Autologous stem cell treatment

List of all procedures:

Arthroscopy

Arthroscopy is a procedure for diagnosing and treating joint problems. A surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a high-definition video monitor.

Arthroscopy allows the surgeon to see inside your joint without making a large incision. Surgeons can even repair some types of joint damage during arthroscopy, with pencil-thin surgical instruments inserted through additional small incisions.

Doctors use arthroscopy to help diagnose and treat a variety of joint conditions, most commonly those affecting the:

• Knee
• Shoulder
• Elbow
• Ankle
• Hip
• Wrist

Diagnostic procedures

Doctors often turn to arthroscopy if X-rays and other imaging studies have left some diagnostic questions unanswered.

Surgical procedures

Conditions treated with arthroscopy include:

• Loose bone fragments
• Damaged or torn cartilage
• Inflamed joint linings
• Joint infections
• Torn ligaments
• Scarring within joints

What you can expect

Although the experience varies depending on why you’re having the procedure and which joint is involved, some aspects of arthroscopy are fairly standard.

• You’ll remove your street clothes and jewelry and put on a hospital gown or shorts.
• A nurse will place an intravenous catheter in your hand or forearm and inject a mild sedative.

During the procedure

The type of anesthesia used varies by procedure.

• Local anesthesia.Numbing agents are injected below the skin to block sensation in a limited area, such as your knee. You’ll be awake during your arthroscopy, but the most you’ll feel is pressure or a sensation of movement within the joint.
• Regional anesthesia.The most common form of regional anesthesia is delivered through a small tube placed between two of your spine’s lumbar vertebrae. This numbs the bottom half of your body, but you remain awake.
• General anesthesia.Depending on the length of the operation, it may be better for you to be unconscious during the procedure. General anesthesia is delivered through a vein (intravenously).

You’ll be placed in the best position for the procedure you’re having. This may be on your back, on your abdomen or on your side. The limb being worked on will be placed in a positioning device, and a tourniquet might be used to decrease blood loss and make it easier to see inside the joint.

Another technique to improve the view inside your joint is to fill it with a sterile fluid, which helps distend the area and provide more room.

One small incision will admit the viewing device. Additional small incisions at different points around the joint allow the surgeon to insert surgical tools to grasp, cut, grind and provide suction as needed for joint repair.

Incisions will be small enough to be closed with one or two stitches, or with narrow strips of sterile adhesive tape.

After the procedure

Arthroscopic surgery usually takes between 30 minutes and two hours, depending on the procedure. After that, you’ll be taken to a separate room to recover for a few hours before going home.

Your aftercare may include:

• Your doctor will prescribe medication to relieve pain and inflammation.
• I.C.E.At home, you’ll need to rest, ice, compress and elevate the joint for several days to reduce swelling and pain.
• You might need to use temporary splints — slings or crutches for comfort and protection.
• Your doctor might prescribe physical therapy and rehabilitation to help strengthen your muscles and improve the function of your joint.

Call your surgeon if you develop:

• A temperature of 100.4 degrees Fahrenheit (38 degrees Celsius) or higher
• Pain not helped by medication
• Drainage from your incision
• Redness or swelling
• New numbness or tingling

In general, you should be able to resume desk work and light activity in a week, and more strenuous activity in about four weeks. However, your situation might dictate a longer recovery period and rehabilitation.

Orthokine Treatment

Orthokine therapy is recognized as one of the most effective and versatile biological techniques, which inhibits the pathological process of inflammation and pain that is associated with degenerative joint disease and injuries of the joints.

What is Orthokine therapy?

Orthokine therapy is a modern method for the treatment of diseases of the joints and discogenic back pain. A type of protein, a cytokine, interleukin-1 (IL-1) is responsible for joint diseases through inflammation. Treatment involves the induction of a biological antagonist Interleukin-1-receptor antagonist (IL-1Ra) by injection, which is isolated from the patient’s blood plasma. The anti-inflammatory protective protein (IL-1Ra) is injected into the painful area, which helps to ease joint pain and reduce inflammation of damaged tissue. Orthokine therapy is one of many unique interventions for osteoarthritis treatment.

Specialists in Germany developed the technique, which primarily focused on the body’sNATURAL  ability to repair damaged tissues. The efficacy and the safety of Orthokine therapy were proven in numerous clinical studies. In Germany alone, over 20,000 patients were treated using this method.

Indications for Orthokine

Orthokine therapy is applied within a broad spectrum of conditions to treat:

• Osteoarthritis – degenerative changes of the joints (particularly the knees), chronic aseptic inflammation
• Occupational diseases – related to excessive load on the musculoskeletal system, including professional athletes and those engaged in strenuous physical activity, its anti-inflammatory properties ease painful tendons and muscles
• Degenerative changes in the intervertebral joints, including discogenic pain

Benefits of Orthokine Therapy

The main advantages of Orthokine therapy compared with other types of conservative treatment of diseases of the joints are:

• Treatment is based on a completelyNATURAL biologically active ingredient of the human body, without the need of chemical additives – fewer side effects
• The technique has a pronounced and persistent analgesic effect
• Halts the chronic inflammatory process and has a long duration of action
• Helps to restore mobility and increase the range of motion in the joints
• Highly effective in 75% of patients, particularly osteoarthritis of the knee and hip joints

The Orthokine Procedure

• Blood is taken from the patient. The procedure is carried out similarly to a blood sampling for laboratory testing and is not pain-associated
• Blood is incubated at 37°C, which stimulates the production of IL-1Ra.
• Using a laboratory centrifuge to separate the blood components, the protein is extracted
• This extraction is filed in ampoules, later available in injection form
• The protein is then injected within the painful area of the joints

Typically, injections are given 1-2 times a week. Treatment for discogenic diseases requires 4 injections, while lesions of the joints of the extremities, a minimum of 6 injections is usually required. Following injections, patients are advised to avoid strenuous exercise for a period of 48 hours. Some side effects may include swelling and numbness around the injection site, which may last around 2 hours.

• Osteosynthesis clavicle
• Hip Replacement Surgery
• Meniscus Tear Treatment
• Knee Replacement Surgery
• Shouldersurgery
• Surgery treatment after bone fracture
• Zahvati na Ahilovoj tetivi
• Achilles Tendinosis Surgery
• Hallux valgus Hallux Valgus Treatment

ORTO MD  – postoperative treatment and physical therapy