Re: Taking the knife to the knee
Posted: Fri Sep 13, 2013 6:47 pm
moosterbounce wrote:wombatK wrote:winstonw wrote:Human tissue degenerates, period.
So where are we at with stem cell research. Do you see any hope for regenerating injured ligaments, cartilages or tendons ?
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Stem cell therapy is being used now. Liposuction is performed on the patients stomach (only 100ml I'm afraid ) and is injected into the joints. There is also platelet-rich therapy which I believe concerns injecting higher red count blood back in. Platelet stuff is not expensive but used for ligaments I believe. Stem cell is more expensive and not common, but good results are being seen in cartllidge regeneration. Been done in horses for years.
- Recently, I was invited to invest in the soon to start Australian distribution of Mimedx's Amniofix and Epifix (human amniotic membrane products used for stimulating growth/repair of all human tissue), and sat through a 2 hour presentation of the latest data in the field. These products have far superior results to anything else, including PRP and mesenchymal stem cell injections.
- QUT group tissue therapies http://www.tissuetherapies.com/ is developing VitroGro ECM which is totally synthetic, though this is not injectible into joints.
- In Australia, LARS ligaments used in ACL reconstruction, have a higher rate of failure amongst professional athletes.
The problem with all these things is that rarely is one structure damaged in the knee. Trauma often effects cartilage, meniscus, and ACL.
Or in the Masters athlete or Joe Average, everything is worn from overuse, and circulation is compromised due to sup-optimal diet and consequent artherosclerosis. Even when surgery/injections are all nice and sophisticated and cutting edge, if the patient goes back to a cr@p diet and half committed rehab, then its like buying a $10,000 bicycle and putting the same engine on it, and expecting to go a lot faster for a lot longer.
Everyday I am trying to educate clients about the profound importance of fostering healing and tissue preservation from the inside out via appropriate diet, hydration, and rest; and from the outside in via appropriate training load. It's not a message everyone is ready to hear. Many think surgeons know more, and therefore have a superior solution to injury prevention.