BMAC Injection for Knee Osteoarthritis in Korea

(Autologous Bone Marrow Aspirate Concentrate Injection)

Refresh your knees with your own bone marrow.

Procedure Process Explanation

What is A Bone Marrow Aspirate Concentrate (BMAC) injection?

When we’re young our knee joints are healthy, but as we age the joints wear out, causing pain, inflammation and swelling as the cartilage and surrounding tissues wear away. Cartilage has no blood vessels and no stem cells for regeneration, so once it is damaged, it does not regenerate naturally.

If it progresses to degenerative arthritis, artificial joint surgery is considered as a last resort. Alternatively, autologous bone marrow aspiration concentrate injections can be used to treat the condition.

After harvesting bone marrow from the patient’s hip and centrifuging it, the resulting bone marrow aspirate concentrate (BMAC) is injected into the knee joint, which helps relieve pain and improve joint function.

  • 1. Since autologous bone marrow is used, there is no immune rejection.
  • 2. The autologous bone marrow harvesting process is simple and performed under local anesthesia.
  • 3. There is no risk of genetic modification as it is not grown externally.
  • 4. The procedure can be performed quickly and provides fundamental treatment rather than temporary effects.

Conventional Treatments

Autologous Bone Marrow Aspirate Concentrate (BMAC) Injection

  • Method applied through a small incision
  • Requires anesthesia
  • Weight-bearing is restricted for 3 to 6 weeks after surgery
  • Cartilage defect area 2 to 9 cm2
  • Treatment cost is approximately 10 million won
  • No incisions
  • No injection anesthesia required
  • Return to daily life immediately after treatment
  • No limit on cartilage defect area
  • 1/3 the cost of conventional treatments

Autologous BMAC Injections: Procedure

In order to accurately diagnose the condition of the patient’s knee joint, the degree of cartilage damage and the progression of degenerative arthritis are evaluated using imaging devices such as MRI or X-ray to determine whether autologous bone marrow aspirate injection can be effective.

STEP 1: Autologous bone marrow collection

Autologous bone marrow is harvested from the patient’s body.

STEP 2: Cell Filtering

Bone marrow injection extracted with a high-performance kit.

STEP 3: Centrifugation

Ultra-high-speed centrifugation in progress.

STEP 4: Bone Marrow Plasma Removal

Separation of red blood cells and plasma layers.

STEP 5: Extraction and concentration of mesenchymal cells

Concentrating the extracted mesenchymal cells.

STEP 6: Bone marrow aspirate concentrate injection

Bone marrow aspirate concentrate (BMAC) is injected into the knee.

Who Would Benefit from autologous BMAC Injections?

Patients with degenerative arthritis whose cartilage is damaged but whose leg bones are not yet deformed can receive treatment. In the late stages of degenerative arthritis where the knee cartilage is completely worn away, treatment using autologous bone marrow is not very effective, so artificial joint surgery should be considered.
There are KL grades, which indicate the degree of degenerative arthritis, and ICRS grades, which indicate the degree of cartilage damage, in the examination grades using imaging devices. Patients with knee arthritis of KL grade 2~3 and ICRS grade 3~4 are candidates for BMAC injection.
👉 Patients with mild arthritis symptoms (grade 1) or advanced arthritis (grade 4) may not see significant results.

KL 1st class

Intermittent pain when moving the joint

KL 2nd class

Pain worsens when going up and down stairs, and walking becomes unnatural due to constant pain

KL 3rd grade

As the cartilage wears away, pain occurs in the knee even when at rest.

KL 4th grade

Pain that makes daily life difficult due to the cartilage being worn away and bones rubbing against each other

Degenerative Arthritis – Find Joy in Walking Again, with Autologous Bone Marrow

Autologous BMAC injection loss insurance

Since autologous bone marrow treatment for knee arthritis was recognized as a “new medical technology” by the Ministry of Health and Welfare in July 2023, the safety and efficacy of the treatment have been legally proven, so it can be covered by actual loss insurance.

Based on the grade of X-ray, MRI, and arthroscopic examination, the following requirements must be met for actual loss insurance to be applied:

① The joint space must be clearly narrowed. (KL grade 2~3)
② This applies to patients with arthritis in which more than 50% of the cartilage is damaged. (ICRS grade 3~4)

The resulting effect of treatment may vary depending on the individual’s condition, but pain relief can generally be experienced for about 1 to 2 years.