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Biological Joint Preservation

Cartilage Restoration Surgical Protocol

Led personally by Dr. Ketan Kheni (M.S. Orthopaedics) at Shiv Orthopaedic Hospital & Robotic Joint Replacement Center. Structured recovery protocol: Biological Healing Protocol.

Consultant

Dr. Ketan Kheni

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Department

Advanced Surgery

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100% PM-JAY & TPA

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Cartilage Restoration
Advanced SurgeryBiological Healing Protocol

Clinical Overview & Methodology

Cartilage Restoration encompasses cutting-edge biological procedures aimed at repairing and regenerating damaged joint cartilage before irreversible osteoarthritis sets in. Techniques include Autologous Chondrocyte Implantation (ACI), osteochondral autograft transfer (OATS/mosaicplasty), and bone marrow stimulation. These procedures replace isolated cartilage defects with healthy, durable hyaline cartilage, saving the patient’s natural joint.

Ambulation Timeline: Biological Healing Protocol

Key Clinical Benefits & Advantages

Evidence-based surgical precision focused on tissue preservation and rapid return to active daily living.

Regenerates true biological hyaline cartilage restoring smooth, friction-free joint glide
Delays or permanently avoids the need for metal joint replacement in young patients
Minimally invasive arthroscopic and biological cell therapy techniques
Preserves 100% of the patient’s natural bone and ligament structures
Supported by structured accelerated joint preservation rehabilitation programs

Clinical Indications & Symptoms

You should consider clinical consultation with Dr. Ketan Kheni if you experience any of the following symptoms:

Sharp, localized joint pain when bearing weight or during athletic participation
Recurrent joint swelling and catching sensation following sports twist or impact
Focal, full-thickness cartilage defect (Grade III/IV) diagnosed on MRI scan
Young or middle-aged active patient with healthy surrounding bone stock

Step-by-Step Surgical & Recovery Protocol

A structured treatment pathway executed strictly within infection-controlled Class-100 Modular OT environments.

1

1. Arthroscopic Defect Mapping

Measuring defect area, depth, and preparing healthy vertical cartilage borders.

2

2. Biological Preparation

Harvesting chondrocytes for culture or preparing biological osteochondral cylinder.

3

3. Precision Biological Implantation

Implanting cultured chondrocytes under collagen membrane or press-fitting plug.

4

4. Guided Cartilage Maturation

Supervised progressive loading program allowing biological cartilage integration.

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With Dr. Ketan Kheni (M.S. Orthopaedics)

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