I fought it for years, as I was just afraid. Dr Thomas Youm performs high-tibial osteotomy and total knee replacement in New York City, NY. Your anterior cruciate ligament (ACL) is a strong band of tissue that connects your thigh bone to your shin bone and provides essential joint stability in your knee. Patients are usually discharged the same day. After surgery, it's typical for the knee to technically be able to bend between 70 and 90 degrees, though it may be difficult due to pain and swelling. resorbed and replaced with new bone.2. inhibit the treatment of other findings inside the joint when A preoperative visit will occur at the time of enrollment. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. Subchondroplasty is a procedure perform by orthopedic surgeon to treat injury of the bone marrow or a defect in the subchondral bone. It is relatively common. The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The patient is usually discharged on the same day as the surgery. After 7-10 days, you should be able to . I am in commercial construction and I think it will be a while until i can return to climbing ladders and stagings etc. Im sorry to hear that. I was seen on time. Recovery time for this surgery is highly individual. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. agood choice for use in the smaller bones of the midfoot and forefoot, *The grain size of the hydroxyapatite (HA) crystals that form as part Spang JT, et al. The patients are allowed to ambulate as well as do activities of daily living as tolerated. I must successfully train the patella to shift to the inside somehow. Subchondroplasty: Knee Repair; Rotator Cuff Injuries & Bio-Inductive Shoulder Patch; Golf Injuries & Treatment; . Furthermore, this surgery is inadvisable for anyone with active infection in the joint of concern. Both procedures have shown good results in carefully selected patients and help in preventing rapid deterioration of the joint and delay or prevent joint replacement surgery. Doctor did agree it is an individual recoup. Mr. Melina, obviously it is difficult to give specific answers as I dont know all the details of your particular case. Knee osteoarthritis (OA) is a common form of arthritis that causes joint pain and stiffness. Most patients will begin physical therapy within a couple of days and continue this for several weeks. Citation, DOI, disclosures and article data. Hello Dr., my mother (71 YO) was diagnosed with arthritis, she has almost perfect mobility but the joint is damaged. Very friendly and definitely an asset to the practice! It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Any medical issues that would prohibit a simple arthroscopy would also preclude proceeding with a subchondroplasty. MRI imaging studies reveal these injuries as bone marrow lesions (BMLs). The patient is usually discharged on the same day after the surgery. After my six week checkup this week, my knee still had considerable pain in it and I am still unable to walk without crutches. ), age, and level of activity all contribute to healing time. joint pain near impact zone . I'm constantly falling, my knee buckles and gives out, it locks up and I have no control over it. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Quickly find individual products and their details. Best of luck. May use . I have seen Dr. Kuo two times already and he's awesome along with his staff. Scheduling my appointment was quick and easy. In the past, this problem was treated with bracing, limited activity or extensive knee surgery that required up to eight months of recovery time. I have a stress fracture in my right hip with a lot of pain. Whats the take-home message about Subchondroplasty? Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. Sounds like you had Dysplasia. PDFS, STIR, etc. COLUMBUS, Ohio - Doctors at The Ohio State University Wexner Medical Center are using a procedure called Subchondroplasty to give patients with damaged hips more treatment options and ultimately avoid replacement surgery. The term literally means "to look within the joint." During shoulder arthroscopy, your surgeon inserts a small camera, called an arthroscope . The control group will be patients receiving knee arthroscopy alone and the intervention group will be patients receiving subchondroplasty and knee arthroscopy. AnkleSurgical Technique, TheSubchondroplasty (SCP) ProcedureHipSurgical Technique, Injection Behavior of Bone Substitute Materials, in Contained Some folks respond to sometreatments, and some respond better to other treatments. It also helps in preventing complications of subchondroplasty, that is extravasation of the material into the joint. I would highly recommend this office. Recovery time is considerably less and the