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welcome to mayo clinic q a im dr helena gazelka hip replacement surgery is a common procedure that is necessary when the hip joint is worn or damaged but what if there were alternatives to hip replacement surgery and what are they well mayo clinic is now providing a regenerative alternative to hip replacement surgery for certain patients dr rafael sierra is an orthopedic surgeon at mayo clinic and hes here to discuss this with us today welcome dr sierra thank you very much for having me thank you for being here today the first thing i want to ask you is what is regenerative medicine uh well regenerative medicine includes its a very large field that includes uh many aspects all anything from regeneration and musculoskeletal tissues specifically in my field but obviously in any field theres some regeneration uh with respect to orthopedic surgery regenerative medicine uh involves the regeneration of bone cartilage muscles uh anything for anything that involves a muscular muscular skel