1) Cellular Matrix is an all-in-one injection of hyaluronic acid and platelet-rich plasma for fibrocartilaginous tears, osteoarthritis, and bone marrow lesions.
2) A study of over 1500 procedures found Cellular Matrix injections to be effective for lower limb issues like the knee in 92.8% of cases.
3) A trial of 71 patients with knee osteoarthritis who had previously failed hyaluronic acid treatment found significant pain reduction and a 94.4% response rate following Cellular Matrix injections, indicating it may be effective when other treatments have failed.
Injections Intra-Articulaires « Single Shot » de Facteurs de Croissance et d’...Regenlab
This document discusses intra-articular injections of hyaluronic acid and platelet-rich plasma (PRP-HA) for the treatment of orthopedic injuries and conditions. It provides details on the preparation and administration of PRP-HA injections, and summarizes results showing benefits for meniscal lesions, knee osteoarthritis, and hip labral tears/osteoarthritis. Positive outcomes included reduced pain and inflammation, improved joint function, decreased meniscal/labral lesions, and delayed progression of osteoarthritis. No significant side effects were reported.
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...VitamineB
La hernie du sportif : diagnostic et traitement, technique mini-invasive
Par le Docteur Ulrike MUSCHAWECK
Lors de la 1ère Journée Européenne de la pubalgie
Clinique du Sport Bordeaux Mérignac
Regenerative Medicine is the revolution of the future. We are proud to use these technologies with great success in patients with orthopedic needs. Learn more about the science here.
Injections Intra-Articulaires « Single Shot » de Facteurs de Croissance et d’...Regenlab
This document discusses intra-articular injections of hyaluronic acid and platelet-rich plasma (PRP-HA) for the treatment of orthopedic injuries and conditions. It provides details on the preparation and administration of PRP-HA injections, and summarizes results showing benefits for meniscal lesions, knee osteoarthritis, and hip labral tears/osteoarthritis. Positive outcomes included reduced pain and inflammation, improved joint function, decreased meniscal/labral lesions, and delayed progression of osteoarthritis. No significant side effects were reported.
La hernie du sportif : diagnostic et traitement, technique mini-ainvasive -Dr...VitamineB
La hernie du sportif : diagnostic et traitement, technique mini-invasive
Par le Docteur Ulrike MUSCHAWECK
Lors de la 1ère Journée Européenne de la pubalgie
Clinique du Sport Bordeaux Mérignac
Regenerative Medicine is the revolution of the future. We are proud to use these technologies with great success in patients with orthopedic needs. Learn more about the science here.
The knee is the largest joint in the body and is susceptible to injury and wear and tear. Knee pain accounts for about one third of musculoskeletal problems in primary care. The document discusses the causes of knee pain including tendinopathies, bursitis, meniscal injuries, and arthritis. It outlines the physical examination of the knee and investigations. Non-surgical management of knee pain includes physical modalities like laser therapy and prolotherapy, orthotics, viscous supplementation, and weight loss and exercise. Surgical referral is recommended for major meniscal tears, ACL tears, and advanced osteoarthritis.
Jason G. Attaman, DO, FAAPMR Presents: Image Guided Platelet Rich Plasma (PRP...Jason Attaman
Jason G. Attaman, DO, FAAPMR presents the advantages of using image guidance in Platelet Rich Plasma (PRP) Therapy for tendon, bone, joint and pain issues.
Dr. Attaman is a double board certified Pain Management Physician with pain control clinic locations in Bellevue, Seattle, and Auburn, Washington, USA.
It is very difficult choosing which physician to see when you are suffering from chronic pain. Should you see a pain doctor, a surgeon, a neurologist, a chiropractor, a naturopath, an acupuncturist? The choices and options are bewildering! If you choose to see Dr. Attaman, you will find a physician that will thoroughly examine your case, and suggest treatment options for you that will draw from every specialty of medicine. Generally Dr. Attaman likes to try conservative treatment options such as physical therapy before invasive options such as pain reducing injections and surgery. Therefore if massage therapy is best for your condition, that will be offered. Though he does everything to prevent it, if Dr. Attaman thinks you require surgery, you will be referred to the best surgeons in the state. Dr. Attaman offers many dozens of treatment options for every type of pain, and takes pride in being honest with his patients about their choices.
He will not, however, waste your valuable time. If you have already had dozens of sessions of physical therapy and chiropractic, tried dozens of medications over the years, and in general are “fed up” with nothing working for you, Dr. Attaman will promptly and appropriately offer you much more advanced pain management options in which he is extensively trained. Dr. Attaman is always amazed at the treatment options available to patients who have been suffering from pain for even decades.
Dr. Attaman is board certified and Anesthesiology-fellowship trained in the medical subspecialty of Pain Medicine and Interventional Pain Management. He is also residency trained and board certified in the specialty of Physical Medicine and Rehabilitation. He is one of only a few with such extensive qualifications in the state of Washington.
He is expert at diagnosing and treating every form of pain, ranging from common back pain to face pain to cancer pain. He uses pain reducing injections and procedures to combat difficult to treat pain conditions. He will guide his treatments to help reduce or eliminate your need for pain medications. He will advise your primary care physician on the best ways to treat your pain.
In addition, he has had extensive training in integrative and “alternative” medicine. He has trained extensively with some of the most prominent alternative medicine physicians.
Grade 2 muscle injuries treatment with Cryo MagLevel Medical
Cryo Mag therapy combines cryotherapy, compression, and magnetotherapy to treat grade II muscle injuries. A pilot study of 5 soccer players with grade II injuries found that 10 daily Cryo Mag sessions significantly reduced pain and swelling within 14 days, improved range of motion and muscle strength, and allowed a return to sport in an average of 27 days. Ultrasound monitoring showed complete resolution of injuries with good tissue repair and minimal edema. The combination of cryotherapy, compression, and magnetotherapy effectively accelerated muscle injury recovery.
