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New procedures and emerging techniques in knee surgery are changing what’s possible for active adults with knee pain. If you’ve been told you’re too young for a knee replacement, this video is for you. In this conversation, I sit down with my husband and partner, Dr. Andreas Gomoll, to talk about how we use joint preservation, biologics, and new implants to treat cartilage damage and early arthritis while helping patients stay active. We discuss: CartiHeal, a coral-based implant that fills cartilage defects and allows new tissue to grow over time. MISHA, an implantable shock absorber for patients with medial compartment arthritis who are too active for knee replacement. HYALEX, a metal-backed synthetic cartilage implant in clinical trials that aims to replace damaged cartilage in one procedure. The next frontier: stem cell–based gels designed to regenerate cartilage and calm the whole joint environment. Every day, many of the patients we see have already tried other treatments or surgeries that didn’t work. In this video, we walk through how advanced joint preservation strategies can offer new options before committing to a total knee replacement. Subscribe for more videos on knee injuries, cartilage restoration, and joint preservation.