Not every painful joint requires replacement. Where clinically appropriate, care may include physiotherapy, selected orthobiologic treatments, cartilage procedures, osteotomy and other options. For the right patients these may help improve symptoms and function; outcomes vary.
Surgery is recommended only when conservative options have been thoroughly explored and replacement is genuinely the right step. This is the core clinical principle behind every consultation.
Explore the specific procedures within this area. Each links to a detailed guide covering the condition, treatment options, recovery and how to book.
From early management to robotic replacement when needed.
Read more →Diagnosis and non-surgical treatment first.
Read more →Joint injections and orthobiologics for early arthritis.
Read more →Femoroacetabular impingement correction to preserve the hip.
Read more →Early intervention to preserve the hip joint.
Read more →A complete, staged toolkit for protecting your natural joint — applied in a deliberate order, from non-surgical measures through to biological and corrective surgery. Treatment is matched to your age, activity level, and the stage of joint damage, in keeping with international preserve-before-replace standards.
Structured physiotherapy, activity modification, weight optimisation and targeted strengthening. For early osteoarthritis this remains the foundation — and is always explored thoroughly before any procedure is considered.
PRP uses platelets from your own blood. For some patients with symptomatic knee osteoarthritis, it may reduce pain and improve function; the AAOS guideline rates the evidence as limited. For appropriately selected patients, PRP can help improve symptoms, but response varies.
Hyaluronic acid injections that improve lubrication and cushioning within an arthritic joint, easing pain and improving function in selected patients with early-to-moderate osteoarthritis.
BMAC is an orthobiologic treatment. For appropriately selected patients, it may help improve symptoms such as pain and function. Evidence is still developing; studies have not shown consistent superiority over other injection options or established cartilage regeneration. Source: systematic review of randomized BMAC trials.
Microfracture, mosaicplasty and MACI/AMIC techniques to repair focal cartilage defects — restoring the articular surface and reducing the risk of progression to arthritis in younger, active patients.
High tibial and distal femoral osteotomy shift load away from a damaged knee compartment. In appropriately selected patients, these procedures can help improve symptoms and function and may defer replacement; the timing and outcome vary.
The meniscus helps distribute load through the knee. When the tear pattern and tissue quality allow, repair or transplantation may help preserve joint function; these procedures cannot guarantee prevention of future arthritis.
Arthroscopic correction of femoroacetabular impingement (FAI) and labral repair may help selected patients with symptoms related to hip impingement; suitability and benefit depend on the specific joint findings.
A note on evidence: Not every technique suits every patient, and some orthobiologic treatments (including BMAC) have an evolving evidence base. Dr. Chetan M. Dojode recommends only what is clinically justified for your specific joint, stage and goals — and will always tell you honestly when surgery, rather than preservation, is the better option.
Other areas of Dr. Chetan M. Dojode's practice.
FRCS (Orth, UK) · FEBOT (Euro) · MRCS (UK) · MCh (Orth, UK) · MS (Orth) · MBBS · GMC Specialist Register — Yelahanka & Sahakar Nagar, Bengaluru