This case series describes the conservative treatment of 6 collegiate athletes (4 males, 2 females aged 19-22) diagnosed with a sports hernia, or athletic pubalgia. A sports hernia is an injury involving weakness of the posterior inguinal wall without a hernia, causing severe groin pain with exertion. The athletes were evaluated for 5 key findings of sports hernia and treated with physical therapy including manual therapy, exercises, for a mean of 7.7 sessions. 3 athletes improved with conservative care alone while the other 3 improved after additional surgical repair and a mean of 6.7 sessions of post-surgical physical therapy. Conservative management including manual therapy appears to be a viable initial treatment option for sports hern
Knee pain patient, procedures and results 01sleiter666
A 24-year-old male patient presented with knee pain during physical activity. X-rays and MRI revealed an osteochondral defect (OCD) in the lateral femoral condyle. The patient underwent an arthroscopic osteochondral allograft transplantation (OATS) procedure using a 20mm bone allograft to repair the defect. Post-operatively, the patient will undergo rehabilitation and be restricted from sports for at least 3 months, with follow-up x-rays and MRI scheduled to assess healing.
Non-pharmacological treatments for osteoarthritis include patient education, exercises, weight loss, physical aids, diet, and hydrotherapy. These treatments have effects on symptoms and function equivalent to medications but without serious side effects. Specific exercises recommended for osteoarthritis locations include strengthening and range of motion exercises for the knees, hips, fingers, and thumb. Lifestyle recommendations include weight loss for overweight patients, pacing activities, and use of walking sticks.
Benefits of Mechanical Manipulation of the Sacroiliac Joint: A Transient Syno...CrimsonPublishersOPROJ
Benefits of Mechanical Manipulation of the Sacroiliac Joint: A Transient Synovitis Case Study by Brady Hauser* in Crimson Publishers: Orthopedic Research and Reviews Journal
This document provides biographical and professional information about Professor M. A. Imam, a consultant trauma and upper limb surgeon. It lists his academic qualifications and achievements, including publications, awards, and leadership positions in orthopedic societies. The document also contains clinical information on evaluating and treating common causes of shoulder and elbow pain, including conditions such as rotator cuff tears, impingement, tennis elbow, and arthritis. Treatment options including injections, physiotherapy, and surgery are discussed.
This document discusses the throwing shoulder from an orthopaedic surgeon's perspective. It begins by outlining common overhead athlete pathologies like internal impingement and unstable painful shoulders. Internal impingement occurs when the rotator cuff impinges against the glenoid rim and can cause articular sided tears and labral lesions. Unstable painful shoulders present with pain but no instability symptoms. The document then reviews surgical decision making, the role of non-operative treatment and imaging, and finally presents a management algorithm focusing on internal impingement.
Viscosupplementation, PRP Steroids-Consensus in OA-Dr. M.S.DhillonTheRightDoctors
The document discusses different injection treatments for osteoarthritis (OA), including corticosteroids, hyaluronic acid injections, and platelet-rich plasma (PRP). It provides an overview of the mechanisms of action and evidence for each treatment. For PRP specifically, it summarizes that PRP is safe for treating OA and can provide symptomatic relief for up to 3 months, though more research is still needed to determine optimal formulations and treatment protocols.
In the presentation, I discussed new concepts in OA pathogenesis and identified possible targets of treatment. This was followed by a review of new treatment options for osteoarthritis. Presented during the Joint RA OA SIG Symposium at the F1 Hotel last 28 November 2014.
Osteoarthritis is defined by the presence of joint damage and is most commonly diagnosed through x-ray imaging. While many older individuals have radiographic evidence of osteoarthritis, only a portion experience joint pain and symptoms. The most frequently affected joints are the spine, fingers, knees and hips. Standard x-rays can reveal signs like reduced joint space, bone spurs and cysts. MRI may provide additional details on cartilage damage and other abnormalities but is generally not needed for routine osteoarthritis diagnosis and management.
Hammer Toe Correction Comparative StudyWenjay Sung
This study compared outcomes of 3 surgical treatments for hammertoe deformities: arthroplasty, arthrodesis, and interpositional implant arthroplasty. 114 patients underwent one of the procedures and were followed for at least 12 months. All treatments significantly improved pain and sagittal plane correction, but only implant arthroplasty provided significant transverse plane correction and had the lowest revision rate at 10.4%. The study demonstrates implant arthroplasty may have advantages over the other procedures for hammertoe correction.
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Structural Targets for Prevention of Post Traumatic OAOARSI
David Hunter MBBS, PhD, FRACP
Florance and Cope Chair of Rheumatology, Professor of Medicine
University of Sydney and Royal North Shore Hospital
Chair, Institute of Bone and Joint Research
Chair, Musculoskeletal, Sydney Medical Program
Consultant Rheumatologist, North Sydney Orthopedic and Sports Medicine
This document discusses the use of platelet-rich plasma (PRP), viscosupplementation, and stem cells in the treatment of musculoskeletal diseases. PRP contains growth factors that promote healing and reduce inflammation. Studies show PRP reduces pain and improves function in tendinopathies, osteoarthritis, and other joint injuries. Combining PRP with hyaluronic acid or stem cells provides an enhanced treatment approach by addressing the three components of tissue engineering: growth factors, cells, and scaffolding. Autologous stem cell therapy with decompression has shown promise for treating early-stage osteonecrosis of the femoral head. The document advocates using regenerative medicine techniques like PRP, scaffolds, and one's own stem cells as a
The document summarizes a retrospective analysis of rehabilitation outcomes for 18 patients who underwent ACL reconstruction with an Achilles tendon allograft. Key findings included:
1) Patients demonstrated improvements in strength and Lysholm scores over time, with 87% achieving minor or no functional limitations at discharge.