cost to the patient and insurer is but a fraction of the cost of a total knee replacement surgery. A semi-liquidsubstance containing calcium is then injected through the cannula and into the lesion. Subchondroplasty may be performed alone or along with other arthroscopic procedures. bewmson. I am 63 and perhaps a bit impatient with the healing process. I am 35 years old and face a lifelong battle with knee pain and OA. I would suggest calling an orthopaedists office who speciallizes in knee surgery and asking. (IFU) for full prescribing and risk information, please call 1-800-348-2759, press 4 for 411 Technical Support., Quantifying Your Patient Recovery with ZBEdges Persona IQ and the mymobility Care Management Platform, AAOS Las Vegas 03.08.23, Dealers Choice: ORIF vs. Total Hip Replacement AAOS Las Vegas 03.08.23, Zimmer Biomet Announces Fourth Quarter and Full-Year 2022 Financial Results, Zimmer Biomet Announces Webcast and Conference Call of Fourth Quarter 2022 Financial Results, Presence of bone defect seen on fat-suppressed MRI (T2FS, Office very clean. Often with arthritis, patients will have diffuse pain that is they will have pain all over the knee. PiCC line and 6 weeks of antibiotics with tests of blood counts deemed a qualified success. Is this therapy is useful for me. So far its been a disaster and I am wondering if my severe osteoporosis coupled with my vitamin D deficiency has something to do with it? Your Physical Therapist at Physician will allow you to put weight on your knee as tolerated. Thank You. fluoroscopically-assisted intervention that targets and fills Whether youre looking to open a new facility, add a service line or I went and saw another ortho surgeon who told me straight away that my knee was unstable and that i needed a further ACL AND MCL reconstruction due to a botched first operation. Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. I eventually got scheduled to have arthroscopic surgery on Dec 6th. Unfortunately, I do not. . I hope that the damage that has be done can be contained and i can live a relative pain free life and enjoy the joys of fatherhood with my young girls with little inpact on the freedom of many every day activities. 1, 2, 3 Often, they are represented on fluid-sensitive magnetic resonance imaging (MRI). I'm happy with the results, but have to admit I was surprised at how sore I was for the first 2-3 days. L. What now? About 66 out of every 100,000 people tear a meniscus per year. EXPECTED RECOVERY: Walking without crutches approximately 6-8 weeks after surgery; Back to work within 3-4 months following surgery if laborer, desk type work may return 2-3 . Google . My experience may be VERY different than yours though. . subchondral bone defects, the crystalizes and sets in an isothermic To let you know how serious this is, I'm only 30 years old. A chondroplasty is an outpatient procedure used to repair a small area of damaged cartilage in the knee. Sorry to hear about that condition. Likewise, removal of the few needed stitches usually occurs in about a week. The arthroscopy allows us to identify and address any potentially treatable issues inside the joint. I personally approve this content and have written most of it myself. biological needs.. What is anybody's experience here? A subset of these patients may respond to asubchondroplasty, and therefore they would be able to avoid joint replacementat least in the short-term. Subchondroplasty also resolves the associated edema. future procedures. Could this procedure be an option? Subchondroplasty is a procedure perform by orthopedic surgeon to treat injury of the bone marrow or a defect in the subchondral bone. Like all medical issues, arthritis can come in different patterns. hXmoH+1QzRDHHk(pJO#!6S+b;g])`iRA""$3Y ,c#$q8WcA#\3h!F}hLrVFHF(HV@1E}t,/x3-!eEK)jeKsJOtYcn0%EE{1t{Pl]~"rwA\itOo|zo2&)XwhA9BK#MgY`s&+|qHPc 0 All the best . We can design a controlled therapeutic program that includes exercising on a recumbent bicycle (nonweight-bearing), an elliptical trainer and a continuous passive motion (CPM) machine to improve the knees strength and mobility. Back to Main Site . I no longer ache. Am I necessarily looking at injections of some type to stave off knee replacement surgery? By definition, secondary osteonecrosis of the knee occurs secondary to an insult. It is important that you do your exercises and physical therapy and don't procrastinate with them. Usually, there is only a small soft dressing. There are three types of . Yes German Shepards get it too :). I continued walking without krutches until Friday morning (this is the first week mind you)but the sorness, while not at all excruciating, was still a concern and I contacted my surgeon's office, at which time they expressed that I still needed to be on krutches at 25% weight bearing. Today is the first day that I've been able to bend my knee to almost full range-of-motion, and straighten it after sitting with minimal pain. