New Minimally Invasive Procedure May Offer Alternative to Knee Replacement Surgery

Outpatient technique shows promise in reducing pain and increasing mobility in arthritis sufferers

Image Downloads

(LOS ANGELES, California) – For the millions living with the pain and stiffness of knee osteoarthritis, there are few effective options short of joint replacement surgery, which requires months of recovery and physical therapy. Even then, many can’t be considered for surgery because of their age or other medical conditions. 

Now, doctors at UCLA Health are offering a promising minimally invasive option that may delay or prevent the need for a knee replacement while offering significant pain relief, reduced inflammation and improved mobility. 

To date, more than a hundred people have undergone the procedure at UCLA with more than 70 percent reporting improvement.  “Although more study is needed, the preliminary results have been overwhelmingly positive. Patients who have lived with debilitating pain for years are able to improve within weeks without any major side effects and without physical therapy,” said Sid Padia, MD, an interventional radiologist at UCLA Health who refined a similar procedure first developed in Japan.  “The outpatient procedure takes two hours, and patients are up and walking a few hours later.” 

The painless procedure, called genicular artery embolization, involves injecting tiny particles into the arteries leading to the knee to reduce blood flow and, in turn, inflammation.

“While this is revolutionary for the treatment of osteoarthritis, it is a method that has been used in other areas of medicine for years, especially to shrink liver tumors and to treat uterine fibroids,” Dr. Padia said. “We use the same particles, the same materials and the same practices, but instead of treating tumors, we’re treating inflammation.”

UCLA will start clinical trials later this fall, and the procedure should be available at other institutions in the U.S. in 2021. UCLA has also begun using the procedure to treat arthritis pain in other areas of the body, such as the shoulder and elbow, with promising results.

Images

(click to download)

Sid Padia, MD, examines Gianni Contardo at UCLA Health Santa Monica. Gianni was one of the first patients in the U.S. to undergo a genicular artery embolization for osteoarthritis of the knee, an outpatient procedure that can reduce pain and inflammation and prevent or delay the need for joint replacement.

Sid Padia, MD, displays a syringe of particles used during a genicular artery embolization procedure at UCLA Health Santa Monica. The particles are injected into the arteries leading to the knee to reduce blood flow and, in turn, pain and inflammation.

Sid Padia, MD, performs a genicular artery embolization at UCLA Health Santa Monica. The new procedure has shown promise in reducing pain and inflammation from knee osteoarthritis and may prevent or delay the need for a total knee replacement.

Gianni Contardo hikes on a trail in Los Angeles. A year after having a new outpatient procedure performed at UCLA Health to treat the arthritis in his left knee, he is still pain-free and able to enjoy an active lifestyle.

Sid Padia, MD, reviews an angiogram to visualize the arteries in the knee during a genicular artery embolization at UCLA Health Santa Monica. The new outpatient procedure uses tiny particles to slow blood flow to the knee, and initial results show promise in reducing pain and inflammation caused by osteoarthritis.

Sid Padia, MD, shows the area of the knee targeted during a genicular artery embolization at UCLA Health Santa Monica. The minimally invasive procedure takes only a couple of hours, has virtually no recovery time and can reduce pain and improves mobility in most patients with knee osteoarthritis.

UCLA Health


Your file is downloading.