The Drs Are In!  Performance Orthopedics Physicians featured live on Fox 2 News!

The Drs Are In!

Dr. Guettler and Bicos featured on Fox News!!

Performance Orthopedics physicians Dr. Joseph Guettler, Dr. James Bicos, and Dr. Mark Karadsheh were featured live on Fox 2 News in Detroit!

The physicians who are experts in sports medicine, cartilage restoration, and joint replacement talked about arthritis and how to treat it. See the initial interview Drs Guettler, Bicos, and Karadsheh live on Fox 2 News!.

There was also a FaceBook Live segment that was one of the most (if not the most) successful Facebook Live segment Fox News has done for the “Dr Is In” segment. It had 26,000+ views, 300+ comments, 58 shares and 158 likes. It’s clear joint pain and joint replacement are topics that are relevant and interesting to our community.

Finally, Dr. Guettler was featured later in the day with a final segment on joint pain and arthritis. You can watch that here.

Dr. Karadsheh was featured on Fox 2 News as part of the “Dr Is In”!

Drs. Guettler and Bicos part of national study on Cartilage Restoration!

Drs. Guettler and Bicos are part of a national study looking at Cartilage Restoration.

The goal is to use patients’ own cells to repair cartilage defects in the knee.

Here is the article as taken from www.clickondetroit.com

The story can be found here.

Subchondroplasty Procedure for Knee Pain

Often times, patients come into the office complaining of knee pain without one specific injury. When discussing their case, many things “look” negative — such as their x-rays and even their physical examination. What we are finding is that something called Bone Marrow Lesions (BMLs) can be causing their pain, and we have a new minimally invasive technique, called the Subchondroplasty Procedure that can relieve their pain.

What is Subchondroplasty?
The Subchondroplasty® (SCP®) procedure is a minimally invasive surgery designed to access and treat bone defects associated with chronic bone marrow lesions (BMLs) by filling them with a biomimetic bone substitute material (BSM).

SCP® leads to healing as the BSM is resorbed and replaced with new, healthy bone.

How are BMLs diagnosed?
BMLs can only be seen on certain MRI sequences, where they are marked by edmatous or “inflamed” areas that have been shown to represent a healing response surrounding a microscopic insufficiency fracture within the subchondral bone. Below is an example of an MRI with a BMLs. Notice how there is a bright area in the center of the bone.

MRI of Bone Marrow Lesions (BMLs).  The bright white areas show stress in the bone that is a result of micro-cracks.  These cracks can be the result of early arthritis. (Taken from Zimmer Knee Creations Website)

MRI of Bone Marrow Lesions (BMLs). The bright white areas show stress in the bone that is a result of micro-cracks. These cracks can be the result of early arthritis. (Taken from Zimmer Knee Creations Website)

What is the procedure?
The procedure is based on standard theories of fracture healing. Since the BMLs are a sign of micro-cracks in the bone, the theory is to fill those defects with a natural calcium cement that stabilizes the micro-cracks so that your pain goes away. Then with time your body also resorbs the calcium cement.

Below is a picture outlining the procedure. The subchondroplasty is a same-day procedure done with minimally invasive techniques. Often times, you are left with only a couple of small “poke holes” in the skin.

This is a graphic showing the subchondroplasty procedure.  (Taken from Zimmer Knee Creations website)

This is a graphic showing the subchondroplasty procedure. (Taken from Zimmer Knee Creations website)

How do I know if Subchondroplasty is right for me?
Dr. Bicos is trained in the procedure, and as always he would be happy to see you for a consultation to evaluate your specific knee problem to see if you are a candidate. There are many options — even if you do not qualify for the Subchondroplasty procedure, there are usually other treatment choices you can consider.

More specifically for the Subchondroplasty:
Does this describe you?

    — I have experienced symptomatic knee pain for 3+ months
    — I have increasing discomfort when walking or standing
    — I have seen limited benefits from NSAIDs, bracing, injections or physical therapy
    — My symptoms returned after an arthroscopy

If you answered yes to the questions above, you may be a candidate for the procedure!

Subchondroplasty Quick Facts

    — Utilizes a minimally invasive technique
    — Performed in a outpatient setting
    — Requires a short rehabilitation period
    — Future treatment options remain open
For more information on Subcondroplasty — please visit their website.

Find Dr. Bicos’ Bio here.

Please call us at 248-988-8085 for an appointment with Dr. Bicos!

