prp biologics 3
TRANSCRIPT
PRP-Appearance
Office vs Surgery
Genesis
Cascade
PRP
PRFM
Activator
In-Office
Surgery
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How PRP can be Utilized with
Surgical Procedures
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PRP Studies=as of 2011
International Cartilage Repair Society, 10th World Congress, Montreal 2012
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ACL Reconstruction/
Ligament PRP
Orrego, 2008, at 6 months enhanced MRI maturation of graft Radice, 2010, 5o percent reduction in time to graft maturation
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Shoulder
Rotator Cuff
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PRP and Rotator Cuff-
as of 2011
International Cartilage Repair Society, 10th World Congress, Montreal 2012
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Recent Rotator Cuff/PRP
Articles-2011-2012 Positive Negative
Gumina S. L-PRP, Platelet-Leukocyte-Rotator Cuff Tears, JBJS 2012
Bergeson A. PRFM-RCT, AJSM 2012
Randelli P. PRP-Rotator Cuff Tears, JSES, 2011
Castricini R. PRFM-RCT, AJSM 2012
Jo C. PRP Stimulates tendon cells in Rotator Cuff Tears, AJSM, 2012
Rodeo S. PRFM-RCT, AJSM 2012
Barber A.-PRP Re-tear Rotator Cuff, Arthroscopy, 2011
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The Biomechanical and Histologic
Effects of Platelet-Rich Plasma on
Rat Rotator Cuff Repairs(-/+) Beck J. et Al.
American JournalSportsmedicine
October, Vol. 40, No.9, 2012
First article not PRFM-possibly negative, as they re-suspended the pellet and measured platelet concentrations
Showed decreased failure loads, less stiffness at the 7 and 14 day marked
At 21 days, however, collagen fiber orientation and failure strain, better in PRP-suggesting robust tendon fiber orientation
Used Sodium Citrate(ph?), kept PRP overnight and used allogenic rats copyright 2012
Rotator Cuff Repair video Bennett Orthopedics and Sportsmedicine
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Surgical Use of PRFM
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Surgical Use Of PRP
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PRP Video Bennett Orthopedics and Sportsmedicine
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Fibrin Matrix Video Bennett Orthopedics and Sportsmedicine
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Hip Labral Tear-Case-PRP
60 Year Old
Female
Hip Labral Tear
Can not sit without pain
Fell 2 years prior to Surgery
Had cartilage damage to femoral head-microfracture and PRP
Within 6 weeks had near complete resolution of pain.
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Hip Arthroscopy Setup-M.L. Bennett Orthopedics and Sportsmedicine
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Hip Cartilage Lesion
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Hip Labral Tear
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Cam Impingement
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Labral Repair
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Cam/Pincer Bump/Ledge
Trimming
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Hip Video Bennett Orthopedics and Sportsmedicine
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Surgical Adjuncts So I showed you examples in the-
• Shoulder with arthroscopic procedures
• Hip with arthroscopic procedures
• Lets move on to Adult Chondrocytes, or cartilage cells, in the next section, I will show you how PRP can be used as an adjunct with knee surgical procedures, especially for cartilage repair.
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