2) 80% of patients with fair Lysholm scores at discharge terminated therapy early.
3) 100% of patients returned to their prior level of function subjectively.
Johnson Dp. Mis Knee Replacement. What Are The Functional Benefits. Slide 19 36Struijs
The document discusses several topics related to minimally invasive knee replacement surgery including:
1. Functional outcomes tend to be similar to traditional knee replacements but with less flexion and quadriceps avoidance.
2. Computer navigation can improve alignment accuracy but does not provide clear functional benefits.
3. Controversy exists around whether smaller incisions actually provide benefits or increased risks compared to standard incisions. Pain management is important for recovery.
Foot orthoses for the treatment of patellofemoral painIsaac Knott
This document discusses foot orthoses for the treatment of patellofemoral joint pain. It summarizes that patellofemoral joint pain is common, affecting about 26% of the active population, and is caused by increased load through the joint from activities like prolonged walking or running. Conservative treatment including foot orthoses is usually prescribed to help correct foot posture and biomechanics to decrease pain. However, the evidence around the effectiveness of foot orthoses is conflicting, with higher quality studies finding little long-term impact on pain though a potential short-term benefit. More high-quality research is still needed.
The knee is the largest joint in the body and is susceptible to injury and wear and tear. Knee pain accounts for about one third of musculoskeletal problems in primary care. The document discusses the causes of knee pain including tendinopathies, bursitis, meniscal injuries, and arthritis. It outlines the physical examination of the knee and investigations. Non-surgical management of knee pain includes physical modalities like laser therapy and prolotherapy, orthotics, viscous supplementation, and weight loss and exercise. Surgical referral is recommended for major meniscal tears, ACL tears, and advanced osteoarthritis.
Jason G. Attaman, DO, FAAPMR Presents: Image Guided Platelet Rich Plasma (PRP...Jason Attaman
Jason G. Attaman, DO, FAAPMR presents the advantages of using image guidance in Platelet Rich Plasma (PRP) Therapy for tendon, bone, joint and pain issues.
Dr. Attaman is a double board certified Pain Management Physician with pain control clinic locations in Bellevue, Seattle, and Auburn, Washington, USA.
It is very difficult choosing which physician to see when you are suffering from chronic pain. Should you see a pain doctor, a surgeon, a neurologist, a chiropractor, a naturopath, an acupuncturist? The choices and options are bewildering! If you choose to see Dr. Attaman, you will find a physician that will thoroughly examine your case, and suggest treatment options for you that will draw from every specialty of medicine. Generally Dr. Attaman likes to try conservative treatment options such as physical therapy before invasive options such as pain reducing injections and surgery. Therefore if massage therapy is best for your condition, that will be offered. Though he does everything to prevent it, if Dr. Attaman thinks you require surgery, you will be referred to the best surgeons in the state. Dr. Attaman offers many dozens of treatment options for every type of pain, and takes pride in being honest with his patients about their choices.
He will not, however, waste your valuable time. If you have already had dozens of sessions of physical therapy and chiropractic, tried dozens of medications over the years, and in general are “fed up” with nothing working for you, Dr. Attaman will promptly and appropriately offer you much more advanced pain management options in which he is extensively trained. Dr. Attaman is always amazed at the treatment options available to patients who have been suffering from pain for even decades.
Dr. Attaman is board certified and Anesthesiology-fellowship trained in the medical subspecialty of Pain Medicine and Interventional Pain Management. He is also residency trained and board certified in the specialty of Physical Medicine and Rehabilitation. He is one of only a few with such extensive qualifications in the state of Washington.
He is expert at diagnosing and treating every form of pain, ranging from common back pain to face pain to cancer pain. He uses pain reducing injections and procedures to combat difficult to treat pain conditions. He will guide his treatments to help reduce or eliminate your need for pain medications. He will advise your primary care physician on the best ways to treat your pain.
In addition, he has had extensive training in integrative and “alternative” medicine. He has trained extensively with some of the most prominent alternative medicine physicians.
Grade 2 muscle injuries treatment with Cryo MagLevel Medical
Cryo Mag therapy combines cryotherapy, compression, and magnetotherapy to treat grade II muscle injuries. A pilot study of 5 soccer players with grade II injuries found that 10 daily Cryo Mag sessions significantly reduced pain and swelling within 14 days, improved range of motion and muscle strength, and allowed a return to sport in an average of 27 days. Ultrasound monitoring showed complete resolution of injuries with good tissue repair and minimal edema. The combination of cryotherapy, compression, and magnetotherapy effectively accelerated muscle injury recovery.
This case series describes the conservative treatment of 6 collegiate athletes (4 males, 2 females aged 19-22) diagnosed with a sports hernia, or athletic pubalgia. A sports hernia is an injury involving weakness of the posterior inguinal wall without a hernia, causing severe groin pain with exertion. The athletes were evaluated for 5 key findings of sports hernia and treated with physical therapy including manual therapy, exercises, for a mean of 7.7 sessions. 3 athletes improved with conservative care alone while the other 3 improved after additional surgical repair and a mean of 6.7 sessions of post-surgical physical therapy. Conservative management including manual therapy appears to be a viable initial treatment option for sports hern
Knee pain patient, procedures and results 01sleiter666
A 24-year-old male patient presented with knee pain during physical activity. X-rays and MRI revealed an osteochondral defect (OCD) in the lateral femoral condyle. The patient underwent an arthroscopic osteochondral allograft transplantation (OATS) procedure using a 20mm bone allograft to repair the defect. Post-operatively, the patient will undergo rehabilitation and be restricted from sports for at least 3 months, with follow-up x-rays and MRI scheduled to assess healing.
