MISHA/Minimally Invasive Implantable
Shock Absorber Implant

About This Service

The MISHA™ Knee System is a minimally invasive, joint-preserving implant designed to reduce pain and pressure in the knee for patients with medial compartment osteoarthritis and chronic knee discomfort. Unlike knee replacement surgery, the MISHA implant does not remove bone or cartilage. Instead, it works like a shock absorber, unloading stress from the inner part of the knee during walking and activity.This system is ideal for patients who experience persistent knee pain that has not responded to conservative treatments such as physical therapy, injections, medications, or bracing — but who are not ready for total knee replacement and wish to stay active.The procedure is performed through a small incision, and recovery is generally faster than traditional joint replacement. Patients typically return to daily movement quickly, with a structured rehabilitation plan focused on improving strength, alignment, and functional mobility.

Common Conditions We Treat

Medial Knee Osteoarthritis

Degeneration affecting the inside portion of the knee joint.

Chronic Inner Knee Pain with Activity

Discomfort that worsens during standing, walking, or sports.

Cartilage Breakdown on the Medial Joint Surface

Protective cartilage has thinned, leading to increased friction.

Knee Pain After Previous Meniscus Surgery

Removal of tissue may increase stress on the joint surface.

Varus (Inward) Knee Alignment Overload

Increased stress on the inner portion of the knee joint.

Activity-Limiting Knee Stiffness or Swelling

Joint inflammation reducing movement and comfort.

Unresolved Knee Pain After Injections or Therapy

When conservative care has provided minimal relief.

Patients Seeking to Stay Active Without Joint Replacement

Preserving natural joint anatomy is a priority.

Benefits of This Treatment

  • Reduces pressure on the medial compartment of the knee
  • Helps relieve chronic knee pain during movement
  • Preserves natural bone and cartilage structure
  • Minimally invasive approach with faster recovery
  • Allows return to daily activity sooner than replacement surgery
  • Maintains future treatment options, including knee replacement if needed
  • Designed to support active and athletic lifestyles
  • May delay progression of osteoarthritis
  • Customized rehabilitation to restore joint mechanics and stability
  • Improves comfort during walking, stairs, and weight-bearing movement

Ready to Begin Your Recovery?

We are here to help you move stronger, feel better, and return to the activities you enjoy.

Common Patient Questions

What makes MISHA different from knee replacement?
MISHA preserves your natural joint — no bone is removed. It simply reduces stress on the damaged area.

Patients with inner knee pain and early to moderate arthritis who wish to remain active and avoid knee replacement.

Most patients begin walking the same day, with gradual return to exercise guided by rehabilitation.
Yes. By reducing load and pain, it may slow joint wear and delay future replacement.
No — once healed, patients typically do not feel the implant and resume normal motion comfortably.