We will relieve pain and preserve joints using arthro-medullary shunting
This patented Russian technique for treating joint diseases has been successfully used since 2010. It is based on advanced medical technologies and the utilization of the body's own resources.
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The creators of this technique are scientists from the Priorov Central Institute for Trauma and Orthopedics:
Nikolay Sviridovich Gavryushenko
This innovative technique for treating osteoarthritis was developed as an alternative to joint replacement in cases where there is at least a small chance of preserving the joint.

Prof., D.Sc., Corresponding Member of RAE, Head of Medical Devices Laboratory at the National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov
Valeriy Georgievich Bulgakov
Ph.D. in Biology, Senior Researcher at the Testing Laboratory of the Priorov National Medical Research Center for Traumatology and Orthopedics, Biophysics Researcher.

Valeriy Ivanovich Tatarenkov
PhD in Medicine, Orthopedic Surgeon, Physician of the Highest Qualification Category. Lead Clinician of the Method, Co-author of 26 Publications.
Arthrosis, osteoarthritis, and osteoarthritis are diseases that destroy joint cartilage. How do joint diseases develop? Who is at risk?

Why do joints hurt?
Specialists performing arthro-medullary shunting
Advantages
Eliminates pain syndrome
by reducing intraosseous pressure and decreasing friction. Most patients return to an active lifestyle and fully regain their ability to work within a month.
Reduces expenses
for surgery and rehabilitation several times over compared to joint replacement. The cost of shunting is several times lower than the cost of joint replacement, and recovery takes an average of one month.
Helps delay joint replacement
or avoid it entirely. Shunting can serve as a full-fledged alternative to replacement surgery or allow patients to maintain a high quality of life while waiting for a state-subsidized surgery quota.
Preserves the natural joint
and fully, or almost fully, restores painless mobility (depending on the stage of the disease). The patient's own stem cells and bone fat enter the joint, which reduces friction, relieves inflammation, and promotes the healing of cartilage defects.
Reduces the risk of complications
due to the minimally invasive technique. Arthro-medullary shunting is performed without opening the joint, through minimal incisions. Usually, the patient goes home on the very same evening or the next day. In cases of extensive intervention requiring additional procedures, the patient remains under observation for up to three days.
Eliminates pain syndrome
by reducing intraosseous pressure and decreasing friction. Most patients return to an active lifestyle and fully regain their ability to work within a month.
Reduces expenses
for surgery and rehabilitation several times over compared to joint replacement. The cost of shunting is several times lower than the cost of joint replacement, and recovery takes an average of one month.
Helps delay joint replacement
or avoid it entirely. Shunting can serve as a full-fledged alternative to replacement surgery or allow patients to maintain a high quality of life while waiting for a state-subsidized surgery quota.
Preserves the natural joint
and fully, or almost fully, restores painless mobility (depending on the stage of the disease). The patient's own stem cells and bone fat enter the joint, which reduces friction, relieves inflammation, and promotes the healing of cartilage defects
Reduces the risk of complications
due to the minimally invasive technique. Arthro-medullary shunting is performed without opening the joint, through minimal incisions. Usually, the patient goes home on the very same evening or the next day. In cases of extensive intervention requiring additional procedures, the patient remains under observation for up to three days.
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The minimally invasive technique allows for rapid joint pain relief, quick patient mobilization, improved quality of life, and a prompt return to professional activities...
Expert Opinion
D-Aesthetic LLC
To get a consultation, contact us by email or reach out to our partners.
You can also check which clinics offer arthro-medullary shunting and see the expert specialists who successfully apply our method.
Healthy joints without pain
Arthro-medullary shunting is a patented joint shunting technique. It was developed to treat degenerative-dystrophic joint diseases. The technique utilizes advanced medical technologies and harnesses the body's internal resources.

A hollow arthro-medullary shunt is implanted into the affected joint, connecting two cavities: the bone marrow cavity and the joint cavity. Following this, components of the patient's own bone fat begin to enter the joint cavity, exerting a therapeutic effect on the affected joint.
The shunts are manufactured from an advanced medical titanium alloy. This is a durable, hypoallergenic, and exceptionally inert material that has been used in traumatology since 1965.

Arthro-medullary shunting has been successfully used to treat diseases of the knee and ankle joints for over 10 years.

Why do joints hurt?
Knee joint problems most often arise due to improper functioning of the muscular structure. Normally, the muscles absorb the load. However, if dysfunction occurs, the load shifts to the joint. Weakened muscles cannot adequately engage in movement, causing the joint to suffer from instability. The body tries to resolve this issue and does so through degeneration.

Who is at risk?
  • Professional athletes and highly active individuals
  • People with an unhealthy and sedentary lifestyle
  • The elderly and seniors
Both doctors and patients refer to the destruction of joint cartilage in different ways: arthrosis, osteoarthritis, or osteoarthritis. In all cases, it is a destructive, degenerative-dystrophic process. "Degeneration" means simplification, while "dystrophy" means a nutritional disorder. What does this mean?

In a healthy joint, hyaline cartilage ensures shock absorption and smooth bone gliding during movement. Under the influence of unfavorable factors, the cartilage tissue thins out: bone structures rub against each other and become rough. Degenerative changes are accompanied by destruction. As the articular cartilage layer thins, the joint heads shift, the mobility of the osteochondral joints is disrupted, and pain emerges.

Scar tissue forms in place of muscle tissue, while osteophytes develop on the cartilage and bone tissue. Osteophytes are pathological growths on the bone surface through which the body attempts to ensure joint stability. This is a compensatory mechanism. These tissues do not require as many resources as healthy ones, but they can no longer perform their former functions. These growths injure soft tissues, causing crunching and clicking sounds in the joint, limiting mobility, and triggering pain.

Degenerative-dystrophic changes occur as a result of injuries or metabolic disorders. The most common causes that can lead to joint destruction include:
  • Undetected and untreated injuries
  • Regular heavy lifting (professional sports)
  • Strength and extreme sports
  • Constant exposure to vibration or shaking
  • Insufficient production of synovial fluid
  • A sedentary lifestyle
  • Inflammatory processes
  • Endocrine diseases
  • Bad habits
Expert Opinion
"Arthro-medullary shunting is a unique technology introduced to the Russian market. It has undergone a full cycle of clinical trials and allows patients to preserve their natural joint without replacing it with a prosthesis. This elegant, rapid, and effective method for combating knee and ankle joint diseases has been proven in hundreds of patients.

The restoration of joint mobility occurs due to the permanent supply of the body's own fatty lubricant into the joint from the medullary canal of the long bone. A lubricator right inside the joint! The fat mixes with the synovial fluid, improving its lubricating capacity threefold and reducing friction within the joint. The joint's lost capabilities are fully restored. The patient becomes a healthy individual within a few days while preserving their natural joint. The effect of the surgery lasts for years."
Professor Nikolay Sviridovich Gavryushenko

"This minimally invasive technique allows for rapid joint pain relief, quick patient mobilization, improved quality of life, and a prompt return to professional activities."
D-Aesthetic LLC

"Clinical application has demonstrated the immense potential of arthro-medullary shunting in the treatment of degenerative-dystrophic diseases."
Liskinskaya District Hospital