Non-pharmacological treatments for osteoarthritis include patient education, exercises, weight loss, physical aids, diet, and hydrotherapy. These treatments have effects on symptoms and function equivalent to medications but without serious side effects. Specific exercises recommended for osteoarthritis locations include strengthening and range of motion exercises for the knees, hips, fingers, and thumb. Lifestyle recommendations include weight loss for overweight patients, pacing activities, and use of walking sticks.
Benefits of Mechanical Manipulation of the Sacroiliac Joint: A Transient Syno...CrimsonPublishersOPROJ
Benefits of Mechanical Manipulation of the Sacroiliac Joint: A Transient Synovitis Case Study by Brady Hauser* in Crimson Publishers: Orthopedic Research and Reviews Journal
This document provides biographical and professional information about Professor M. A. Imam, a consultant trauma and upper limb surgeon. It lists his academic qualifications and achievements, including publications, awards, and leadership positions in orthopedic societies. The document also contains clinical information on evaluating and treating common causes of shoulder and elbow pain, including conditions such as rotator cuff tears, impingement, tennis elbow, and arthritis. Treatment options including injections, physiotherapy, and surgery are discussed.
This document discusses the throwing shoulder from an orthopaedic surgeon's perspective. It begins by outlining common overhead athlete pathologies like internal impingement and unstable painful shoulders. Internal impingement occurs when the rotator cuff impinges against the glenoid rim and can cause articular sided tears and labral lesions. Unstable painful shoulders present with pain but no instability symptoms. The document then reviews surgical decision making, the role of non-operative treatment and imaging, and finally presents a management algorithm focusing on internal impingement.
Viscosupplementation, PRP Steroids-Consensus in OA-Dr. M.S.DhillonTheRightDoctors
The document discusses different injection treatments for osteoarthritis (OA), including corticosteroids, hyaluronic acid injections, and platelet-rich plasma (PRP). It provides an overview of the mechanisms of action and evidence for each treatment. For PRP specifically, it summarizes that PRP is safe for treating OA and can provide symptomatic relief for up to 3 months, though more research is still needed to determine optimal formulations and treatment protocols.
In the presentation, I discussed new concepts in OA pathogenesis and identified possible targets of treatment. This was followed by a review of new treatment options for osteoarthritis. Presented during the Joint RA OA SIG Symposium at the F1 Hotel last 28 November 2014.
Osteoarthritis is defined by the presence of joint damage and is most commonly diagnosed through x-ray imaging. While many older individuals have radiographic evidence of osteoarthritis, only a portion experience joint pain and symptoms. The most frequently affected joints are the spine, fingers, knees and hips. Standard x-rays can reveal signs like reduced joint space, bone spurs and cysts. MRI may provide additional details on cartilage damage and other abnormalities but is generally not needed for routine osteoarthritis diagnosis and management.
Hammer Toe Correction Comparative StudyWenjay Sung
This study compared outcomes of 3 surgical treatments for hammertoe deformities: arthroplasty, arthrodesis, and interpositional implant arthroplasty. 114 patients underwent one of the procedures and were followed for at least 12 months. All treatments significantly improved pain and sagittal plane correction, but only implant arthroplasty provided significant transverse plane correction and had the lowest revision rate at 10.4%. The study demonstrates implant arthroplasty may have advantages over the other procedures for hammertoe correction.
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
Structural Targets for Prevention of Post Traumatic OAOARSI
David Hunter MBBS, PhD, FRACP
Florance and Cope Chair of Rheumatology, Professor of Medicine
University of Sydney and Royal North Shore Hospital
Chair, Institute of Bone and Joint Research
Chair, Musculoskeletal, Sydney Medical Program
Consultant Rheumatologist, North Sydney Orthopedic and Sports Medicine
This document discusses the use of platelet-rich plasma (PRP), viscosupplementation, and stem cells in the treatment of musculoskeletal diseases. PRP contains growth factors that promote healing and reduce inflammation. Studies show PRP reduces pain and improves function in tendinopathies, osteoarthritis, and other joint injuries. Combining PRP with hyaluronic acid or stem cells provides an enhanced treatment approach by addressing the three components of tissue engineering: growth factors, cells, and scaffolding. Autologous stem cell therapy with decompression has shown promise for treating early-stage osteonecrosis of the femoral head. The document advocates using regenerative medicine techniques like PRP, scaffolds, and one's own stem cells as a
The document summarizes a retrospective analysis of rehabilitation outcomes for 18 patients who underwent ACL reconstruction with an Achilles tendon allograft. Key findings included:
1) Patients demonstrated improvements in strength and Lysholm scores over time, with 87% achieving minor or no functional limitations at discharge.
2) 80% of patients with fair Lysholm scores at discharge terminated therapy early.
3) 100% of patients returned to their prior level of function subjectively.
Johnson Dp. Mis Knee Replacement. What Are The Functional Benefits. Slide 19 36Struijs
The document discusses several topics related to minimally invasive knee replacement surgery including:
1. Functional outcomes tend to be similar to traditional knee replacements but with less flexion and quadriceps avoidance.
2. Computer navigation can improve alignment accuracy but does not provide clear functional benefits.
3. Controversy exists around whether smaller incisions actually provide benefits or increased risks compared to standard incisions. Pain management is important for recovery.
