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December 2017 American Academy of Orthopaedic Surgeons
The American Academy of Orthopaedic Surgeons Board of Directors have approved a new “Use of Emerging Biologic Therapies” position statement highlights the importance of understanding the risks and benefits of stem cell and other biologic treatments for musculoskeletal joint conditions.
Unlike many traditional orthopedic treatments, emerging biologic therapies may not have safety and efficacy profiles, according to the statement. Since patient education is needed for informed consent, the statement includes two additional AAOS guidelines—“Orthopaedic Surgical Consent” and “Standards of Professionalism”—that reinforce the orthopedic surgeon’s role of fully informing patients of the risks and benefits of various treatments, securing patient consent before continuing with a particular modality…
…“While gaining in popularity, and providing relief for some patients, biologic treatments may lack the demonstrated safety and efficacy of many traditional orthopedic therapeutics,” J. Tracy Watson, MD, chair of the AAOS Biologics Committee, said in a press release.… Read the rest
NEW ORLEANS, March 6, 2018 /PRNewswire-USNewswire/ – Even with a lack of peer-reviewed evidence, the number of centers advertising stem cell therapies for osteoarthritis (OA) of the knee are increasing in the United States. These centers claim an 80 percent success rate, according to research presented this week at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Of the 65 centers that provided pricing information to treat OA of the knee, the cost ranged from $1,150 to $12,000, with an average of $5,000 per injection…
…George Muschler, MD, Professor of Orthopaedic Surgery and Director at the Regenerative Medicine Laboratory at Cleveland Clinic. “Recent systematic reviews of cellular therapies for the treatment of knee OA (over 400 papers screened) have found poor levels of evidence for the efficacy of these treatments to date. Current evidence does not justify the rapid rate of growth for these therapies…”
…”The claim of “stem cell” therapy carries a high level of expectations for the potential benefits, but research is still many years away from providing clear evidence of effective treatment to patients,” said Nicolas S.… Read the rest
Posted by Melissa Chefec NEW YORK & GREENWICH, CT. (PRWEB) April 13, 2018 – Dr. Kevin Plancher with Plancher Orthopaedics & Sports Medicine with tips for understanding the pros and cons of both approaches to treating knee and hip pain.
When chronic knee or hip pain from arthritis or injury becomes a daily struggle, undergoing joint replacement surgery may become a tempting option. But is there a role for growth factors or stem cell therapy if the arthritis is mild? It’s a question orthopaedic surgeon Kevin D. Plancher, MD, is asking and attempting to answer as treatment advances offer patients options beyond what’s been available for many years.
Injections of growth factors & with stem cells – which can grow into any type of body cells – have become one of the most-researched areas of medicine, particularly in the knee and hip joint. These factors and cells are often taken from the bone marrow, fat tissue, or blood and later injected into the knee and hip to help regenerate tissues and reduce inflammation.… Read the rest
By Alampallam Venkatachalam Submitted On March 02, 2016
Cells signal halt to scientist’s knee pain.
Seventy year old Londoner relieved by cell based treatment.
Case report –
Mrs. MM, a London based scientist sought treatment in Chennai for chronic thigh and knee pain. Her condition was undiagnosed at a London hospital. Even after several visits and investigations, doctors in London couldn’t explain her symptoms and told her that her condition was a mystery to them. She consulted me in Chennai in late December. I diagnosed it as a combination of vascular claudication and arthritic pain. This was confirmed by further tests.
MRI showed cartilage loss under the knee cap in both knees. She was treated with medicinal signaling cells on New Year’s Day. Fifteen days later, she has got relief from knee pain. She has been referred to a specialist for treatment of remnant thigh pain.
Osteo-arthritis is a chronic condition of joints where the lining cartilage gets worn out.… Read the rest
What is the success rate for stem cell treatment for arthritis? It varies according to the center and to the joint done. Biomechanical factors certainly play a role. There is some evidence that the type of cartilage in joints may differ. The role of injury induction and the type of guidance used may also be significant. The techniques for arthritis treatment and stem cells are improving all the time.
Published on Dec 2, 2014
Shane Shapiro, M.D., orthopedic physician at Mayo Clinic in Florida, discusses a regenerative medicine clinical research trial to treat knee arthritis, which is the bone marrow stem cell treatment (BMAC) for knee osteoarthritis.
Mayo Clinic and the Mayo Center for Regenerative Medicine is studying biologically based non-surgical treatments for osteoarthritis. One such treatment is the harvesting of the patient’s own stem cells from their bone marrow.
“In our procedure we draw cellular rich bone marrow from both sides of the pelvis. We then filter the resulting product and concentrate the stem cells and their corresponding growth factors. Using an ultrasound to image the knee joint, we are then able to precisely inject the cells into the arthritic knee. We are currently demonstrating that this procedure is safe and can relieve pain. We also hope to be able to slow the progression of the degenerative joint disease and perhaps one day regrow cartilage in the arthritic joint.”
See video of this process here: http://youtu.be/yUfuhLOgeBw (WARNING: graphic due to the nature of actual surgery footage)