Joint Preservation
Joint preservation encompasses a variety of non-surgical treatments and surgical procedures designed to reverse or slow the degenerative disease process and prevent or delay the need for joint replacement. The goal is to alleviate pain and optimize function, allowing people to continue participating in an active lifestyle.
Joints represent a complex system of anatomic structures and tissues that are functionally connected. As a result, joint pain and degeneration can be related to abnormalities or injury of different components of the joint encompassing bones and soft tissues such as joint alignment, articular cartilage surfaces, meniscus or labrum, ligaments, or tendons. Effective preservation of the joint requires comprehensive treatment of all the abnormal factors involved the joint injury.
Joint preservation at New England Baptist Hospital offers a unique, joint-specific, individualized approach to joint preservation. Care involves an interdisciplinary team of clinical experts in surgical and non-surgical treatment options. The joint preservation team works closely with leading joint replacement experts to offer patients with acute or chronic joint injuries a comprehensive spectrum of treatment options allowing each individual patient to optimize their joint function and lifestyle.
Joint preservation is designed for patients age 15-60 who have joint pain but do not have severe arthritis. Joint preservation can be used to treat acute traumatic injuries and chronic degenerative joint changes.
Contact Us: 617-754-5656
Boston
125 Parker Hill Avenue
Boston, MA 02120
Dedham
40 Allied Drive
Dedham, MA 02026
Knee Preservation
About Us
Our multi-disciplinary team of knee experts led by regenerative orthopedic surgeon Kai Mithoefer, MD offers the complete spectrum of modern and minimally-invasive joint preservation techniques that can help reduce your symptoms, restore your joint function and avoid or delay the need for a knee replacement. Our team includes specialists in regenerative orthopedics, sports medicine, occupational medicine, pain management, radiology, physiatry, physical therapy and sports performance and utilizes state-of-the-art, minimally invasive regenerative technology including orthopedic tissue engineering, meniscal preservation and substitution, primary ligament repair, articular cartilage restoration, autologous growth factor and stem cell treatments to biologically preserve your natural knee joint and improve your knee function with the goal of returning you back to an active lifestyle.
What We Treat
Some of the most common conditions our Knee Preservation specialists treat include:
- Sports-Related Knee Injuries
- Articular Cartilage Injuries
- Osteochondritis Dissecans
- Meniscal Injuries and Deficiency
- Knee Ligament Injuries/Knee Instability
- Patellar Maltracking or Dislocation
- Knee Joint Malalignment
- Osteonecrosis of the Knee
- Patella/Quadriceps Tendon Rupture
Frequently Performed Procedures:
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- Joint Surface Restoration (Articular Cartilage Repair)
- Next Generation Microfracture
- Osteochondral Autograft Transplantation
- Osteochondral Allograft Transplantation
- Chondral Allograft
- Matrix-Assisted Chondrocyte Transplantation (MACI)
- Bone Marrow Aspirate Concentrate (BMAC)
- Stem Cell Treatment
- BioCartilage Implantation
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- Chondron Implantation Procedures
- Meniscus Restoration
- Meniscus Repair
- Meniscal Substitution
- Meniscal Transplantation
- Knee Ligament Repair/Reconstruction
- Anterior Cruciate ligament (ACL)
- Posterior Cruciate Ligament (PCL)
- Medial Collateral ligament (MCL
- Lateral Collateral Ligament (LCL)
- Posterolateral Corner (PLC)
- Anterolateral Ligament (ALL)
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- Medial patellofemoral Ligament (MPFL)
- Reconstruction with Autologous Growth Factors/Scaffold Augmentation
- Knee Realignment (Osteotomies)
- Distal Femoral Osteotomy (DFO)
- High Tibial Osteotomy (HTO)
- Tibial Tubercle Osteotomy (TTO)
- Treatment for Osteonecrosis
- Intraosseous Bioplasty
- Core Decompression
- Regenerative Treatments (PRP, Stem Cells, Viscosupplementation)
Hip Preservation
About Us
Our team of hip specialists including Thomas Wuerz, MD, MSc, and Geoffrey Van Flandern, MD as well as an interdisciplinary team of pain management specialists, physiatrists, radiologists, and physical therapists. Our experts are dedicated to getting you back to an active lifestyle.
We offer a full range of surgical and non-surgical services for patients who don’t have moderate to severe arthritis, aimed at slowing degeneration of the hip joint and lessening the severity of future hip problems while alleviating pain and optimizing your current hip function.
What We Treat
Some of the most common conditions our Hip Preservation specialists treat include:
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Athletic Soft-Tissue Injuries (for example sports hernia)
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Femoroacetabular Impingement (FAI) (complex primary and revision hip arthroscopy if
necessary)
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Greater Trochanteric Pain Syndrome (gluteus medius/minimus tears, trochanteric
bursitis; different type of injections (for example platelet rich plasma, open or endoscopic surgical treatment if necessary)
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Hamstring Tendon Rupture (open or endoscopic surgical treatment if necessary)
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Hip Dysplasia (in close collaboration with hip dysplasia experts at Children’s Hospital for possible complex open joint realignment procedures)
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Hip Flexor Tendonitis (Iliopsoas tendon)
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Ischiofemoral impingement
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Labral Tears and Chondral Lesions in the Hip
A Better Way to Perform Hip Arthroscopy
Introducing the Pivot Guardian Distraction System
NEBH is the first hospital in Massachusetts to utilize the Pivot Guardian Distraction System, a new surgical table for hip arthroscopy. Traditional tables have a post positioned between the patient’s legs. The pressure from this post has been associated with complications in the groin area, which can last several weeks, months, or in rare cases be permanent. Instead of using a post, this new table positions the patient on their back with the table slightly tilted and their feet over their head. This creates a gravitational pull from the patient’s upper body to open up the hip joint rather than using a post between the legs.
Benefits include:
- Lower risk of groin complications traditionally associated with hip arthroscopy
- Better positioning for surgery:
- More blood flows toward the patient’s brain, reducing the risk of anesthesia-related complications
- Blood flows away from the hip, allowing for better operating conditions with less blood loss
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