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. However i do not know any to recommend. The staff is very professional and helpful. It is now almost a year later, and I still have pain and soreness. Subchondroplasty is a minimally invasive surgery that helps to repair bone fractures and bone marrow edema (aka "bone bruises") that are painful and debilitating. Another more extensive paper has demonstrated similar results. Tips for preventing one of the most common types of knee injury. The surgeon performed an ACL and a subtotal meniscetomy whilst leaving the MCL alone. It does not hinder total knee replacement if required in the future. I was on crutches with weight bearing for about 2 weeks, and then moved to the walker. Elizabeth you the best thank you for you help always and you big smile and positive actitud. you should check with your surgeon to find out which procedure he performed. Hard to say from here without an exam or imaging what would be best for you specifically but generally people with that issue are better served with a hip replacement. without the express written consent of Zimmer Biomet. still anoption.. Subchondroplasty Post-Op Knee Rehabilitation Some benefits patients in Manhattan, New York City and surrounding New York boroughs experience are: Minimally invasive surgery takes less time to recover. Follow. form ananocrystalline,macroporousscaffold in the bone. Smaller lumen and shorter length is designed to be What Ankle Fracture Treatment Is Right For You? Complete Orthopedics should be your choice! My meniscus cartilage was worn out on the inside before surgery. performed along with arthroscopy. I was up walking mere hours after the surgery, and on the workout machines the next morning. SCP Procedure does not preclude Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. That lasted 2 days with minimal assistance and was able to be full weight bearing by the 4th day. We offer this Site AS IS and without any warranties. intendedto be intrinsic to the stability of the bony structure. posterolateral spine), and pelvis that are not intrinsic to the before discharge i was,nt told much the physio just told me to excercise as much as i could. They will require the need for assistive device like crutches for ambulation for 3-4 weeks. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. The "rule of thumb" for recovery is 1-3 months from surgery to "on . Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo. On occasion, these forces can cause bone bruises. These are small fractures in the bone marrow. Dr. Karkare is very knowledgeable, helpful, and caring. It is a rare cause of knee pain and disability. I'm in more pain than I have ever been in my whole life. Im 58 and would like to wait to get a hip replacement. Should it become necessary, future surgery is I am happy to have had this procedure done and hope to have the left knee done this winter. Do you have arthritis? He takes time to listen and offer suggestions to help you get better. The appropriate test, x-rays were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. As first described in the knee joint, Subchondroplasty offers the benefit of a relatively simplistic and safe minimally-invasive procedure . (Arthroscopic knee surgery) The recovery time for arthroscopic chondroplasty is much faster than traditional open knee surgery because it . If your BML persists on an MRI and symptomatic beyond three months, a subchondroplasty may be right for you. The aim of the present study was to evaluate subchondroplasty of the knee regarding its applicability and results in terms of function improvement and prevention of evolution of joint degeneration. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. I still can'twalk or stand for more than 10 minutes without severe pain that makes me have to stop doing what I am doing. I am so happy he is my doctor. I was told to not put a load on the knee in the bent position, so no jumping my horse for a few more weeks. Read Responses. What are the results of Subchondroplasty? My orthopedic doctor kept recommending knee replacement . AccuFill BSM which is replaced with new bone during the healing Ive been doing research on SCP and wondering if this procedure would be an option. When I was 16 she performed my first arthroscopic knee surgery. Arthroscopic chondroplasty is performed as an outpatient procedure. You will be given a prescription for outpatientphysical . They are asked to elevate and ice and use pain medications as directed to take care of the pain and swelling in the knee joint. They