Viscosupplementation/ Gel Injections

For more info: orthoinfo.aaos.orgOsteoarthritis develops slowly causing increased pain over time. Although there is no cure for osteoarthritis, there are many treatment options to help people manage pain and stay active.
In its early stages, arthritis of the knee is treated with nonsurgical methods including:
Modified activity
Weight loss
Pain relievers, such as anti-inflammatory drugs like ibuprofen
Physical therapy
Corticosteroid injections
At Augustin Orthopedics, Dr. Augustin offers another treatment option, a procedure called viscosupplementation. If you have tried all other nonsurgical treatment methods and your pain continues to limit your activities, viscosupplementation may be an option.
In this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. The hyaluronic acid acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. In theory, adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain.
Dr. Augustin has had much success with this procedure enabling his patients to continue their active lifestyles.

Meniscal Tears

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The meniscus is a shock-absorbing structure in the knee, one on the inside (medial), and one on the outside (lateral).
A meniscal tear is a tear in the meniscus. Most injuries to the meniscus are caused by trauma, usually compression and twisting of the knee. Movements that can cause trauma to the knee include pivoting, cutting, and decelerating. Because aging tends to break down the inner tissues of the meniscus, minor trauma (such as squatting) can injure the meniscus in an older person.
Treatment for a meniscus tear varies depending on the type of tear, the severity of the tear and location. A persons age and how active they are may also affect treatment choices.
Treatment may include:
Rest, ice, wrapping the knee with an elastic bandage, and elevating the leg.
Physical therapy.
Surgery to repair the meniscus.
Surgery to remove part of the meniscus.
Dr. Augustin performs this procedure arthroscopically. Three small incisions are made to allow special instruments, including a fiber-optic camera, to be placed into your knee. The meniscal tear is repaired and in most cases steri-strips are placed over the incisions. Most patients benefit from arthroscopic knee surgery within 4 to 6 weeks. Shorter recovery time allows patients to return to their normal active life styles.

Meniscus Transplant

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If your meniscus is severely damaged or has been removed, it is likely that the articular cartilage protecting your knee will begin to wear. As this cartilage wears away, it becomes frayed and rough. Moving the bones along this exposed surface is painful. This condition is osteoarthritis.
Meniscal tears are most commonly caused by twisting or pivoting motion of the joint. This can happen during certain activities, such as when lifting or playing tennis. Meniscal tears can also occur due to degenerative processes as we age, as the meniscus becomes worn it can tear more easily.
The goal of meniscal transplant surgery is to replace the meniscus cushion before the articular cartilage is damaged. The donor cartilage supports and stabilizes the knee joint. This relieves knee pain.
Meniscal transplants can be quite helpful, but are not a good option for every patient. For patients who are carefully and correctly selected, meniscal transplant surgery can provide significant benefits. Dr. Augustin will discuss the best options specific to your injury.


Joint sparing procedures/ Cartilage Restoration

Damage to joint cartilage, or damage to both the cartilage and the underlying bone, does not repair itself spontaneously and results in joint pain and poor function.
This type of damage is common after trauma and if left untreated can lead to osteoarthritis. The knee is the most commonly affected joint. Patients aged over 60 years with osteoarthritis are more likely to have total knee replacement, while their younger counterparts are more intrigued by techniques that promote regeneration of the native hyaline cartilage by the possibility of both repairing the tissue and allowing them to return to their previous activities. One such technique is autologous chondrocyte implantation (ACI).
ACI is a technique for regenerating hyaline cartilage in a diseased or damaged area of a joint through the implantation of cartilage cells. The technique has been proven to show excellent long term results, both in terms of cartilage repair and helping patients return to their previous activity levels.
Top athletes will see optimum benefits from ACI provided they are willing to refrain from intensive training and competition for 9–12 months. This is particularly relevant if the athlete is approaching the end of his or her career and they want to maintain their quality of life afterwards.

    • The Osteoarticular Transfer System (OATS)

OATS procedure is a surgical technique to replace torn knee cartilage with a healthy one. A piece of damaged cartilage is replaced with healthy cartilage from a non weight-bearing area of the joint.
This treatment is only used for isolated areas of cartilage damage, usually limited to 10 – 20 mm in size. This type of damage is usually seen in younger patients (less than 50 years old) who experience a trauma to their joint.
How long is the recovery period following OATS procedure?
Full recovery takes almost a year. You can start low-impact sports in 8 months. But high-impact sports are suggested only after 12 months.




Patella Fracture also known as the Knee Cap

This injury happens when there is a break in the patella. The patella is a large, movable bone at the front of the knee.

The patella is part of the knee joint. It is formed between the tendons that connect the thigh bone (femur) to the leg bone (tibia). It protects the front of the knee joint and acts as a point of support, providing increased power to the thigh muscles, which extend the knee. The inner portion of the patella does come in contact with the thigh bone part of the knee joint.

Some common causes of this injury include:

    • Sharp blow to the knee (eg, during sports, a fall, or a car accident)
    • Excessive stress on the knee (eg, during weight lifting, stair climbing, or overexercising a healing knee)

Patients with nondisplaced or minimally displaced fractures who can perform a straight leg raise can usually be treated without surgery. A knee immobilizer can be used for treatment of these types of patellar fractures.
When surgery is necessary the fractured ends of bone are realigned and held in place with some combination of pins, screws and wires. After surgery, Dr. Augustin will have you keep your knee straight for the initial healing and will have you start therapy within a week.

Femoral Fracture

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A femoral fracture is a break in the thigh bone, which is called the femur. The femur bone is also known as the thigh bone. It runs from the hip to the knee and is the longest and strongest bone in the body.
There are several types of femoral fractures.

  • Transverse fracture. In this type of fracture, the break is a straight horizontal line going across the femoral shaft.)
  • Oblique fracture. This type of fracture has an angled line across the shaft.)
  • Spiral fracture. The fracture line encircles the shaft like the stripes on a candy cane. A twisting force to the thigh causes this type of fracture.)
  • Open fracture. If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture)

Upon examination and diagnosis of a femoral fracture, Dr. Augustin will devise a definitive plan as to what is the best treatment and recovery for your injury.



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Augustin Orthopedics (Bayonne)
526 Broadway
Bayonne, NJ 07002 | > Directions
Augustin Orthopedics (Bloomfield)
299 Glenwood Ave 2nd Fl
Bloomfield, NJ 07003| > Directions