TOSH Trauma & Orthopaedic Hospital is an exclusive Orthopaedic hospital with international
standards.Our center is located at Ormes Road, Kilpauk, Chennai.
Tosh Hospital has experience of over a decade in providing advanced stem cell therapy for
knee arthritis. Our treatments have evolved over time with collaborative efforts from
international pioneers in the field. TOSH has successfully treated numerous patients
suffering from arthritis, not only at an early stage but also at advanced stages. Stem cells
have a special ability to repair and create new tissue. This novel treatment utilises this
unique ability and works to repair the damaged knee tissues, improve joint movements, and
reduce pain.
Knee Conditions Treated with Stem Cell Therapy
Osteoarthritis
This condition involves the wearing down of
cartilage in the knee, usually on aging, which leads to pain and
stiffness, affecting mobility.
Cartilage Damage
By using stem cells, we can assist in
regenerating localised cartilage damage other than osteoarthritis.
Knee Injuries
Stem cell therapy is also beneficial for those
dealing with torn ligaments, meniscus damage, and tendon injuries
How Does Stem Cell Therapy for the Knee Work?
Through a key-hole (Arthroscopy), the arthritic portion of the knee joint is
scraped and cleaned to remove the worn-out cartilage. Simultaneously, 60ml of bone
marrow is aspirated from the hip bone through the needle, it is then concentrated to
obtain signalling cells and growth factors. This is mixed with clotting gel and is
injected into the knee joint, which is already prepared through a key-hole procedure.
The main advantage of this procedure is to retain one’s natural knee by avoiding Total
knee replacement surgery, in which artificial metallic implants are used to replace a
joint in knee arthritis. The patient is allowed to move the joint fully and is allowed
partial weight-bearing walking on the operated leg the same day. This is a day-care
procedure where the patient is usually sent home within 24 hours. After 6 weeks of
partial weight bearing and rehabilitation, the patient can start weight bearing fully
and can get back to a normal lifestyle.
Benefits
✔ Day-care procedure
✔ Novel way to preserve and retain one’s natural knee.
✔ Safer alternative to Total knee replacement
✔ Avoid the use of artificial metal implants
✔ No restrictions on joint movements.
✔ Gradually get back to an active lifestyle and sports
Frequently Asked Question
How many days of hospital stay are required?
Ideally, a 2-day stay is enough, as procedures done in the
early stages are minor.
2. What is the recovery period?
The patient can start walking the next day with half
weight on the operated leg with the help of a walker. And recovery can
be expected mostly in 5 days.
3. Is it possible to undergo this procedure for both knees at,
same time?
No, as it is recommended to partially weight bear for 6
weeks following the procedure, it is ideal to wait for 2-3 months before
planning for another knee.
4. Is there any age limit for this procedure?
No, because this procedure is personalised after
considering the patient's pathology, age, requirements and the stage of
the condition in detail.
5. How many days is it required to take medications after the
surgery?
Low-dose pain-relieving tablets might be required mostly
up to 5 days.
6. How long is the Operation duration usually?
It might take up to one and a half hours.
7. From where will you take the bone marrow concentration?
It is usually taken from the patient's hip Bone (Iliac
Bone)
8. Is it possible to sit on the floor after the procedure?
Yes.
9. What type of Anaesthesia will be given?
Normally, Spinal Anaesthesia is given, which will make
both your legs numb below the abdomen; the patient will be awake
throughout the procedure. In some rare cases, General Anaesthesia is
given.
10. Should I meet a Physiotherapist every day for
rehabilitation?
Not Necessary. We will teach you exercises you can do on
your own.
11. I live far from the hospital. How can I follow up with the
doctor?
Though it is preferred to meet the doctors in person for
the initial visits, Outstation patients can still send X – rays and
details through E-mail or WhatsApp and schedule an online Doctor
Consultation.
12. How many Follow-Ups are required?
Four visits are recommended during 6 Weeks, 3 months, 6
months, and 1 year after the procedure
13. When and where can the sutures be removed?
The suture can be removed after 12 days. It is
recommended to remove the suture in our
Hospital but Outstation Patients can remove the suture in their nearby
hospitals for their convenience.
14. Can we do this procedure for advanced arthritis?
Yes, the surgeon will first assess the condition of the patient and then decide on the requirement of additional procedures depending on the severity of the condition.