SlideShare a Scribd company logo
PRP-Appearance Office vs Surgery 
Genesis 
Cascade 
PRP 
PRFM 
Activator 
In-Office 
Surgery 
Bennett Orthopedics and Sportsmedicine 
Regenerating the Youth in You! 
copyright 2012
How PRP can be Utilized with Surgical Procedures 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
PRP Studies=as of 2011 
International Cartilage Repair Society, 10th World Congress, Montreal 2012 
copyright 2012
ACL Reconstruction/ Ligament PRP 
Orrego, 2008, at 6 months enhanced MRI maturation of graft Radice, 2010, 5o percent reduction in time to graft maturation 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
Shoulder Rotator Cuff 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
PRP and Rotator Cuff- as of 2011 
International Cartilage Repair Society, 10th World Congress, Montreal 2012 
copyright 2012
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 
Bennett Orthopedics and Sportsmedicine 
copyright 2012 
copyright 2012
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 Regenerating the Youth in You! 
copyright 2012
Surgical Use of PRFM 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
Surgical Use Of PRP 
Bennett Orthopedics and Sportsmedicine 
Regenerating the Youth in You! 
copyright 2012
PRP Video 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
Fibrin Matrix Video 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
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. 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
Hip Arthroscopy Setup-M.L. 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012
Hip Cartilage Lesion 
Bennett Orthopedics and Sportsmedicine 
Regenerating the Youth in You! 
copyright 2012
Hip Labral Tear 
Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! 
copyright 2012 
Labral Tear 
copyright 2012
Cam Impingement 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
Labral Repair 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
Cam/Pincer Bump/Ledge Trimming 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
Hip Video 
Bennett Orthopedics and Sportsmedicine 
copyright 2012
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. 
copyright 2012 
Bennett Orthopedics and Sportsmedicine

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PRP Biologics 3

  • 1. PRP-Appearance Office vs Surgery Genesis Cascade PRP PRFM Activator In-Office Surgery Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 2. How PRP can be Utilized with Surgical Procedures Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 3. PRP Studies=as of 2011 International Cartilage Repair Society, 10th World Congress, Montreal 2012 copyright 2012
  • 4. ACL Reconstruction/ Ligament PRP Orrego, 2008, at 6 months enhanced MRI maturation of graft Radice, 2010, 5o percent reduction in time to graft maturation Bennett Orthopedics and Sportsmedicine copyright 2012
  • 5. Shoulder Rotator Cuff Bennett Orthopedics and Sportsmedicine copyright 2012
  • 6. PRP and Rotator Cuff- as of 2011 International Cartilage Repair Society, 10th World Congress, Montreal 2012 copyright 2012
  • 7. 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 Bennett Orthopedics and Sportsmedicine copyright 2012 copyright 2012
  • 8. 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
  • 9. Rotator Cuff Repair video Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 10. Surgical Use of PRFM Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 11. Surgical Use Of PRP Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 12. PRP Video Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 13. Fibrin Matrix Video Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 14. 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. Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 15. Hip Arthroscopy Setup-M.L. Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 16. Hip Cartilage Lesion Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012
  • 17. Hip Labral Tear Bennett Orthopedics and Sportsmedicine Regenerating the Youth in You! copyright 2012 Labral Tear copyright 2012
  • 18. Cam Impingement Bennett Orthopedics and Sportsmedicine copyright 2012
  • 19. Labral Repair Bennett Orthopedics and Sportsmedicine copyright 2012
  • 20. Cam/Pincer Bump/Ledge Trimming Bennett Orthopedics and Sportsmedicine copyright 2012
  • 21. Hip Video Bennett Orthopedics and Sportsmedicine copyright 2012
  • 22. 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. copyright 2012 Bennett Orthopedics and Sportsmedicine