and are cultured in a lab to increase the number of cartilage-producing cells. Once the cells are obtained (typically after 4 weeks), the cells are transplanted into the damaged area to regrow new cartilage.
To learn more or request an appointment , call 866-236-8727.
The Total Joint Center offers a range of knee and hip joint replacement surgeries using the latest prosthetic implants for longer-lasting results. Innovative procedures include quad-sparing knee replacement surgery and direct anterior hip replacement surgery that can allow an expedited recovery process where patients can leave the hospital after a brief stay and recover in the comfort of their own home.
Our orthopedic surgeons are specially trained to perform minimally invasive joint surgery through incisions several inches shorter than those used during traditional surgeries. Using small, flexible instruments, they can repair tissues and bones or replace joints with enhanced precision. The benefits of this approach may include:
- Minimal damage to surrounding tissue
- Reduced risk for complications such as infection
- Less scarring
- Reduced pain
- Faster recovery
Our approach includes rehabilitation customized for you, and all of the resources needed for a safe and successful procedure and recovery. This includes:
- A Total Joint Center coordinator to orchestrate all preoperative and postoperative care, pre-arranged discharge and rehabilitation
- A physician-directed, proven approach to pain management
- Nurses and therapists who specialize in the care of joint patients
- Group and individual therapy, guided by:
- Physical therapists to help you increase mobility and build strength
- Occupational therapists to educate you on assistive devices, joint protection, and energy conservation techniques that can be used during activities of daily living
- Pre-discharge Q&A with the Total Joint Center coordinator
- A comprehensive patient guide for you to follow from six weeks pre-operation until three months post-operation and beyond
To learn more or request an appointment, call 866-236-8727.
How to Choose a Surgery Center and Surgeon
When choosing a hospital, be sure to find a facility that performs an adequate number of surgeries, has good outcomes and low complications rates (check Medicare.gov for this data). You may want to consider an accredited surgical center of excellence, which is designed to deliver high-quality care and specialized attention while providing coordinated, streamlined services for fewer complications, less pain and more rapid recovery. CentraState Medical Center is accredited by The Joint Commission as a Total Joint Center of Excellence for hips and knees.
When choosing a surgeon, look for one who is fellowship trained in joint replacement. Also, be sure to choose a physician who reviews all of your treatment options, including non-surgical procedures. He or she should talk with you to understand your goals and expectations for treatment, and work with you to decide what course of treatment is best for you.
Preparing for Joint Replacement Surgery
The goal of joint replacement surgery is to reduce joint pain, restore independence, and get you back to the activities you enjoy as soon as possible. If your physician determines that surgery is your best option, a clinical coordinator at CentraState will help plan all your preoperative appointments and consultations.
A physical therapist will prepare you for surgery through a personalized exercise regimen, because preoperative strength-training activities have been shown to reduce recovery time and make rehabilitation easier.
Education classes are offered to introduce you to the staff, explain medical devices that may be used, and familiarize you with the surgical unit.
Joint Replacement Recovery and Outcomes
The Total Joint Center provides joint replacement patients with around-the-clock, high-quality, compassionate care. Our innovative approach to pain management helps ensure patients’ comfort while encouraging them to get up and move as soon as possible after surgery. Most joint replacement patients are walking with an assistive device the day following surgery and are able to return home within three days of the procedure.
Our orthopedic specialists will work to manage any pain safely and effectively to minimize your discomfort. If opioids are prescribed, we’ll “dial down” the dosage as soon as you feel relief or we can prescribe a lower-level pain reliever, like NSAIDS or Tylenol. If you can’t tolerate opioids or would prefer not to take them, there are several alternatives, including ice, transcutaneous electrical nerve stimulation (TENS), therapeutic taping, or cryotherapy, a type of therapy using extremely cold temperatures. Ensuring that you feel well enough to move the joint and participate in physical therapy is the main goal in managing your pain.
With guidance from their orthopedic surgeon and proper outpatient physical therapy, patients are usually back to work and the activities they enjoy in three to six weeks. Those who require more intense therapy after joint replacement can receive the specialized care they need at The Manor Health and Rehabilitation Center, CentraState’s health and rehabilitation facility located on the hospital campus.