are probably among the, Bone Loss In Shoulder Instability I have previously written about, I noticed a strange phenomenon throughout the summer and into, Ankle fractures are common. Dr Vaksha, is a great doctor very professional knows what he talking about. Would highly recommend. Bilateral Knee Replacement (Simultaneous), Adjacent Segment Disease after Cervical Fusion, Patient-Specific Knee Replacement Customized Implants Vs Customized Cutting Blocks, Medial & Lateral Collateral Ligament of the Knee. In a synovectomy procedure, much of the synovium is removed. Stress fracture - left tibia. The purpose of this study was to determine whether prior arthroscopic application of a CPBS, for repair of magnetic resonance imaging-identified subchondral fractures associated with osteoarthritis (procedure referred to as subchondroplasty . I do understand that a chondroplasty does not guaranty that cartilage like material will form. and considering the amount of work that was done i am pleased to report that i have been weightbearing 4 days post surgery pain free. Physical therapy will help patients increase . Dr.Karkare is the best. with Subchondroplasty, ETEX Corporation 55 Messina Drive Braintree, MA 02184. A brace is not typically required. It doesn't hurt when I walk straight? ), No resolution of BML with conservative Subchondroplasty has shown solid potential, but orthopedic surgeon Dr. Matthew Hepinstall is concerned that it might be "oversold" to desperate patients who want to avoid joint replacement surgery. Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Zimmer Biomet or its affiliates unless otherwise indicated, and must It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. Watch the video of Dr. Marc Pietropaoli discussing the Subchondroplasty knee repair procedure during a segment on Bridge Street (Channel 9 WSYR).. Knee Repair vs. Knee Replacement: Unlike traditional "knee replacement surgery" in which the diseased or damaged knee joint is removed and replaced with an artificial one, subchondroplasty, which literally means 'surgical repair below the . Good luck. eCY>1g8IIIIKx1LxNs*b/p8yq ]@0 B,& When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. This is a multicenter, prospective, single-blinded, two-arm, randomized study. They are an excellent practice. 55 0 obj <> endobj If all goes well, the results of your subchondroplasty will last for many years, allowing your knee to once again work like a well-oiled machine! In short, osteoarthritis is a degeneration of your joint. Thank you. KNEE - SUBCHONDROPLASTY PLEASE READ THESE INSTRUCTIONS COMPLETELY AND ASK FOR CLARIFICATION IF NECESSARY - DIRECT QUESTIONS TO YOUR NURSE BEFORE LEAVING THE HOSPITAL OR VIA PHONE/EMAIL TO DR COLE'S STAFF AFTER ARRIVING HOME EMERGENCY HOTLINE # 312-243-4244 WOUND CARE Loosen bandage if swelling or progressive numbness occurs in the extremity. I just had a chondroplasty done 1 1/2 weeks ago. Any help would be greatly appreciated. . The reason for nonhealing of these lesions may be increased pressure in the area due to the edema, which is taken care by drilling a hole and letting it to decompress. *Verify AccuFill BSM indications available for your country/region. It also allows us to remove any of the injected substance that might inadvertently get into the joint through the uncovered bone. Sports Medicine Center for Musculoskeletal Care 333 East 38th Street New York, NY 10016 Tel: (646) 501-7223 ! An interactive learning environment for enhancing education and training. I never did use my crutches, and am able to walk relatively pain-free, providing I'm not walking on uneven ground or stairs. We were in Pt. One of these system malfunctions is a bone marrow lesion, a microfracture or swelling in the soft bone right below the knee joint. It does not hinder total knee replacement if required in the future. endstream endobj startxref I suggest discussing with your surgeon about your particular case. She also has pain frequently. The hardened material has strength characteristics of healthy bone marrow, and it also has a structure that promotes bone ingrowth and ultimate replacement by your bone. during the healing process.*. Im sorry, I have no way of knowing who performs this procedure anywhere. Masking: Single (Participant) Masking Description: Patients will be randomized at the time of surgery to either the control group or the intervention group. Subchondroplasty does not affect the ability . Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. . Hold 10 seconds. