What is AccuFill© BSM?
AccuFill© BSM is an engineered Calcium Phosphate mineral compound. It flows readily to fill the subchondral defect and hardens quickly once injected. AccuFill® BSM mimics the strength of normal cancellous bone and is resorbed and replaced with new bone during the healing process.
What can I Expect After Surgery?
Patients are typically treated in an outpatient setting, returning home the same day of the procedure. Postoperatively, your doctor will recommend a short recovery course, similar to that of arthroscopy.
It’s important to note that recovery from the SCP© procedure is different for every patient. However, the following is common for most patients:
- For the first 48-72 hours after SCP®, patients will often experience significant pain in the operative area Your doctor will likely prescribe pain medication to treat these symptoms. Follow your doctor’s advice closely.
- For the initial period, most doctors will recommend walking and standing with crutch support, to reduce load on the bone. The use of crutches is typically reduced as tolerated. Your doctor will also recommend a course of physical therapy and activities to help you regain strength and maintain mobility of your joint.
- It is important to follow your doctor’s advice as you recover.
What are the Precautions and Risks for this Treatment?
The SCP© procedure is not recommended for patients with body mass index (BMI) >40 or patients with severe joint malalignment. All surgical procedures carry a certain level of risk. Only your health care team can determine if you are healthy enough for surgery. Consult your doctor for a complete assessment of possible risks before deciding to have surgery.
Are there Alternatives to SCP©?
A course of conservative treatment—to include pain medications, joint braces, crutches, physical therapy and/or injections into the joint—may allow the body to heal bone defects associated with BML, and is usually recommended before proceeding with any surgical procedure.
If the bone doesn't heal with conservative care your surgeon may recommend surgery, including SCP©. Current surgical alternatives to SCP© include:
- Total or partial arthroplasty (e.g., knee replacement surgery)—a surgical removal and replacement of the surface of the opposing bones of the joint, to improve function and reduce pain.
- Osteotomy—a surgical cutting of the bone and realignment of the joint, to restore proper distribution of joint forces.
- Cadaveric bone grafting—damaged bone is removed through an incision and human cadaveric bone is placed in the defect, to improve function and reduce pain.
Will the SCP© Procedure Keep Me from Future Surgery?
Many patients delay or avoid progressing to more invasive procedures such as total joint replacement. However, results of any surgical procedure vary from patient to patient. Talk to your doctor to decide what is appropriate for you. Should it become necessary to proceed to total joint surgery, it is no harder to have a total joint replacement after SCP©.