OrthoNC Featured in Becker’s ASC Review: Expanding Options for Knee Osteoarthritis
For patients living with knee osteoarthritis, there can be a frustrating point in the treatment journey: medications, injections, physical therapy, and other conservative treatments may no longer provide enough relief, but a total knee replacement may not yet be the right next step.

OrthoNC is helping expand the options available to patients who find themselves in this treatment gap.

Dr. Mark Galland and the OrthoNC Surgery Center were recently featured in Becker’s ASC Review for their experience with the MISHA Knee System, an innovative treatment option for certain patients with medial compartment knee osteoarthritis.

Helping Patients Stay Active

Knee osteoarthritis can affect much more than the knee itself. As pain progresses, patients may gradually stop participating in the activities they enjoy, from exercising and traveling to playing with grandchildren or simply getting through the day comfortably.

As Dr. Galland explained in the Becker’s feature, the impact can happen little by little as patients begin giving up activities because of their knee pain.

At OrthoNC, our goal is to provide patients with treatment options appropriate for where they are in their orthopaedic journey. For some patients, that may include conservative care. For others, it may eventually mean joint replacement. And for certain patients in between, MISHA may provide another option.

About the MISHA Knee System

The MISHA Knee System is an implantable shock absorber designed for certain patients with medial compartment knee osteoarthritis. The device is placed alongside the knee joint and is designed to reduce some of the load placed on the affected portion of the knee while preserving the patient’s existing joint.

MISHA may be an option for patients who:

  • Have medial compartment knee osteoarthritis
  • Continue to experience pain that interferes with everyday activities
  • Have not found adequate relief from previous surgical and/or nonsurgical treatments
  • Are unwilling to undergo or are not eligible for total knee replacement because of their age or the absence of advanced osteoarthritis

Unlike a knee replacement, MISHA does not replace the knee joint. Determining whether MISHA is appropriate requires an evaluation by an orthopaedic specialist.

Specialized Outpatient Orthopaedic Care

For appropriate patients, MISHA procedures are performed at the OrthoNC Surgery Center in Wakefield.

In the Becker’s feature, Dr. Galland also discussed the benefits patients can experience in a specialized ambulatory surgery setting, including care from a focused orthopaedic team, a more personalized experience, and the ability to return home following the procedure.

More Options for Knee Pain

Being told that you are “not ready for a knee replacement” shouldn’t necessarily mean simply living with worsening knee pain.

Advances in orthopaedic care are creating additional options for certain patients, and OrthoNC is proud to be part of expanding those possibilities for people living with knee osteoarthritis.

If knee pain is keeping you from the activities you enjoy and previous treatments are no longer providing enough relief, talk with an OrthoNC orthopaedic specialist about your options and whether MISHA may be appropriate for you.

OrthoNC in the News

Read the Becker’s ASC Review feature, “Bridging the Knee OA Treatment Gap.”

Meet our MISHA Surgeons

Dr. Mark Galland

Dr. Mark W. Galland is a board-certified orthopaedic surgeon at OrthoNC, specializing in Sports Medicine, ACL reconstruction, minimally invasive shoulder procedures, and the MISHA Knee System. A former U.S. Navy Chief of Orthopaedic Surgery, he brings extensive experience caring for athletes and active individuals. Dr. Galland is dedicated to restoring mobility and helping patients return to the activities they love.

Learn more about Dr. Galland

Dr. David Rion

Dr. Rion is a Carolina native and board-certified surgeon specializing in total and partial joint arthroplasty of the shoulder, hip, and knee, as well as the MISHA Knee System. He uses advanced techniques and state-of-the-art equipment to support total joint arthroplasty.

Learn more about Dr. Rion

What Our Patients Are Saying

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Dr Watson listens when I explained to him the issues I was having with pain in my back. He then carefully studied my symptoms and diagnosed my problem and then treated my issue without surgery and now my back is 100% better.

Ronald
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The absolute best Physical Therapist I have ever had. Extremely knowledgeable, excellent communicator and very thorough. I appreciate all of her efforts and highly recommended Melissa!

Ken
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In the last 4 weeks ,Dr Rion is the 4th doctor I have seen for this same problem and the only who has , in my opinion has taken the step to get to the root of my injury, which has gotten increasingly painful and unbearable over the last few weeks. GOOD JOB DOC.

Robert
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He was very nice, efficient, professional, and caring. Great visit. Thank you Dr. Neidecker for taking care of me and my knees today. I want him to have a TEN… but you only have five stars!

Terreessa
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Michelle took a lot of time in discussing my medical history and was so helpful in making suggestions and formulating a plan of action. I look forward to wishing with her!

Mary
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Dr. Neidecker is a great physician. He is very knowledgeable and thorough. He helps you understand exactly what was injured, how long it will take to heal, and when ready, what exercises can be done to help get it strong again.

Kendall
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1 year after hip replacement check-up- all good. Feels and moves like it was my own natural hip when I was young. I’m pain free and back to doing what ever I want- except restrictions of no high impact. Great job Dr. Rion! The man is pretty cool!

Joseph
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Elizabeth has been treating me 3 years for shoulder(both) pain and knee(both)pain. She always listens to my concerns and assist me with long term care to allow me to relieve my pain.

Linda
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I felt he was really great on explaining and the risk and helpful, because I really don’t care to take pain meds but I am lacking sleep so bad , he didn’t try to get me to take all day just something to help me get some much needed sleep.

Linda
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Marianella Seijas, was very thorough, explained every step and why it was important and has a wonderful personality and approach! She is one of the best that I have seen

Ron