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Cartilage transplant is now the favored treatment for young athletic patients like Paradise because knee replacements generally last 15 years or less. Transplants may also prevent further surgery, so an increasing number of health insurance companies have begun to cover the procedure. Fadale says the operation is not an option for arthritis patients or for those who have worn away cartilage. However, a transplant may prevent arthritis from quickly setting in after an injury.

Fadale is optimistic about Paradise's prognosis: "We anticipate that as the cells keep growing, she will continue to improve. The best part is that it's all natural-no screws or plugs."

Three months after surgery, Paradise began to walk without crutches. She can sit or sleep pain. Her knee doesn't "lock up" anymore, so she's logging miles on an exercise bike. For this relief alone, says Paradise, the surgery was worth it. "I'm steadily feeling better and better," she says. Her 26-week rehabilitation regimen involves physical therapy twice per week and daily aquatic exercise. "This has given me hope that I will get my normal life back. Maybe I will even play soccer again."

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