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Joint preservation here means biologic and in-office options intended to support function and potentially delay arthroplasty for selected patients. It is a program of imaging, counseling, and product choice — not a device that “saves every knee.”
Written for licensed providers. Reviewed by Joe Bradley, Founder & CEO. Content version 2026-09-18.
Joint preservation therapy helps patients delay or avoid joint replacement. Biologic options for cartilage support and joint health.
Joint preservation is patient selection plus an honest conversation about arthroplasty timing. Biologics can delay or complement surgery for some phenotypes. Bone-on-bone with deformity still belongs in a surgical consult. We will not overwrite that.
Alignment, remaining cartilage, inflammatory phenotype, and BMI change candidacy. Biologics on a bone-on-bone joint with deformity set the patient up for disappointment.
PRP, HA, and 361 tissue are not interchangeable. Sequence them with a written plan.
Preservation programs should have a defined failure path to ortho surgery. That is good medicine, not lost revenue.
Not for everyone. It is an option for selected patients.
Depends on joint, imaging, and payer — decided by the clinician.
Timelines are weeks to months, not 24 hours.
State-specific. Ask the payer; do not assume Medicare LCD logic.
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