Each week on "You, Only Better" world-renowned orthopaedic surgeon Kevin Stone, MD imparts wisdom and inflames curiosity with reflections on patient care and our personal paths in becoming our fittest, strongest selves.
Kevin R. Stone M.D. is an orthopedic surgeon at The Stone Clinic and the Chairman of the Stone Research Foundation. He has lectured around the world as an expert in cartilage and meniscal growth, repair and replacement. His work has led to multiple awards, publications, grants, approximately 50 issued US patents and multiple start-up companies. As an orthopaedic surgeon, he has served the U.S. Ski Team, the U.S.Pro Ski Tour, the Marin Ballet, the Smuin Ballet, the modern Pentathlon at the U.S. Olympic Festival, U.S. Olympic Training Center, and now for the newly launched World Pro Ski Tour. He is a weekly columnist for the San Francisco Examiner which becomes a blog at www.stoneclinic.com/blog. He was trained at Harvard in internal medicine and orthopaedic surgery and at Stanford in general surgery, did his sports fellowship with Richard Steadman and a visiting research Fellowship at the Hospital for Special Surgery.
Our unique regenerative approach to healing joints and repairing arthritis can get you back to the activities you love, without compromise. You’ll be fitter, faster and stronger than you have been in years.
Stem cells are both in and out. It was once thought that if these cells were injected into joints, they would turn into cartilage. Two problems arose. First, patients (unless they are infants) have very few stem cells left. Second, the injected cells died after releasing their instructional growth factors, never turning into cartilage. But what we have learned is that an increasing number of concentrated growth factors, immune stimulants, and even some drugs can induce the migration of the body’s own progenitor cells—some of them stem cells—cells that direct healing—to the injured area. These cells then optimize the environment around the injury to effect healing.
The science of cartilage repair for joints is in full swing. There is a frenzy of activity around stem cells, growth factors, exosomes (small packets of growth factors), and all forms of stimulation therapies. And the matrices or patches that those factors are placed on vary widely. The bottom line is that no one factor does it all. Here is the latest update on what needs to go into the chicken soup of tissue repair to make you well.