Beaumont seeks participants for a research study of a cartilage tissue implant for knee injuries

Beaumont Health System is participating in a research study evaluating an investigational treatment called NeoCart®, a tissue implant made from a patient’s own cells, aimed at repairing certain knee cartilage injuries.

(Original article here)

A total of 245 patients will participate in the research of the surgical implant procedure in up to 40 sites across the United States. Approximately 20 patients at Beaumont will participate.

guettler_surgery
Beaumont orthopedic surgeon
Dr. Joe Guettler, principal
investigator of the study.

Orthopedic surgeons Joseph Guettler, M.D. and James Bicos, M.D. will be leading the study at Beaumont.

The research study will look at damage to the knee’s hyaline articular cartilage, the smooth, white tissue that covers the ends of bones where they come together to form joints. Damage to this cartilage may be caused by an injury or repetitive motion. It is a common problem that results in pain and symptoms, such as swelling, locking of the knee and loss of knee function. Damaged hyaline cartilage has limited capacity to repair or restore itself. Left untreated, the damage may progressively worsen and may lead to chronic conditions such as osteoarthritis.

To perform the procedure, the surgeon first obtains a sample of healthy cartilage from the patient’s knee. The small sample is treated and placed under special conditions in the laboratory that allow for cell growth. These cells are used to form a hyaline-like cartilage tissue implant that is in the shape of a small disc. The implant is then returned to the surgeon for surgical implantation into the patient’s injury site in the knee.

“The current standard of care for knee cartilage injuries is a cartilage-repair surgical technique called microfracture which works by creating tiny fractures in the underlying bone. This procedure is thought to create new cartilage-building cells from a so-called super-clot,” explains Dr. Guettler, principal investigator of the study.

“The purpose of the study is to evaluate the effectiveness of the tissue implant compared with microfracture. We will evaluate the pain and knee function in both treatment groups,” says Dr. Bicos, the study’s co-investigator.

“The possibility of implementing a preventive treatment aimed at undermining the inevitable consequences of degenerative arthritis could be a very significant advancement,” says Dr. Guettler.

Criteria
Patients 18 to 55 years old who have symptoms of knee pain in one knee may be candidates for this study. However, those who have previously failed other treatments or smoke more than one pack of cigarettes per week may not be eligible.

Patients accepted into the study will have a random chance of being treated with the implant versus microfracture. Neither the patient nor the physician may choose the treatment. Patients in each group will have a specific rehabilitation plan and will be evaluated periodically for three years after treatment.

The study sponsor is Histogenics Corp. For more information, visit www.clinicaltrials.gov keyword “NeoCart Phase III” or contact Beaumont Research Nurse Clinician, Lisa Stellon at 248-551-6679 or at lisa.stellon@beaumont.edu.

About Beaumont Orthpedic Services
Beaumont Health System provides a full range of specialized care in the diagnosis, treatment and rehabilitation of all orthopedic injuries and conditions. Beaumont’s department of Orthopedic Surgery offers leading-edge treatments and technology including minimally invasive surgery, implants and trauma surgery. Beaumont is Michigan’s most experienced orthopedic hospital specializing in surgeries of the back, neck, foot, ankle, hand and upper extremities; hip and knee replacement; scoliosis treatment; tumor surgery; pediatric orthopedics; and sports medicine. Beaumont Hospital, Royal Oak is Michigan’s top-ranked hospital for orthopedic care by U.S. News & World Report. Find out more at http://orthopedics.beaumont.edu/.

Dr. Bicos to talk on shoulder pain at The Community House

Come attend a free lecture on Shoulder Pain — It’s Common Causes and Treatments by Dr. Bicos at The Community House in Birmingham, MI, on Wednesday, April 23rd from 6:30 – 8:30 PM.

Dr. Bicos will discuss the anatomy of the shoulder in terms you can understand, the most common tests that help us diagnose your shoulder pain, and the 5 most common causes of shoulder pain with their treatment options.

Be prepared when you go and see your physician on the questions to ask!

Dr. Bicos is a board certified Orthopedic Surgeon who specializes in cartilage restoration, shoulder injuries (rotator cuff, shoulder replacement, dislocations), and sports related knee injuries.

He is on staff at William Beaumont Hospital with the Department of Orthopedics. Dr. Bicos is the team orthopedic physician for the USA Gymnastics Team and was named Top 10 Sports Surgeons by Sports Illustrated Magazine in 2012.

You can register by calling 248-644-5832 or by visiting The Community House website.

You can also see the TCH flyer below…

Dr. Bicos talks on the 5 most common causes of shoulder pain.

Dr. Bicos talks on the 5 most common causes of shoulder pain.