Joint Preservation Centre
Biological, regenerative and surgical techniques to delay or avoid joint replacement โ extending the life of your natural joint, guided by a preserve-before-replace philosophy.
Not every painful joint requires replacement. Dr. Chetan M. Dojode prioritises preserving your natural joint wherever clinically feasible โ through physiotherapy optimisation, orthobiologics such as PRP, cartilage restoration, osteotomy and early arthritis management.
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 โDiagnosis and non-surgical treatment first.
Read more โJoint injections and orthobiologics for early arthritis.
Read more โFemoroacetabular impingement correction to preserve the hip.
Read more โEarly intervention to preserve the hip joint.
Read more โA complete, staged toolkit for protecting your natural joint โ 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 โ and is always explored thoroughly before any procedure is considered.
Growth factors concentrated from your own blood and injected to reduce inflammation and support healing. Evidence supports PRP for mild-to-moderate knee osteoarthritis and tendinopathies; results typically last 6โ12 months. Dr. Dojode is first author of a published randomised controlled trial on regenerative injection therapy.
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.
A "stem cell" orthobiologic that concentrates your own cells from a bone marrow sample to support healing in early arthritis and selected cartilage conditions. The evidence base is still evolving, so BMAC is offered selectively, on a case-by-case basis, where it is genuinely appropriate โ not as a routine or guaranteed cure.
Microfracture, mosaicplasty and MACI/AMIC techniques to repair focal cartilage defects โ restoring the articular surface and reducing the risk of progression to arthritis in younger, active patients.
High tibial and distal femoral osteotomy realign the mechanical axis of the leg to shift load away from a damaged knee compartment onto healthy cartilage โ capable of delaying joint replacement by 10+ years in appropriately selected patients.
The meniscus is a critical shock absorber. Repair is always preferred over removal, with meniscal transplantation considered in selected younger patients โ protecting the joint and significantly reducing long-term arthritis risk.
Arthroscopic correction of femoroacetabular impingement (FAI) and labral repair to address the mechanical causes of early hip damage โ preserving the natural hip and delaying the need for replacement.
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 โ 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 (Tr & Orth) UK · FEBOT · GMC Specialist Register — Yelahanka & Sahakar Nagar, Bengaluru