Acetabular fractures India Joint preservation surgery Dr.A.K.Venkatachalam

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Acatabular fractures India affect many young and old people. The acetabulum is the socket of the hip joint, the first major joint of the lower limbs. It occurs most commonly in road traffic accidents, fall from heights and domestic accidents. The young and middle aged are commonly affected. Except in the rarest incidence, these fractures often need open reduction and internal fixation to achieve pain free mobility. I have acquired experience in treating these fractures in India and Oman. I present a power point presentation of some cases treated by me.

If you have a recent accident and need immediate attention, email me drvenkat@kneeindia.com.
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Knee Cartilage repair India

Evidence stem cell treatment Chennai

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Last night a doctor asked me for the longest duration of evidence stem cell treatment Chennai in my practice. Cases of OA knee from 2004 on whom I performed first generation cell procedures constitute this evidence. I started doing first generation biological procedure by arthroscopy in 2004. There are several patients with early knee osteoarthritis who were able to avoid or postpone a knee replacement by several years. Subsequently they either got a further biological treatment or went in for knee replacement. See the videos below for this evidence. This evidence pre dates some of the stem cell clinics in the US who reported their first cases in 2008. Although it was done by arthroscopy, the scientific basis is the same: of getting the body’s cells to repair the body. If you need more evidence for stem cells, please see the FAQ section.

  1. The first video recorded in 2013 is that of a man who underwent a micro fracture of the knee in 2006. His knee pain was relieved. Only in the year 2013 he had some recurrence and this was further treated by a PRP injection. He has not had any problem in the last two years. He has been able to avoid a knee replacement so far.
    Watch the video from 0.48 to 1.24 for the relevant portion. He says that earlier he had severe knee pain and was unable to stand for even five minutes. He underwent a micro fracture procedure at DAE hospital and this relieved him of pain. Micro fracture is a first generation stem cell procedure. It consists of harvesting cells from the base of the damaged cartilage in the knee. Underlying cells flow into the area and organize to form a super clot. These go on to mature to form a covering layer of fibro cartilage. Pain relief results which can last for several years. The MRI picture is also captured in the video at 1.38 fleetingly.

2. In the second video, a lady underwent a micro fracture of her left knee in the year 2007. Her knee pain began from 2005. She was able to obtain good pain relief and function which lasted up to 2011. She finally decided to get  knee replacement in 2013 which is when this video was recorded. So she was able to manage for six years with a first generation cell procedure known as micro fracture. Watch from 4.16 to 6.37. This video is in Tamil.

 

So one can note that I have followed up my patients over the years. So seven years is the longest duration  of follow up with cell therapy with in my practice with the first generation technique. This constitutes proof. In fact, this news was also published in The Hindu, an English news paper in 2004 and 2005.

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Knee cartilage regeneration India

Knee cap cartilage loss India

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Are you suffering from knee cap cartilage loss India? The MRI is that of a 48 year old male with knee pain. There is no previous injury. He has a desk job. Knee cap cartilage loss is very common and manifests with pain during stair climbing, floor squatting, elliptical exercises and use of Indian toilet. Until now there was no permanent treatment. Thankfully now stem cells offer a solution. E mail drvenkat@kneeindia.com

 

Knee cap cartilage loss
Knee cap cartilage loss in a 48 year old male.
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Who benefits from stem cell treatment of knee

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After the press conference on cell treatment for the UK scientist, there has been a lot of interest from people of all ages. I wish to provide prospective patients some guidance as to who is eligible and who is not.

Firstly who are the eligible patients?

  1. Young people with mild to moderate knee arthritis
  2. Older people in whom a knee replacement may be risky.
  3. Patients not medically stable for knee replacement.

Who is not a suitable candidate for cell treatment?

  1. Patients with bone grating against bone.
  2. Subluxation of the joint due to sever wear.
  3. Young patients with gross deformities.
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Pre-arthritis- A new entity in joint damage.

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Every body has heard about osteo-arthritis and early osteo-arthritis. I intend to present a newly coined term known as ” Pre-arthritis”.
Let us first understand the existing terms.
1) Osteo-arthritis- This is the end stage of the disease and represents a joint failure. In symptomatic patients, this requires joint replacement. It is visible on plain x ray itself and doesn’t need further investigations.
2) Early Osteo-arthritis- In this condition structural damage has set in but is not yet visible on plain x rays. It may be seen on MRI scans or arthroscopy. Its course is yet unclear. Cartilage lesions may be asymptomatic. Left to its own course, it may lead to osteo-arthritis after a decade or two. This stage can be suspected in young people. Interventions like cartilage repair are available which can halt the progression of the condition to full fledged osteo-arthritis.
3) Pre- arthritis- Finally we come to this new condition and we can only understand in the context of the above two conditions. A bunch of cartilage specialists got together last year and coined this term. There is no structural damage to be seen yet. However at a micro level, molecular changes have set in and will lead to early arthritis. It is suspected after a joint injury or a menisectomy. Joint aspiration and micro environment studies can pick up elevated levels of harmful chemicals called ‘cytokines”.
It can also be diagnosed by probing cartilage during an arthroscopy or an MRI showing bone marrow edema.
The benefit is that sports persons with the above two conditions can come under the supervision of a cartilage specialist and get an early intervention as and when structural damage sets  in.
The good news is that a PRP or stem cell injection can avert further progression. Visit best stemcell treatment india and joint preservation surgery to remain abreast of stories and latest developments in the field of cartilage injury and joint preservation.
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