Cell Therapy for Cartilage Repair Sterling CO

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Darrel Thomas Fenton
(970) 522-2264
1405 S 8th Ave
Sterling, CO
Specialty
Orthopedic Surgery

Data Provided By:
Floyd Homer Pohlman, MD
(970) 522-2264
1405 S 8th Ave # 1191
Sterling, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1971

Data Provided By:
Richard D Lazar, MD
(719) 471-2980
3010 N Circle Dr
Colorado Springs, CO
Business
Colorado Springs Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Dr.Gary Ghiselli
(303) 783-1300
7800 E Orchard Rd # 100
Englewood, CO
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

Data Provided By:
Mindy Joy Siegel
(719) 632-7669
3010 N Circle Dr
Colorado Springs, CO
Specialty
Orthopedic Surgery

Data Provided By:
Darrel Thomas Fenton, DO
(970) 522-2264
1405 S 8th Ave Ste 101
Sterling, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1980
Hospital
Hospital: St Anthony Hosp Central, Denver, Co; East Morgan County Hosp, Brush, Co; Melissa Mem Hosp, Holyoke, Co; Sedgwick County Mem Hosp, Julesburg, Co; Sterling Regional Medcenter, Sterling, Co; Memorial Health Center, Sidney, Ne
Group Practice: Nor

Data Provided By:
Dr. Michael Johnson
Johnson Chiropractic P.C.
(970) 522-3260
501 West Main Street
Sterling, CO
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Foot pain,Leg pain,Lower back pain,Migraine headaches,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation
Proffesional Affiliation
American Chiropractic Association,Colorado Chiropractic Association

Leon Dee Chipman, MD
(970) 476-2324
PO Box 5500
Avon, CO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1973
Hospital
Hospital: Vail Valley Med Ctr, Vail, Co
Group Practice: Vail Summit Orthopedics

Data Provided By:
David Martin Weinstein
(719) 570-7272
3920 N Union Blvd
Colorado Springs, CO
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Hilary M Nieberg-Baskin, DDS
(303) 432-9773
5055 S Kipling St
Greenwood Village, CO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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Cell Therapy for Cartilage Repair: A Review and Update

Research into repair techniques for damage to knee cartilage is moving right along. Surgeons in Europe and Australia are ahead of American surgeons as they have moved from first-generation cartilage repair through second generation methods to the more current third-generation approaches.

Only one type of third-generation cell therapy for cartilage repair is available in the United States: the matrix-induced autologous chondrocyte implantation or MACI. MACI is the subject of this review article. Although it is being used by U.S. surgeons, the U.S. Food and Drug Administration (FDA) has not yet approved this type of cell carrier yet.

But let's step back a minute and get some background information that will help you understand what's going on. The basic problem is one of damage to the articular (joint surface) cartilage of the knee. The hole or defect can be small but deep (all the way down to the bone). Sometimes, the defect is large (wide and deep).

The affected person experiences knee pain and joint swelling, locking, stiffness, and clicking. The symptoms can be bad enough to interfere with daily activities at home and work and create quite a bit of disability. Sports participation can be out of the question.

Because so many athletes are affected and given the fact that knee joint (articular) cartilage doesn't repair itself, researchers started looking for ways to treat cartilage injuries of this type. They tried scraping the area and smoothing it down, a procedure called debridement. They tried drilling tiny holes into the bone marrow to stimulate bone healing. That's called microfracture. And they tried taking healthy cartilage from one part of the knee and transferring it to the lesion to fill in the hole.

All of these treatment methods had problems. There wasn't one approach that could work well for all different types and sizes of cartilage defects. That's when cell therapy was developed. Healthy cartilage cells (chondrocytes) were harvested from the knee but instead of using them directly in the damaged area, they were transferred to a lab. In the lab, the cells were used to grow more cells. When there were enough cells to fill in the hole, they were reimplanted into the patient and covered with a patch made of periosteal (bone) cells.

That procedure was called autologous chondrocyte implantation (ACI). It was the first cell therapy devised for the problem of full-thickness (down to the bone) cartilage injuries. That's why it's considered a first-generation approach to cell therapy cartilage repair. But again there were problems. The procedure is invasive and requires a two-step (staged) surgical procedure. That means at least two surgeries with all of the possible costs and risks that go with staged procedures.

The next batch of autologous chondrocyte implants were improved and formed the second-generation techniques. Instead of covering the patched up hole with periosteum (bone cells), they t...

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