Bio-enhanced Carboplasty Procedure as a Treatment Option for Managing Osteoarthritis: A Case Report

A 62 year-old male with a BMI of 26.0 kg/m ² presented with right knee pain causing severe mobility issues for 18 months. After failed conservative therapies, he underwent a bioenhanced carboplasty procedure. Using IV sedation and fluoroscopic guidance, the carboplasty instrument is inserted at inferior bone chondral interface (BCI) and 2.5 of injectate (25 million Umbilical cord derived stem cells (UCSC)) are delivered. The carboplasty set is removed and re-inserted at superior BCI to deliver 2.5 cc of injectate (containing 25 million UCSC). The patient reported a significant improvement in mobility, no pain and able to return to competitive sports. A post- procedure MRI noted a significant reduction in the fraying of both the superior and inferior articular cartilages was noted along with a discernible increase in the joint space. This case report shows that a bio-enhanced carboplasty has the potential to alleviate the symptoms of knee osteoarthritis.