Foot orthoses for the treatment of patellofemoral painIsaac Knott
This document discusses foot orthoses for the treatment of patellofemoral joint pain. It summarizes that patellofemoral joint pain is common, affecting about 26% of the active population, and is caused by increased load through the joint from activities like prolonged walking or running. Conservative treatment including foot orthoses is usually prescribed to help correct foot posture and biomechanics to decrease pain. However, the evidence around the effectiveness of foot orthoses is conflicting, with higher quality studies finding little long-term impact on pain though a potential short-term benefit. More high-quality research is still needed.
Henning Langberg. Professor at the Institute of Health University of Copenhag...MuscleTech Network
1) A randomized controlled trial compared the effectiveness of high volume injection (HVI), platelet-rich plasma (ACP), and placebo for chronic Achilles tendinopathy.
2) At 6 months, HVI and ACP showed significantly greater improvements in function (VISA-A score) and pain (VAS score) compared to placebo.
3) Ultrasound measures also improved significantly more for HVI and ACP than placebo at 6 months.
Lecture given by Dr Saithna, Orthopedic Surgeon, Overland Park, Kansas on his latest research related to knee and shoulder injuries, including: Anterior cruciate ligament (ACL), ACL repair, ACL reconstruction, ACL rehabilitation, Rotator cuff and Long head of biceps injuries
Effectiveness of platelet rich plasma in the treatment1Bindusar Hosamani
This document summarizes a study on the effectiveness of platelet rich plasma (PRP) injections for treating mild to moderate knee osteoarthritis. The study involved 50 patients who received two doses of PRP injections one month apart. Outcomes were assessed at 1, 3, and 6 months using pain and functional scales. Results showed better improvements in pain and function at 2 months after injection, with scores deteriorating over 6 months but still better than pre-injection levels. No significant complications occurred other than minor short-term increases in local pain. The study concluded PRP injections provided significant short-term pain reduction and functional improvement for osteoarthritis.
PRP ICL 16 - Case Presentation Isakos 2013Smith & Nephew
1) Cell therapy using platelet rich plasma (PRP), stem cells, and tissue engineering shows promise for healing cartilage and tendon injuries. PRP provides a scaffold and growth factors to support stem cell healing.
2) A case study describes a professional tennis player with knee cartilage damage who returned to play after drilling and PRP treatment.
3) Evidence suggests PRP may be effective for mild to moderate knee osteoarthritis, though more research is still needed to confirm results.
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...Henrik Illerström
This randomized controlled trial compared outcomes of sub-acute ACL reconstruction (within 8 days of injury) versus delayed ACL reconstruction (6-10 weeks post-injury). At 3 months, there were no differences in range of motion between groups. At 6 months, the sub-acute group showed less thigh muscle atrophy and better functional strength on hop tests, though isokinetic strength was similar. Both groups improved significantly on KOOS scores after reconstruction, with no differences between groups. The study suggests sub-acute ACL reconstruction is safe and may help preserve strength compared to delayed reconstruction.
This document provides information about Magnetic Resonance Therapy (MRT) treatments using MBST Medical devices. It discusses the company history and international use of over 700 devices. MRT non-invasively treats conditions like arthritis, osteoporosis, and muscle/tendon injuries through cell regeneration. Several clinical studies demonstrate its effectiveness, showing improvements like increased cartilage volume and reduced pain. The document also outlines MRT treatment principles, available MBST device models, pricing, and the treatment process. It encourages questions and provides contact information.
This study evaluated the early rehabilitation effects of percutaneous transforaminal endoscopic discectomy (PTED) for treating lumbar disc herniations. 91 patients underwent PTED and were followed for 6 months. Results showed significantly reduced low back and leg pain based on VAS and ODI scores after surgery compared to before. No significant differences in low back pain scores at 3 days, 3 months, and 6 months post-op were found. PTED resulted in less trauma, fewer complications, and markedly shortened postoperative rehabilitation time, demonstrating it is a safe and effective treatment for lumbar disc herniations.
Avascular necrosis of Hip - treatment modalities and current concepts.pptxVivek Jadawala
Slide 1 - Treatment modalities of Avascular Necrosis of Hip
JOURNAL CLUB PRESENTATION
Dr. Vivek Jadawala
PGY-3, Dept. of Orthopaedics,
JNMC, DMIHER
Slide 2 - image
slide 3 - image
slide 4 - Osteonecrosis of Hip - Osteonecrosis is death of living elements of involved bone (cells including marrow) with progressive destruction and alteration of bone architecture as a result of compromised vascularity.
Usually aseptic but may be incited by loss of vascularity from infection.
