The Complete Hip and Knee Center of Texas combines conservative care with advanced surgical techniques for a comprehensive approach to hip and knee pain. Dr. O. David Taunton, Jr. is an expert in joint health and wellness and has performed over 7,000 hip and knee replacements. Dr. Taunton and the joint health team at Texas Orthopedic Specialists can provide expert conservative treatment and cutting edge technologies as an alternative to surgery.
Joint replacement has made huge advancements in the last few years. Now patients have the opportunity to get same day hip or knee replacement surgery. This new approach to joint replacement is minimally invasive and utilizes a smaller incision allowing the physician to preserve as much healthy tissue around the joint as possible. The advanced anesthesia techniques result in immediate pain control and allow the patient to go home the same day.
Dr. David Taunton is one of the few trained orthopedic surgeons in North Texas offering Regenerative Medicine and Stem Cell Therapy to relieve hip and knee osteoarthritis. Patients now have the option for non-surgical treatment for hip and knee pain. Whether you have mild or advanced arthritis of the hip and knee, we have treatment options available.
Stem cells are cells which have the ability to transform into multiple different types of cells. In arthritic joints, stem cells have the potential to transform into cells around the joint which are damaged and promote healing. Factors within the stem cells can also lead to decreased inflammation and pain within the joint. We are still in the learning phase about what stem cells can do for arthritic patients.
Stem cells are found in the bone marrow and, in lower concentration, in fat. As we age, they become fewer and less effective for treatment purposes. In older patients and those who don't desire bone marrow stem cells, amniotic stem cells can be injected into the arthritic joint. These are harvested from amniotic fluid.
For younger patients, stem cells can be harvested from pelvic bone and then injected into the arthritic joint. This can be done both in the office or in a surgical setting.
The more cells that are used for treatment, the greater the likelihood that they will be effective. This may involve having more than one injection or injecting a larger volume of cells with each injection.
The success of stem cell treatment should be defined as either slowing or stopping the disease process and decreasing the pain and limitations associated with the arthritis. No conservative treatment, including stem cell treatment, can "cure" a joint that has progressed to bone on bone -- in the hip and knee, the final treatment is joint replacement.
Stem cells are expensive and time consuming to collect. Because treatment with stem cells is relatively new, there are few long-term studies available. At this time, stem cell therapy for arthritis is not covered by insurance or Medicare. Texas Orthopedic Specialists does offer competitive cash discounts for stem cell therapy.
Amniotic stem cells are retrieved from the amniotic fluid and not the embryo. Amniotic stem cells are donated by consenting mothers who have had recent cesarean sections. The amniotic stem cells are then harvested and injected into the affected joint or tendon.
Bone Marrow is a soft spongy tissue that contains stem cells. As mentioned previously stem cells can be used to help treat and delay the progression of osteoarthritis in certain patients. Bone marrow is found inside of bones like the femur and pelvis. The retrieval of bone marrow is an in office procedure, and it typically involves aspiration from the pelvic region to extract your own stem cells. Due to medical conditions or age, not all patients may be a candidate for bone marrow aspirate treatment. This treatment option is not covered by most insurance providers.
Platelet Rich Plasma also referred to as PRP, is another treatment option for osteoarthritis for some patients. PRP involves drawing the patient’s own blood and then through the use of a Centrifuge the platelets are separated from other cells found the in the blood. This high concentration of platelets is then injected into the affected area to stimulate the healing or antiinflammatory process. This is performed in office and typically is not covered by insurance.
Hyaluronic Acid is a naturally occurring substance found in joints such as the knee. As the arthritic process occurs it can begin to break down or diminish the amount of hyaluronic acid found in the knee, resulting in increased pain and inflammation. Hyaluronic acid injections can help decrease inflammation and pain and help lubricate arthritic joints. The injections are typically given in a series over a span of a few weeks. This injections are ideal for patients with mild to moderate osteoarthritis or those who are unable to tolerate NSAIDs due to certain health issues. These injections can be administered every six months and most are covered by insurance.