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Avoiding knee replacement for knee injury or arthritis

Dr. Stone is an orthopaedic surgeon in San Francisco California who specializes in sports medicine with a special interest in knee injuries, knee knee surgery, shoulder injuries and shoulder surgery.

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Articular Cartilage Regeneration - Arthritis

• The Foundation is currently supporting a clinical trial designed to analyze a technique for paste grafting of arthritic and traumatic lesions of the articular cartilage. The technique was developed by Dr. Stone in 1991 and has been under evaluation in more than 180 patients. Arthroscopically, cartilage is transplanted from an area in the knee where it is not needed, to the damaged area. The technique combines grafted bone and cartilage to stimulate tissue regeneration. This procedure is performed on an outpatient basis. The preliminary data was accepted by the American Academy of Orthopaedic Surgeons for presentation at their Annual Meeting in 1997, the Orthopaedic Research Society annual meeting in 1998, the European Society of Knee Surgery and Arthroscopy  in 1998, The International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine in 1999, and multiple presentations and publications since..
• For more information on Articular Cartilage.

ACL Reconstruction Surgery and Repair

• The Foundation is conducting ongoing research in the analysis of a technique for a unique surgical repair of cruciate ligaments that involves suture repair rather than the current standard of total ligament reconstruction. This procedure is performed on an outpatient basis, and allows patients to retain their own, normal ligament tissue. Primary ligament repair can result in faster recovery and fewer costs associated with surgery. The preliminary results from the Foundation study document favorable results in specifically selected indications from more than 90 patients who have undergone the procedure.
  
• For more information on ACL Repair. 

  
  ACL Reconstruction Surgery:
  

• ACL Reconstruction surgery using Patellar Tendon or Allograft: The Foundation is studying the results of all ACL reconstruction surgery performed at The Stone Clinic in San Francisco, California over the past 14 years. The best results are achieved with a combination of superb technical placement of the graft and enthusiastic participation in a defined rehabilitation program

New Osteotomy Technique for Bow Legs

• If you are a patient, or a physician that has a patient that has bone on bone grinding in the knee with mal-alignment, we are using a technique of opening wedge high tibial osteotomies that does not require plates or external fixation. If you or your physician think that you are a candidate, please contact us at the following number (415) 563-3110 or e-mail us at kstonemd@stoneclinic.com.
• For more information on Osteotomy.

Meniscus Cartilage Replacement - Allografts

• The Foundation evaluates the The Stone Clinic's more than ten years of experience with meniscus cartilage transplantation and regeneration. Replacing the meniscus is performed as an outpatient and is used to protect the articular cartilage and/or to reduce pain. A 50 patient study of meniscus cartilage transplantation in knees with grade III and IV (severe) arthritis is underway.
• For more information on Meniscus Transplantation and Repair.

Imaging Software

• The Stone Clinic installed an office-based MRI that is used to image patients with cartilage and ligament injuries. Recent publication's of the foundation research using the MRI can be found here. The Foundation expects the technique will lead to a non-invasive method of evaluating the size of soft-tissue transplants and the effectiveness of the cartilage and ligament replacement procedures.
• For more information on MRI

Athlete Education and Training

• The staff at The Stone Clinic have welcomed top athletes including ski racers, ballet dancers, rugby, football, soccer and tennis players to train with leading strength and conditioning coaches, athletic trainers, nutritionists, Pilates instructors, massage therapists, and sports psychologists.
• For more information on Training Programs

Here is a complete index of articles and information available on our site.

The most Frequently Asked Questions include:
Avoiding Knee Replacement
ACL Reconstruction Surgery
ACL Injury
Shoulder Injury and Treatment
Rotator Cuff Injuries and Treatment