Slide 5 - Epidemiology - Male > Female
Average age group – 35 to 50 years
Bilateral Hip joints – 80 % of the cases
Most common site – Antero-lateral aspect of femoral head
Slide 6 - Blood supply of femoral head
Slide 7 - Classification of AVN: Ficat and Arlet -STAGE 0 :
X-ray : normal
MRI: normal
clinical symptoms: nil
STAGE I :
X-ray : normal or minor osteopenia
MRI: edema
bone scan: increased uptake
clinical symptoms: pain typically in the groin
Slide 8 - Stage I
Slide 9 - Stage II -
X-ray: mixed osteopenia and/or sclerosis and/or subchondral cysts, without any subchondral lucency (crescent sign)
MRI: geographic defect
Bone scan: increased uptake
clinical symptoms: pain and stiffness
Slide 10 - Stage III - X-ray: Crescent sign and eventual cortical collapse
MRI: same as plain radiograph
clinical symptoms: pain and stiffness +/- radiation to knee and limp
Slide 11 - Stage IV - X-ray: end-stage with evidence of secondary degenerative change
MRI: same as plain radiograph
clinical symptoms: pain and limp
Slide 12 - Stage IV
Slide 13 - image
Slide 14 - Steinberg staging of AVN
Slide 15 - Steinberg staging - STAGE 0:
- normal or non-diagnostic radiographs, MRI and bone scan of at risk hip (often contralateral hip involved, or patient has risk factors and hip pain)
STAGE I:
normal radiograph, abnormal bone scan and/or MRI
STAGE II:
- cystic and sclerotic radiographic changes
STAGE I AND II
A, mild: <15% head involvement as seen on radiograph or MRI
B, moderate: 15% to 30%
C, severe: >30%
Slide 16 - STAGE III:
- subchondral lucency or crescent sign
A, mild: subchondral collapse (crescent) beneath <15% of articular surface
B, moderate: crescent beneath 15% to 30%
C, severe: crescent beneath >30%
STAGE IV:
flattening of femoral head, with depression graded into
A, mild: <15% of surface has collapsed and depression is <2 mm
B, moderate: 15% to 30% collapsed or 2-4 mm depression
C, severe: >30% collapsed or >4 mm depression
Slide 17 - STAGE V:
- joint space narrowing with or without acetabular involvement
STAGE VI:
- advanced degenerative changes
Slide 18 - Association Research Circulation Osseous classification
Slide 19 - image
Slide 20 - Kerboul angle - Original classification was proposed on radiographs where he divided the necrotic region into small, medium and large regions:
Small - less than or equal to 160°
Medium - 161 to 199°
Large - 200 or more degrees.
Slide 21 - Modified Kerboul angle - based on MRI has much higher values as the MRI overestimates the necrotic region
Presentations from Professor Adnan Saithna at the North West Upper Limb Group Meeting January 2018, focusing on current concepts in the diagnosis and management of long head of biceps tendon pathology, with an emphasis on the young, active patient with anterior shoulder pain
The Study to Assess the Effect of Prehabilitation on Postoperative Outcome of...ijtsrd
AIM The present study aims to assess the effect of prehabilitation on postoperative outcome of the patients on total knee arthroplasty at selected hospital at SMCH.METHODS AND MATERIALS A pre experimental research design was used for the present study. A total 100 samples were collected using quota sampling technique. The demographic variable and post pre level of knee pain was assessed using structured questioner and, followed by that data was gathered and analyzed.RESULTS The results the study revealed that there is a significant association with post test level of knee pain among patients at level of p 0.0.CONCLUSION Thus, the present study assessed the existing level of knee pain was average and it was evident there is a lack of awareness and knowledge. Dr. S. Tamilselvi | D. Nisha | M. Janaki | R. Radhik "The Study to Assess the Effect of Prehabilitation on Postoperative Outcome of the Patients on Total Knee Arthroplasty at Selected Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-5 , October 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60078.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/60078/the-study-to-assess-the-effect-of-prehabilitation-on-postoperative-outcome-of-the-patients-on-total-knee-arthroplasty-at-selected-hospital/dr-s-tamilselvi
Quadriceps fibrosis after intramuscular injections in children. Sophea HENG (Dr)
The intramuscular injections are the most common cause leading to fibrosis of quadriceps in developing countries, also in Cambodia, the injections are applied most health care providers in the country. The complications are not exceptional.
1) The study evaluated the effectiveness of hyaluronic acid (HA) injections in treating different grades of rotator cuff lesions in 100 patients.
2) Results showed HA injections significantly reduced pain and improved shoulder function in patients with bursitis and partial tears (grades 1 and 2).
3) For patients with full thickness tears (grade 3) or cuff tear arthropathy (grade 4), HA provided only minor and temporary benefits to shoulder function and pain.
4) The study concluded HA injections are a useful treatment for lower grade cuff lesions but have limited effectiveness for higher grade lesions like full thickness tears.
Landmark guided high volume steroid injections combined with stretching exercises were found to be effective in treating frozen shoulder in a community-based musculoskeletal clinic. 90 patients diagnosed with frozen shoulder received injections of triamcinolone and marcaine into the glenohumeral joint using a posterior approach, along with instructions for home stretching exercises. Only 3.3% of patients required further orthopaedic management, indicating this treatment can be recommended before considering secondary care interventions for most frozen shoulder patients.
Crimson Publishers-Comparison of Minimal Invasive Subvastal Approach with Sta...crimsonpublishersOOIJ
Comparison of Minimal Invasive Subvastal Approach with Standard Medial Parapatellar Approach in Total Knee Replacement by Mohamed Nabil in Orthoplastic Surgery & Orthopedic Care International Journal
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Visco-PRP
1. Cellular MatrixTM
all-in-one i-a injection of HA and PRP
for Fibro-cartilaginous tears
Osteo-Arthritis and Bone Marrow Lesions
Ph ADAM, MD
Sports Clinic Medipole
Garonne
Toulouse France
Elite Sports
Rehabilitation
Conference
London 15th June
2016
« Visco-PRP »
by
Cellular MatrixTM
2. Visco-PRP is the « All-in-one »
Therapeutic Injection
with a mix of Hyaluronic Acid and
Platelet Rich Plasma (CMTM
)
1/Into the Articular Cavities (I-A)
but also !!!
