Consultant – Orthopaedic Surgeon
Speciality interests include:
Lower extremity: trauma, sports surgery, knee, patella dislocation, tendon problems, foot and ankle surgery, and the management of degenerative joint disease in younger patients.
Visiting on Sep 21-22, 2019Request an Appointment
Knee osteoarthritis is one of the most common forms of arthritis. Osteoarthritis (OA) is a chronic, debilitating, and painful disease, and is rather complex because it involves the joint, including cartilage and bone. OA accounts for approximately 70% of arthritis-related hospital admissions and 23% of clinic visits for arthritis. Knee OA is the most common form of OA, given its unique position in the body as the primary source of weight bearing.
Current treatments for knee OA are varied and include treatment of pain and cartilage repair. Non-pharmacological treatments for pain include mechanical approaches such as physical therapy, rest, canes, ice bracing, and weight loss. Pharmacological treatments include most commonly used drugs such as nonsteroidal anti-inflammatory drugs, opioids, hormones, chondroprotective agents, calcium and vitamins, and intra-articular steroid injections. Cartilage repair methods include surgical and non-surgical options but ultimately, total knee arthroplasty, or replacement, is considered the end-stage solution. However, it is an invasive and expensive procedure.
Innovative regenerative medicine therapies have been developed that effectively respond to pain and assist in cartilage repair. Bone marrow aspirate concentrate (BMAC) is one treatment that has shown great potential to repair cartilage damage because it elevates levels of healing factors. In particular, BMAC helps to attract white blood cells to areas of injury or infection and growth factor for healing. It also has properties that are anti-inflammatory, improve circulation to the injured area, and stimulate immune response that can potentially enhance cartilage repair.
Platelet-rich plasma (PRP) has evolved as another promising solution for knee OA, among other things. Blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries. PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets — and, thereby, the concentration of growth factors — can be 5 to 10 times greater (or richer) than usual. PRP injections have been proven to increase the speed and sustainability of healing.
At Emirates Integra Medical and Surgical Centre, we focus primarily on using these cellular therapies proven effective in evidence-based research to provide solutions for our patients because our goal is to improve quality of life and outcomes for people everywhere.