Orthopedic regenerative sports medicine: firstname.lastname@example.org
Dr. Kelly Cunningham and the team at Austin Ortho+Biologics have developed a focused and reproducible strategy for dealing with orthopedic injuries of the knee.
Through years of research, clinical orthopedic practice and evaluation of results, methods of treatment have evolved to deal with various common injuries, in athletes of all ages.
Regenerative biologic techniques can be used as a stand-alone procedure or in combination with outpatient knee surgery:
Knee Injury Treatment Recommendation
Meniscus cartilage tear
surgical meniscus repair + PRP (failed PT trial^)
Pain + “mechanical symptoms” surgical repair + PRP
notes: PT trial = an initial course of Physical Therapy, based on patient-specific activity, to attempt to delay/avoid surgery ^
“mechanical symptoms” such as knee catching, locking, repeated swelling
PRP (Platelet-Rich Plasma injection, patient-derived) has demonstrated an ability to relieve pain, improve function & provide growth factors to knee cartilage injury - in contrast to steroid injection, which may limit healing & treatment options
Combined with meniscus repair (arthroscopic, outpatient procedure), PRP may improve cartilage healing rates
Articular cartilage injury
Pain, loss of function, mech symptoms
“surface” lesion MACI, Biocartilage “enhanced” microfracture surgery
bone involvement auto/allograft osteochondral OATS surgery
notes: PRP &/or MSC (Cellular "stem cell") may be used to augment articular cartilage repair
requires normal limb alignment/no underlying arthritis
Partial tear brace, PT trial^ consider PRP/MSC injection
Complete tear/knee instability
Level I/II athlete: ACL ligament reconstruction + PRP
Less active adults*: PT trial^, sports brace
notes: Combined with patient-derived & especially donor-derived ACL grafts, PRP may improve healing rates
*Failed conservative care may necessitate surgery
Dr. Cunningham is a board-certified, fellowship-trained orthopedic surgeon with special interest in the treatment of cartilage injuries and degeneration of the shoulder, knee, hip and elbow.
He focuses on non-surgical and surgical care of his patients, using innovative and cutting-edge regenerative sports medicine techniques, including cellular “stem cell” & PRP (“platelet-rich plasma”) therapy.
He has practiced in Austin, Texas, for over 30 years.