2/Outside of the Joints
Into Synovial Sheaths of Tendons
and Synovial Bursae (P-A)
4. The largest age group was between 41 and 60 years
(62%) with a relatively small group aged less than
21 years (1%)
92,8% Visco-PRP for lower limb : 83% Knee
7,2% for upper limb
Sex ratio: 36% females vs 64% males
5. 4 objectives : protect Fibro-Cartilage and Cartilage
reduce Bone Marrow Edema and Synovial Inflammation
3 main targets : cartilaginous surface, fibro-cartilage and
synovial wall (Joint or Sheath or Bursae)
1 effective tool : « Injection of HA+PRP (CMTM
) is more
successful than HA alone or PRP alone by the way of a
synergistic anabolic action on cartilage regeneration
and an anti-inflammatory effect »
6. So we can create a Positive Metabolic Balance
by the association of anticatabolic effect on BME
and anabolic enhancement on Chondrogenesis
7. The use of PRP show an impact on Chondrogenic Differentiation
Migration and Proliferation of Mesenchymal Progenitor cells
8. Our Protocol is codified but simple
1/Medical Consultation before : scores (IKDC, Oxford, Womac…), imaging
modality (US,CT,MR), consent of patient, blood count, premedication (antalgic, patch) and
stop anticoagulant drugs
2/Visco-PRP is a very short procedure (≈20 mn) with blood sample,
centrifugation and injection in the same room (US or CT), and Meopa inhalation if
necessary
3/Clinical and Imaging control after at 5 weeks + sports resumption in
coordination with sportive medical team
4/Number of injections is from 1 to 3 according to the indication
with several months between each injection, but If first injection is highly effective
one can wait one year of interval
9. HOW To Use Medical Device and Prepare CELLULAR MATRIXTM
?
1/ Blood puncture 2/ Centrifugation : 5 mn / 1500g
3/ Turning round PRP & HA to obtain & homogenize the coktail
After withdrawal
of full blood
After centrifugation
No red cells No neutrophils
After
homogenization
HA
PRP
Sampling before
injection of
*3 to 6 ml PRP +
2 ml HA
= 5 to 8 ml
Regenlab provides us two cencentrations for HA (non cross linked, 2ml)
CM 2 : 20 mg/ml (40 mg) or CM 1,5 : 15 mg/ml (30 mg)
10. Visco-PRP with high concentration of HA
(CMTM
ACP HA, 20 mg/ml, CM2)
For Big Joints (Knee+++, Hip, Ankle, Shoulder, Elbow)
Fibro-Cartilaginous Tears Osteo-Arthritis
Osteo-Chondritis Bone Marrow Lesions
Sprain (Ankle)
11. I/Grade II and III (Stoller, MRI) stable degenerative
meniscal tears in a stable knee
+ “big” painful meniscus (para and intra-meniscal cyst)
Meniscal shear forces A stable knee is needed for a good result
12. We are using both « Meniscal Wall Infiltration » and
I-A infiltration by US approach”
1/ We need a direct injection of HA + PRP
the closest possible to the meniscal lesion (cleft, cyst, big bulging round meniscus)
2/ Our purpose is to reduce meniscal tear
Both by the vascular side (wall, RR) and
the articular side (grade III open tear, WW, joint)
Needle into
the bulging
meniscus
through the
meniscal
wall
13. Grade III meniscal tear and cyst Initial big functional disability, pain 8/10, woman 23 yo
Intra and extra meniscal cyst is decreasing, wall edema also (hypersignal decrease) :
stabilization of the meniscal tear after CMTM
Meniscal wall lesion is the area with increased (white) signal
3 months after CMTM
walk normally, pain 0/10
14. Grade II meniscal tear before and after Visco-PRP (5 weeks)
Grade II meniscal tear has almost disappeared after Visco-PRP
15. Rugbyman 21 years old (hooker)
Partial Meniscectomy for meniscal tear
(anterior horn of lateral meniscus) but post-operative pain
First MRI 2014 December
*Lateral tibial plate edema (Bone Marrow Edema)
16. Second MRI 2015 February : One month after first Visco-PRP (CMTM
)
Decreasing edema and pain
Sharper edges for lateral meniscus
17. 10 months without pain
then discomfort again
in rugby practice
Second Visco-PRP 2016
January
and Third MRI 2016 April
No pain No edema
Lateral meniscus quite
normal !
Scar (neo-meniscus)
instead of
anterior horn ?
No arthritis
No chondropathy
Ok for Rugby
IRM 1
IRM 2
IRM 3
18. Bulging Meniscus (posterior horn)
Dancer woman 33 years old
Postero-medial pain of knee without trauma, normal plain X-ray
Ultrasonography : bulging medial meniscus
First MRI 2016 March : cystic degenerative medial meniscus (« big white »)
19. Flat Meniscus
Second MRI 2016 April *One month after Visco-PRP
Cystic appearance decrease (partial collapse) and pain
Dance again with high-heeled shoes
20. May be a new entity for the US-guided treatment ?
The « big bulging round meniscus » (not discoid)
This Bulging meniscus is not* a degenerative meniscus ejected outside
the joint as in the OA but* a big degenerative meniscus
with a painful para-articular mass
21. 1/From August 2012 to June 2013, 93 patients (aged between 23
and 84 years, mean age 49, gender ratio: 24% females vs 75%
males) suffering from Grade II or III (80% grade III) stable
horizontal lesion (85% medial meniscus, 15% lateral meniscus, RR
or RW meniscal area) were treated with only one i-a injection of
CMTM
2/The IKDC subjective knee score (“well-being” scale between 0
and 10) evaluated the reliability, validity, and responsiveness to the
Visco-PRP treatment
First Meniscal Study in Medipole Garonne (material)
22. 1/For grade II and III degenerative meniscal tears there was a
significant improvement in the IKDC subjective score one
year after the beginning of Visco-PRP treatment,
with a mean score of 7,96 (range 5 to 10/10) compared to 4.20
(range 0 to 6/10) before
2/A follow-up study at 2 years in August 2015 found 52% of
subjects with a long-term improvement after only one injection
3/So we can confirm the efficiency of Visco-PRP
First Meniscal Study in Medipole Garonne (results)
24. Davies-Tuck et al stated that « the development of new BMLs was associated with
progressive knee cartilage pathology, while resolution of BMLs prevalent at baseline
was associated with reduced progression of cartilage pathology »
(Arthritis Res Ther. 2010;12(1):R10, page 7)
2/MRI is the better Bio Marker for articular lesions and specially BME
3/Early Detection and Early Treatment of BML/BME
allows a good Prevention of OA and can delay the prosthetic stage
1/The Correlation between Bone Marrow Lesions (BML)
Bone Marrow Edema (BME), Pain and Loss of Cartilage (OA)
Visco-PRP for the treatment of OA is justified by
25. 4/The Study of Sanchez which demonstrated the superiority of PRP
versus Hyaluronic Acid for knee OA
« In a cohort of 30 patients comparing injections of PRP with
hyaluronic acid (HA) in the management of OA, the success rate for
the pain subscale reached 33.4% for the PRP group compared with
only 10% for the HA group (p = 0.004) »
*Sanchez M, Anitua E, Azofra J, Aguirre JJ, Andia I. Intraarticular injection of an autologous
preparation rich in growth factors for the treatment of knee OA : a retrospective cohort study.
