Athens, October 21, 2015
Meniscal surgery is no longer necessary with the application of modern biological methods of treatment and the usage of autologous adult stem cells!
“Not only the meniscal surgery, with the form that we knew it, is an operation from the past, but also postoperative complications and the risk of the development of osteoarthritis are avoided”, mentions the eminent Orthopedics surgeon Dr. Stavros Alevrogiannis, occasioned by the meniscal removal, in which a couple of days ago the leader of the political party “THE RIVER” Mr. Theodorakis underwent.
«Τα αποτελέσματα, που παρουσιάστηκαν στο πρόσφατο Παγκόσμιο Συνέδριο στην Ελλάδα σύγχρονες βιολογικές μεθόδους .
According to scientific studies, more than 50% of the patients that were subjected in meniscal operation in the past, develop osteoarthritis in 10-15 years following the surgery. Furthermore, on a recent study of the American Journal of Sports Medicine, in 259 knee surgeries that underwent repair of the tear of meniscus, 37 patients needed a second operation, due to improper surgical rehabilitation, while internationally the percentage ranges from 5 to 45%.
APPLICATION OF STEM CELLS METHOD
“The method is simple. Adipose derived tissue or cells from the bone marrow are collected, go under proper preparation and placed after a specific activation in the point of the meniscal lesion, under an ultrasound guidance”, Dr. Alevrogiannis mentions and continues “Some growth factors, from patient’s blood (hyaluronic acid and heavy antioxidants) are injected within the next weeks with a specific protocol and the patient avoids operation. In cases of younger aged patients, with an expanded tear of the meniscus that requires partial meniscectomy, we proceed to the placement of synthetic scaffolds and stem cells, on them, in an arthroscopical manner”.
This method can be applied in injuries with:
- Steady horizontal tears less than 10mm in an area with less than 3-5mm dislocation
- small tears of degenerative type (less than 3mm )
- radial tears
- steady small tears
- tears of peripheral area (red-red zone), where blood supply is enough
ADVANTAGES OF THE METHOD
The method with the usage of autologous adult stem cells has many and significant advantages. More specifically it is:
- Bloodless procedure
- absolutely tolerable from the majority of the patients
- does not require hospitalization
- the patient moves with ease, only a few hours after the placement of the cells, without the usage of exterior aid,
- does not require a longterm protocol of physiotherapeutic rehabilitation
- can be combined with arthroscopic debridement
- delays the appearance or even the progressive worsening of osteoarthritis
- does not have major complications
STATISTICS ABOUT THE TEAR OF MINISCUS
The meniscal injuries are described very often not only in the general population, but also amongst athletes. In the USA alone, over 1×106 surgeries of this type are annually performed and concern people in the age between 20-64 years old. More specifically:
- Men injure their meniscus more often than women with a percentage of 20% higher than women.
- The medial meniscus is injured double time more compared to the lateral.
- 63% of the tears regard the posterior horn, 21% the posterior horn and body, 5.2% just the body and 3.9% both the anterior and posterior horn.
- If 15-30% of the meniscus is removed, the forces applied in the contact interfaces are increased for approximately 350%.
- As we grow up, menisci degenerate and dehydrate and thus become less flexible and they are more subjective to tears.
- One third of the menisci tears happen in a sport related injury and also one third of them happens along with the tear of cruciate ligaments.
- Meniscectomy is the most frequent orthopedic operation
- that is performed for a meniscal tear, in a percentage of 0.61 every 100 patients annually
- The appearance of osteoarthritis arises in 15 years on average, after a partial meniscectomy when the tear happens on people aged more than 30 years old and just in 5 years after the surgery, in people of longer age.