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. I stopped both last week and have begun to use recumbent bike at the gym (non weight bearing) and added the elyptical machine each day for a few minutes.Still have moderate pain on inside of knee when flexed rht or left. Often they will resolve with time. It leads to faster recovery and quicker return to normal activities. Surgery was never in question . Didn't find the answer you were looking for? The patient is usually discharged on the same day as the surgery. It leads to faster recovery and quicker return to normal activities. I still have pain and entering week three donot feel much inprovement. Subchondroplasty Knee RCT (PRESERVE Knee) October 19, 2022 updated by: Zimmer Biomet. A total knee replacement was offered; however, the patient was interested in conservative treatment, so she was referred to interventional radiology for consideration of a genicular nerve block. Working time (maximum time between mixing and injecting) for the BSM was less than 15 minutes. design and technique. I had my surgery on April 12, 2012. Overall for most patients, it is a relatively safe procedure with risks similar to isolated knee arthroscopy. I work out daily, and take anti-inflammatories daily. day. Fear that I may have pushed a wee bit too much, but not so given my instructions. In fact, up to 200,000 athletes suffer ACL tears each year, making it one of the most common . This technique, called subchondroplasty, consists of injecting a bone substitute Higher level studies with a comparison to patients treated without subchondroplasty are getting underway (here and here). Primary Purpose: Treatment Background: Calcium phosphate bone substitutes (CPBS) are commonly used to augment and repair bone voids and defects after fractures around the knee joint. %PDF-1.5 % mixAccuFillBSM in a closed mixing system., The SCP procedure fills bone defects with AccuFill BSM, a The diagnosis included: Primary osteoarthritis. It represents stress reaction and edema in the area. Made up of bone, cartilage, tendons, ligaments, muscles and fluid, the knee works like a complex machine. Exercises: SLR (straight leg raises) and knee range of motion (ROM) 25 reps twice daily beginning immediately postop. You may feel weak or unsteady doing so, and so crutches or a cane may be needed for several days occasionally for a couple of weeks depending on your progress. AccuFillInjectable Bone Substitute Material is an injectable, Please take a look at my profile page and don't hesitate to come in and talk. How does it work? Amazing team!! The primary objective of this study is to demonstrate superiority of Subchondroplasty with arthroscopy compared to arthroscopy alone for treatment of Bone Marrow Lesions (BMLs) in the knee. that mimics the chemicalcomposition and crystalline structure of I had it done 2 weeks ago for severe bone edema and a stress fracture in my heel! I am starting to worry that it is something else. 817-375-5200 24/7 . yusrina27606 john041952 . I wish you the best of luck. Usually performed along with Very friendly office and I'm glad to be a patient here. I had chondroplasty surgery on February 15th and though after being on crutches for two weeks, I still had a dulling pain under my knee cap and resorted to using a cane for a couple of weeks. I have been out of work since the surgery. Advocates say it's easier, less invasive, and has a quicker recovery time. injury to the bone.AccuFillInjectable Bone Substitute Material is a So happy how I been treated and how well I am getting. Had lateral release and chondroplasty done Christmas Eve. Ice: Knee swelling is expected and is diminished with Ice pack to the knee 20 minutes four times daily for 3-14 days. access to the defect. Most patients need crutches or other assistance after completion of this procedure. Neelash, As I tried to note in the post. The Effectiveness of Post-Operative Rehabilitation Following Partial Meniscectomy of the Knee. | Login | Healthcare Social Media and Healthcare Online Presence by Symplur. Dr Vaksha was so kind and helpful. Cartilage. I am not sure of the name, but ask your doc about it when the time comes. ACL sprains and tears are leading sports injuries that put athletes out of the game. "We want to preserve the native hip whenever possible because once you have a hip replacement, there's no going back . I have had knee surgery 5 weeks ago,including a partial menisectomy and AFC chondroplasty.The consultant said my knee is a mess,and he may need to replace the kneecap as there is a massive gap in the cartilage. