St. Louis Center for Cartilage Restoration and Repair
Cartilage injuries are not uncommon, but injuries that require surgery are rare. Cartilage injuries are complicated, there is no easy algorithm that says if a patient fits into a specific category then this is the correct treatment. Also, just because there is a cartilage injury doesn’t mean it needs to be repaired. This is where cartilage injuries differ from many other orthopedic injuries. If a patient has an ACL tear and wants to return to an active lifestyle of cutting, pivoting, or twisting sports then the answer is easy: reconstruct the ACL.
The experts at the St. Louis Center for Cartilage Restoration and Repair, under the direction of Dr. Nathan Mall, have extensive training in cartilage restoration and repair. Many of the cartilage restoration surgeries are some of the most technically demanding surgeries a sports medicine physician can perform. However, even more difficult than the surgeries themselves is the decision making process that goes into whether a patient needs surgery and what surgery he or she may be a candidate for.
Dr. Mall trained at the busiest cartilage restoration and repair center in the world, with Dr. Brian Cole. During this time he was part of 3 FDA trials with new cartilage restoration procedures being studied prior to even being available to the general population. Most other orthopedic surgeons in St. Louis do not even know these procedures and techniques exist.
Dr. Paletta also maintains an academic position with the University of Missouri, and together with the University are on the front line of many breaking technologies. Dr. James Cook, a veterinary orthopedic surgeon, has grown bone and cartilage from cells and has been able to implant these into animals, creating a “biologic knee replacement.” The relationship between the University of Missouri and its outstanding clinical and basic science research in the area of cartilage injuries has allowed Dr. Mall and the St. Louis Center for Cartilage Restoration and Repair to be at the leading edge of bringing ground-breaking new technologies to the people of St. Louis, the Midwest, and patients from all over the country.
Come see the orthopedic surgeons at the Cartilage Restoration Center of St. Louis for cutting edge cartilage restoration and repair techniques, but more importantly for the knowledge it takes to assure you get the best possible outcome for your condition.
Live too far away? If you mail your orthopedic medical records, the actual XRays and MRI (not just the reports), operative reports from any surgeries, any arthroscopy photos from prior surgeries and a letter describing specifically your current complaints and expectations and goals, Dr. Mall will review them and will determine whether you would be a candidate for cartilage restoration or whether he needs you to come in for a visit to better understand your problem. Specific questions Dr. Mall requests you answer are: rating your daily pain and pain with activity on a 1 to 10 scale, the presence or absence of swelling, specific location of pain (inside, outside, back, front, or under knee cap). There is a checklist of requested documents located here.
- Cover Letter with Name, DOB, age, and approximate height and weight
- Knee, Shoulder, Elbow, or Ankle Cartilage Injury Questionnaire
- Operative Reports from any recent surgery on the affected body area
- Arthoscopic Photos from any recent surgery on the affected body area
- The most recent Xrays performed of the affected body area
- The most recent MRI performed of the affected body area
- Any previous Xrays or MRIs performed before your previous surgery
- A self-addressed, stamped envelope if you want this material returned to you