The natural lubricant of the joints is called hyaluronic acid (HA).
This lubricant in concentrated form can be injected into a joint to increase lubrication.
The lubricant tends to stimulate cartilage cells in order to assist in the natural cartilage repair process, decreasing inflammation and reducing the breakdown of damaged cartilage by degradative enzymes. In arthritic joints, HA tends to provide a smoother feeling joint, less pain, and less inflammation. While most practices require a series of injections, we’ve found that a single concentrated injection works just as well, with benefits from three months to a year. We may add PRP to the HA injection to stimulate tissue healing.
Cell-Based Cartilage Repair Techniques
*Autologous Chondrocyte Implantation (ACT)/Matrix Autologous Chondrocyte Implantation (MACI):
ACI/MACI is suitable for athletes 20-50 years old with an isolated femoral condyle defect greater then 2-4 cm, less than 3-6mm deep.
Neocartilage implantation involves sophisticated tissue engineering technology. The chondrocytes are harvested in a similar way to ACI, the cells are then expanded in a 2-D culture and seeded in a bovine collagen gel/sponge construct.
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Consultant Orthopaedic & Sports Surgeon