It is important to obtain appropriate consultation with a surgeon who is experienced in cartilage restoration procedures before proceeding with an aggressive surgical procedure. This is the reason why Dr. Jack Bert established the “Cartilage Restoration Center of Minnesota” in order to afford patients the opportunity to learn more about conservative approaches to treatment prior to total knee replacement that Dr. Jack Bert teaches to orthopedic surgeons both nationally and internationally.
Often minor changes are visualized consisting of roughening of the joint surface when the meniscus is removed (see Figure 2). - Dr. Jack Bert, MD
Woodbury, MN 55125
Dr. Jack Bert is involved in trying to avoid total knee replacement in patients with mild to moderate arthritis of the knee. Dr. Jack Bert's research and clinical work is predicated on injection therapy using high molecular weight hyaluronic acid, stem cells or platelet rich plasma as a first step in assisting in the regeneration of normal cartilage. If this fails, then surgical intervention using cartilage transfer concepts or stem cell implantation in attempts at retarding the progression of osteoarthritis or replacing lost or worn cartilage may become necessary. Dr. Jack Bert is participating in national trials, some of which are experimental, which have shown good results in European countries and Asia.
Dr. Jack Bert cares for weekend athletes as well as professional athletes. Cartilage defects have been visualized in active individuals between the ages of 25 and 55 from 60% to 85% of the time (see Figure 1) at the time of knee arthroscopy (ref.1-4). -Dr. Jack Bert, MD
1. Curl, Arthroscopy, 1997
2. Hjelle, Arthroscopy, 2002
3. Villalabos, AAOS, 2010
4. Cicotti, Arthroscopy, 2012
5. Wang &Hall, JMR, 2011
6. Shah & Kelly, in press, 2014
Address: 2025 Woodlane Dr.
Ideally, this is the time to begin injection treatment to prevent further deterioration and perhaps promote improvement in the existing hyaline cartilage (ref 5,6). Treatment with injection therapy, unweighting of the bone, and/or cartilage transplant procedures can dramatically improve cartilage formation of the joint surface as noted in the before and after treatment photos in figure 3. - Dr. Jack Bert, MD