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. - 1860 Town Center Dr | Reston, VA 20190 | Terms of Use | Web Privacy Policy | The information on this site should not be considered to be a personal medical advice; this site should be used for informational purposes only. In that case, changes in the bone from repetitive or excessive forces often can cause pain. Been going to this place before my accident and after I had my knee surgery. bone graftsubstitute, thatmimics the properties of cancellous pain or tenderness that continues after a skin bruise has disappeared. Day 2-5: work on rehab program with physical therapist, practice walking and going up and down stairs (with or without walking aids). The substance hardens into a chalk-like substance within minutes. January op. What expectation should I have for a recovery time after which I should be able to walk relatively pain free? THR My Christmas time recovery. withAccuFillBone Substitute Material., AccuFillBSM is an engineeredcalcium phosphate mineral compound, a process. When I see him he makes sure to review my progress in detail. Subchondroplasty is a minimally invasive alternative treatment for chronic bone marrow lesions. . Then, he or she will inject a paste made of calcium phosphate (also referred to as bone-void filler) directly into that damaged area. this is usually the exception, not the rule. Finally, this procedure has been shown to reduce the need for knee replacement in those who had been considering a knee replacement before their subchondroplasty. It does not hinder total knee replacement if required in the future. Recovery time for this surgery is highly individual. Nothing can replace the relationship you have with a physician. Your response on chondroplasty was very helpful. Subchondroplasty is a minimally-invasive technique which has been used for the treatment of subchondral lesions (e.g. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731. Love this place From the minute I called I was treated kindly. These lesions stem from remodeling and increased vascularity in the presence of subchondral bone attrition and microfractures of trabecular bone due to increased stress and loading forces. The pain following the procedure was hell and four years later my knee has never felt the same with clicking and clunking becoming the norm with pain on exercise. POSMC is a full-service medical facility specializing in the evaluation and treatment of orthopedic injuries. What does it treat? Resources from TheReadyPatient.com. Remain non weight bearing no matter how good your knee feels,(read this article) : http://*************.com/knee_chondroplasty.htm. Subchondral insufficiency fracture of the knee is not thought to be caused by bone death but instead by osteoporosis and insufficiency fractures, with histopathologically proven origins in weakened trabeculae and applied microtraumatic forces 6,13. (BSM), a proprietary,flowable, biomimetic bone substitute.1,2, AccuFillBSM isavailablein prefilled (PF) mixing and saline The office staff is the best, love Andrea.You wont find a better doctor. However, I found on MRI that there were metal shavings left in my knee due to the shaver used. It affects the bone, soft tissues and primarily the cartilage lining the bones. Ive been told I need a total hip replacement. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Hide. I suffered with pain in both knees for years. Thank you! Although subchondroplasty can be an option in hip arthritis, It is used to only address any symptoms that maybe there from painful bone marrow lesions. Subchondroplasty is a minimally invasive procedure with the following advantages: It is an outpatient procedure. My suggestion would be to discuss this with your doctors and ask them their thoughts. I suggest you ask your surgeon or get another opinion and get a thorough evaluation and discuss all your options and ask all your questions. The place is clean and organized.The staff is wonderful. I would highly recommend him. Mini-squats 0-45-, leg press 0-60, closed chain terminal knee extensions, toe raises, balance activities, hamstring curls, increase to moderate resistance on bike. Hang in there and don't baby it. Doc I have had one hip replacement due to what I refer to as being a human german shepherd. These are essentially micro fractures and therefore billing for the necessary arthroscopy and fracture fixation is usually accepted. If one part of the machine is not working properly, intense discomfort can ensue. The patient is usually discharged on the same day as the surgery. Find out more about Orthopaedic . Bioplasty is a variation in which a wider decompression is done and the drill hole is filled with biologic material in the form of Platelet rich Plasma (PRP) mixed with Demineralized Bone Matrix (DBM). However most people of your mothers age who have hip arthritis not adequately treated by nonoperative means, require a hip replacement to treat their problem.In order to know if a person is a candidate or not, an MRI of the hip and an evaluation by an Orthopaedic surgeon who treats hip arthritis would be required.

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