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Orthobiologics

Orthobiologics

We understand that patients want the most innovative procedures available, and our providers strive to select options that have been tested in clinical trials and have demonstrated effective results.  While many biologic procedures are not yet FDA approved, our physicians have years of orthopaedic experience and knowledge to ensure these procedures are done correctly and safely.  When choosing to undergo orthobiologic therapies to manage joint pain and orthopaedic conditions, patients should put their trust in orthopaedic surgeons who have the expertise and board certification to manage your care. 

Orthobiologics Procedures

Bone Marrow Aspirate Concentrate (BMAC)
Candidates: Patients with conditions of the hip, knee or shoulder or those patients with a soft tissue injury who have seen a physician for their condition and have exhausted conservative therapies including, but not limited to rest, medication, physical therapy.

  • Bone Marrow Aspirate Concentrate, or “BMAC,” contains growth factors/ cytokines, a higher concentration of cells than PRP, in addition to anti-inflammatory enzymes and growth proteins.
  • BMAC can be harvested from many areas of your own body, including the hip/pelvis, knee, ankle, or shoulder. 
  • BMAC is concentrated in a manner to provide the important cells for the treatment of your injury or condition.
  • BMAC may be performed as an in-office procedure or in conjunction with surgical procedures to augment (assist) and leverage the healing response

Platelet Rich Plasma (PRP)
Candidates: Those who have a tendon injury, ligament injury, or osteoarthritis and have exhausted all non-surgical therapies (rest, medications, physical therapy).

  • Platelet-Rich Plasma (PRP) is a concentration of a portion of your blood called platelets. These cells contain specialized proteins and growth factors that enhance healing and leverage the immune system in response to injury and disease.
  • PRP is produced by taking a small amount of your own blood during an office visit and spinning it in a centrifuge. Blood components (ex. red blood cells, white blood cells, platelets) are separated and then injected into the location of injury or painful joint.

    Joint Preservation Procedures

    Cartilage and Meniscus Transplantation
    Cartilage Candidates: Patients who are physically active and have a healthy joint but suffer some form of articular cartilage damage. Patients should be of a healthy weight and not have certain contraindications like severe osteoarthritis or rheumatoid arthritis.

     

    • Many individuals sustain injuries to their meniscus and joint surface cartilage. These two parts of our knee work better together and decrease stress across the joint. A loss of either will lead to an increase in the development of traumatic arthritis.
    • There are multiple options to replace the damaged area with any combination of autogenous (your own), allogenic (donor), and/or synthetic regenerative substitutes.
    • Fresh cartilage can be transferred from one spot to another.
    • Allograft articular cartilage and menisci can be replaced at the site of injury.  Options vary between everyone. A structured plan can be developed for everyone who suffers from persistent activity-limiting pain.