Cartilage Preservation, Meniscus Transplants, & Biologics:

Dr. Grant Garcia, MD

LWPT was excited to welcome to the webinar Dr. Grant Garcia, MD . Dr. Garcia has been recognized by our team and the greater physical therapy community for years as one of the orthopedic surgeons in the Seattle area pushing innovation. He joined our audience to talk about the latest techniques and tools he is bringing to his patients to help decrease pain, improve function, and create the best outcomes possible. The webinar hosted by our West Seattle Owner Mark Bouma, PT runs approximately 60 min with questions answered at the end.

Watch the Webinar

Covered in the Meniscus Webinar

Biologics

Cytokine/Proteins
PRP
- Leukocyte Enriched
  - Increase inflammation (tendons)
- Leukocyte Poor
  - Higher anti-inflammatory properties (joint and weight bearing surfaces)
Stem Cells
- Allogenic
  - Adipose
  - Marrow
  - Cord/Amnion
- Autologous
  - Marrow
  - Adipose

Cartilage preservation

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Conservative Care: Physical Therapy
Debridement
- Diagnosis Scope
- MRI alone is not sufficient
Microfracture
- Round off the areas to improve weight bearing surfaces
- 7 months recovery
- 43% success overall
Biocartilage/Denovo
OATS
MACI
- Primary Patella femoral joints
- 12 months recovery
- May need a Tibial Tubercle realignment
OA Graft

Meniscus Transplants

Alignment
Instability
Articular/Meniscal Deficiency

““My first indication when I see a cartilage patient is not that I am going to give you a transplant. I want to see how they respond conservatively and that is where PT plays such an important part in my practice.””