Innovative Techniques

Crystal Clinic is proud to be on the cutting-edge of the latest surgical and nonsurgical approaches. Whether our surgeons have developed a new procedure themselves or embraced the newest advancements in technology and treatments, you can always expect to receive state-of-the-art care for your condition.

Hip Labral Tear Repair Surgery

Hip pain doesn’t discriminate based on age, older and younger alike can be affected.  What sometimes gets overlooked is that the pain could be caused by a labral tear.

A hip labral tear is an injury to the labrum, the soft tissue that covers the hip socket. It may be caused by injury, degenerative issues or structural problems. Symptoms include pain or stiffness in the hip, pain in the groin or buttocks, and a clicking sound in the hip area when moving.

Not every labral tear needs to be fixed, but those who still have a significant amount of hip pain, despite completing a course of physical therapy, may be good candidates for surgical repair. Thanks to some new instrumentation, surgery can be performed through two to three small incisions around the hip. A camera is used to look inside the hip joint and specialized instruments are used to reshape the socket and the ball to prevent tearing the labrum again. Then, small anchors are placed around the socket and stitches are passed through the labrum to reattach it.

One of the main goals of this surgery is to alleviate the pain, and more importantly, preserve the hip for the future. In fact, this may prevent the need for total hip replacements in the future or at least delay that need for many years.

MACI

Invented by Lars Petersen in Sweden in 1987, MACI is the newest cartilage preservation approach. We take two, tic tac-sized pieces of your non-weight-bearing articular cartilage via arthroscopy and then send those cells to a company called Vericel. After six weeks, Vericel returns the cells on a matrix or scaffold, which is now full of millions of your own healthy cartilage cells. Then your surgeon performs a second operation where this cell-rich matrix is placed into the bad area with the defect.

Minimally Invasive Surgery

Many surgical procedures, including those for hip, knee, and spine conditions, are performed using minimally invasive techniques. Patients tend to experience a more rapid recovery and less postoperative pain with minimally invasive surgery. Other advantages of minimally invasive surgery include:

  • A few smaller cuts instead of a single, large incision

  • Less damage to nerves, muscles, and tissues

  • Reduced bleeding and scarring

  • Shorter hospitalization time

Reveille™

Crystal Clinic Orthopaedic Center orthopaedic surgeon Paul R. Fleissner, Jr., M.D. became the first surgeon in the country to utilize the innovative Reveille™ Cartilage Processor instrument, produced by Exactech, to repair the cartilage of a patient injured while playing basketball.  Dr. Fleissner performed the single-stage autologous chondrocyte implantation on a 16-year-old patient who had dislocated a kneecap in a weight-bearing area while playing basketball. The patient had experienced cartilage loss but no bone loss.

 In this innovative procedure, healthy cartilage is removed from a non-weight bearing portion of the patient’s knee using the Reveille Cartilage Processor, which prepares the cartilage for transplantation in the operating room. The prepared cartilage tissue is immediately transplanted into the damaged area to help promote healing. Alternate techniques using the patient’s own tissue previously required two surgeries or harvesting of the patient’s own bone.  Now the cartilage can be prepared for transplantation in the operating room and transplanted during a single surgery.

This procedure can be used for patients who have experienced a 4cm or smaller size lesion, which is a small injury or area of cartilage loss. Patients undergoing this procedure are on crutches for six weeks to allow the cartilage graft to heal.  They can move the operated leg but must not put weight on it.