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KNEE UPDATE

KNEE UPDATE. Mr Reza Jenabzadeh BSc(HONS ) , MB BS , FRCS (Tr and Orth). Highgate Private Hospital Precision Hip & Knee NWA NHS Foundation Trust. E: precisionhipandknee@doctors.org.uk. Current Treatment Gap. Bridging The Treatment Gap. Hyaluronic Acid Viscosupplement.

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KNEE UPDATE

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  1. KNEEUPDATE MrReza Jenabzadeh BSc(HONS),MBBS,FRCS(TrandOrth) Highgate Private Hospital Precision Hip & Knee NWA NHS Foundation Trust E:precisionhipandknee@doctors.org.uk

  2. Current Treatment Gap

  3. Bridging The Treatment Gap

  4. Hyaluronic Acid Viscosupplement Indication – OA In most healthy joints synovial fluid will act as a lubricant and shock absorber OA = Synovial fluid loss in ability to lubricate and shock absorb Fermathron: • Made of Hyaluronic Acid (HA) • HA is one of the main components responsible for lubrication and shock absorption between joints • Fermathron supplements synovial fluid to aid in continuation of daily activities Fermathron Benefits: • Reduces pain and stiffness in joints • Relieves symptoms for up to 6 months • Acts primarily mechanically • Single injection with minimal adverse reactions • Treatment does not require hospital admission

  5. nSTRIDE: Autologous Protein Solution Indication - Osteoarthritis (OA OA is associated with an imbalance of inflammatory ‘bad proteins’ and anti-inflammatory ‘good proteins’ nSTRIDE APS is a groundbreaking autologous (from your own body) therapy designed to: • Treat pain • Slow the progression of cartilage degradationand destruction in the knee • Achieved by injecting high concentrations of anti-inflammatory proteins nSTRIDE APS Benefits: • Decreased pain • Decreased cartilage degeneration • Improves mobility • Stimulates cell proliferation • Delays the need for invasive surgery for up to 2 years • Totally natural • Single injection without the need for hospital admission

  6. Recover L-PRP (Leukocyte Platelet Rich Plasma): Tendinopathy Indication – Tendinopathy Tendinopathy is a disease of a tendon caused by wear and tear or overuse Micro tears to the tendon will not heal if load is continuously applied • Recover L-PRP: • An injection of plasma containing a high concentration of platelets, leukocytes and growth factors • Recover L-PRP stimulates and accelerates the healing response • Recover L-PRP Benefits: • Speeds up the healing process • Helps reduce pain • Helps improve function • Completely natural and does not require hospital admission

  7. Subchondroplasty (SCP): Bone Marrow Lesions Indication – Bone Marrow Lesions (BML’s) BML’s are bone injuries which do not heal naturally Stress reaction due to: overuse, excessive joint loading or poor joint mechanics Only present on MRI as hazy white area More commonly found in knee, hip, foot and ankle Associated with chronic pain SCP: Minimally-invasive surgery that targets and treats subchondral defects associated with chronic BML AccuFill is delivered directly into the BML using a cannula under fluoroscopy AccuFill: • Calcium Phosphate • Mimics the strength of normal cancellous bone • Reabsorbed and replaced with normal bone during healing process SCP Benefits: • Delays or avoids the need for severe invasive surgery such as TKR • Remove or reduce pain associated with BML

  8. Surgical Options?

  9. Surgical Options?

  10. Surgical Options?

  11. Surgical Options?

  12. Unicompartmental / Total Knee Replacement COMPUTER NAVIGATION

  13. Why use Computer Navigation?

  14. What is Computer Navigation?

  15. Navigation • 1 – Infrared camera • 2 – Screen • 3 – Cart • 4 – Tracker • 5 – Mobile marker

  16. How do surgeons get the correct implant positioning? • Experience • Instinct • Intuition

  17. Now

  18. Navigated Total Hip Replacements

  19. ANY QUESTIONS?

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