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MAHI Joint Replacement and Orthopaedic Clinic is located at Kilpauk in Chennai, Tamil Nadu. Headed by Dr. Vijay, it is an outpatient Joint Replacement and Orthopaedic Centre.
Joint regeneration therapy, also can be called Musculoskeletal therapy, is a biomedical discovery, serves as a therapeutic aid in enhancing and improving treatments for patients with many conditions of the bones, muscles, cartilages and tendons, and meniscus.
Basically, Mesenchymal cells are pleuripotent cells capable of differentiating into different types of cells, which are derived from the cells of the blood vessels present in the bone marrow and fat tissues.
They can be used as substitute when a cartilage or tissue has been degenerated and is irreparable. This offers better therapeutic outcome as these cells can differentiate and regenerate into new cartilage, hence improving the prognosis of the disease and thereby quality of life.
Muscle and joint injuries are very common nowadays due to rigorous activities like Sports and High intensity workouts and also due to inadequate diet and nutrition, weakening the muscle and bones against the type of work done.
Therefore, Joint regeneration therapy can be effective in managing many irreparable damages as some of the injuries cause long-term damage to the cartilage and tendons, and they are also very slow in getting recovered due to relatively less blood supply as well as induce severe pain and immobility to the patient restricting daily activities.
The Regeneration medicine that significantly means to repair, replace and regenerate the damaged tissue, is yet to fully emerge in the field of Modern Medicine as there are still clinical trials being done to know its full sphere of operation.
The effectiveness of this therapy depends widely on the type of the therapy given as well, which includes various sub-types which are suited according to the severity of the damage, then comes the cost that the therapy bears and the sure-shot outcome it gives.
So, the effectiveness of this therapy is being researched thoroughly yet, but until now it has been documented to give much better results than palliative treatments and has drastically improved the quality of life of the patient.
The Procedure is affordable on the financial front and is worth the investment as it improves the osteoarthritic condition and relieves chronic and painful conditions, way better than any palliative or invasive treatments with no severe side-effects, following easy and quick recovery.
❖** Scope of Regenerative Therapy:**
Like any surgery has its own sets of criteria and risks involved, this particular procedure of knee replacement, now quite routinely done, also has a specific criterion for the denoting the
patient as a right candidate for knee replacement.
The Artificial Knee is generally made up of metals and plastics that are fixed on to the surfaces of the bone to create a similar joint cavity, as the natural one. Unlike olden times, this artificial knee provides all the range of moments like gliding and friction, offering more flexibility and mobility.
But just like the original knee joint gets worn off due to excessive work and friction, the artificial ones also act the same way. The metals and plastics get worn off after 15 to 20 years.
For this reason, Knee replacement surgery though being the best and most viable option, has to be done carefully, selecting the proper patient fitting into the criteria.
Patients that clear the criteria for surgery are:
1.The ones who have tried all forms of pain medications and physiotherapy, but without relief.
2. Severe injury leading to very less mobility of the patient and nothing than the replacement seems to be an option.
3. Elderly patient over the age 55 to 60 years.
4. Hyaluronic, or PRP or Adipose tissue injections that have failed to manage the condition.
5. Morbid obese or overweight patients with Diabetes, hypertension, cardiac disease are patients will benefit after knee replacement as patients can walk painfree. In other words knee replacement will improve other medical conditions.
Anterior Cruciate Ligament (ACL) injury - Arthroscopic surgery for ACL by best orthopaedic surgeon and knee specialist at Mahi Clinic, Chennai. Know the causes, symptoms, risks and treatment attached to Anterior Cruciate Ligament Injury. Our doctors educate you about the disease before doing the treatment.
Core decompression is a procedure for the treatment of Avascular Necrosis of the Hip (AVN).
Avascular necrosis is the condition characterized by the cellular death of the elements of bone cells and tissue. It is also called Osteonecrosis, aseptic necrosis or ischemic necrosis.
The hip or the femoral head is the most common site for this condition to manifest.
It is most commonly seen between the ages of 20 to 50 years.
The contributing risk factors are:-
1. Hemoglobinopathies
2. Dislocation of the hip
3. Alcoholism
4. Fracture of the hip or femoral neck
5. Increased use of steroids
6. Collagen vascular diseases.
In cases of non-traumatic AVN, the disease is often bilateral and may result in increased instability and disability, due to pain, decreased mobility preventing daily life activities.
The treatment for AVN varies and depends on the degree or stage of the disease.
Core decompression is one such treatment procedure carried out for the correction of AVN.
*It is indicated in the following conditions :-
*
1. Stage 3 or higher, when X-ray changes are evident, that is, late/post-collapse AVN of Hip
2. AVN of other joints like knee, shoulder, ankle elbow, etc
It is usually done to delay/prevent the chances of reconstruction surgery. It helps to preserve the integrity and function of the hip as well as to reduce pain and immobility.
The procedure is carried out by repairing the necrotic/dead tissues by coring followed by filling the cored area with bone graft. This repair helps in relieving the pressure and thus establishing revascularization, also maintaining the structural stability of the hip.
It is evidenced that this method helps in treating late stages of AVN effectively.
The bone marrow aspiration is done to aim at the study of the investigation of the safety of the injection of the marrow aspirate during Core decompression and study its clinical value.
The mesenchymal stem cells injection in the bone marrow of the affected bone has resulted in the induction of new bone growth and formation and the arrest of the necrosis of the bone.
This not only prevents the need for the reconstruction surgery but also gives an opportunity for the natural bone tissue to develop back and preserve its functionality.
The outcome of the procedure has been noted to be good and the post-op prognosis and recovery is also on the positive end.