Clin Exp Rheumatol. 2008;26:910–913
Visco-PRP for the treatment of OA is justified by
26. *From September 2013 to April 2014, 71 patients (34 females and
37 males, 40 and 84/mean age 63, mean BMI 26.83), KL II (33
patients) and KL III (38 patients)
*Failure to Classical Visco-supplementation with
HA only in the previous 3 months, and not taking analgesics or
NSAIDs or anti-OA in the previous 3 months
* If effusion : arthrocentesis before i-a Visco-PRP
We need a dry joint !
*3 Injections by patellar way (US) with CMTM
were done at
Day 0, Month 2 and Month 6 and evaluated at these three time-points
by the Womac scale and at a final follow-up at Month 9
Multicenter Trial of Cellular Matrix for the treatment of Knee OA
(20 patients from Medipole Garonne included)
27. *At month 9, 94.4% of the treated patients were considered responders
to treatment based on the OMERACT-OARSI criteria
*There was a significant (p<0,05) difference in the WOMAC pain scale
at Month 9 compared with Day 0 (mean values 1.89 vs 5.75,
respectively). Difference in WOMAC pain scale was also significant
(p<0,05) at month 2 vs baseline following 1 injection (3.62 vs 5.75) and
at month 6 vs month 2 following the second injection (2.49 vs 3.62)
*For MG 20 patients : M9 2,45 vs D0 5,65
*No severe adverse events were reported
RESULTS
28. WOMAC Pain at Day 0, Month 2, Month 6 & Month 9
(Multicenter Trial)
Pain was gradually decreasing after each injection
Visco-PRP is effective when Classical Visco-Supplementation failed
29. Woman 40 yo, overweight, KL III, internal pain 4/10 MRI at one month, pain 0/10
Obvious decrease of the hypersignal of medial femoral condyle (BME)
Other KL III, important decrease of BME and pain at one month after CMTM
31. III/Tönnis I and II (X-Ray) Moderate degenerative Hip OA
with Dysplasia, Impigement and Labral lesions
32. Cohort of Patients
• 13 « young » patients : unilateral osteo-arthritis, failure of
NSAIDs and classic visco-supplementation
• 2 Visco-PRP (2 months interval), clinical follow up (3
Oxford hip score)
• 22 to 60 yo (mean age 42,8), 6 men (ma 38,7), 7 women (ma 46,3)
• Group 1 : 7 femoro-acetabular impingement syndrome with labral
lesion (3 cam, 2 pincer, 2 mixt) ; 5/7 injected after surgery and 2/7
without surgery
• Group 2 : 6 without impingement (dysplasia, degenerative)
• 6/13 X Ray Tönnis 1 (mild OA) , 7/13 Tönnis 2 (moderate OA)
• One 14th
separate case : aerofight, cam, 18 years old, 1 injection, very
good result, canceled surgery
34. 1/Aerofight, W 18 yo
Oxford 16 : 2014 February, labral cavitation, scheduled surgery
35. 2/Aerofight, W 18 yo
Only one Visco-PRP : Oxford 37, 2014 June, canceled surgery !
36. French XV International Rugby Player : Traumatic Lesion of Labrum
(acetabular tear/oedema), AH only no result, PRP at one month rapidly
permit decreasing of pain, normal function, with no recurrence
oedema
Labral tear
No oedema
37. Rugby player, M 22 yo, cam surgery
Tönnis 1, labral cavitation, oxford 36/44/48 after 2 Visco-PRP
CT scanner before surgery : Bump et Pit lesion (cavity), labral
cavitation
38. Woman 51 yo, no impigement, Tönnis II X-Ray grade
Oxford score 38/44/47, low pain and good function after 2 Visco-PRP
39. Conclusions for Hip Study
1/Visco-PRP (Cellular MatrixTM
) was efficient
for the treatment of
40. IV/Post-Traumatic OA (“osteo-chondritis”)
with focal loss of superficial cartilage and
Bone Marrow Edema
Knee PTOA with BME of medial femoral condyle and superficial cartilage defect
(osteochondritis). Frontal plane (top) and axial plane (bottom) with a target sign
Edema and Pain highly decreased after Visco-PRP at one month.
41. Patellar cartilage is quite normal after CMTM
injected under the patella
Traumatic osteochondritis of patella : edema
of superficial cartilage and cartilaginous tear
42. Ballet Dancer (Capitole of Toulouse)
Lateral epicondylitis and Traumatic
Osteochondritis of radial head
Pain has really
decreased after one
simple PRP infiltration
for tendonitis and two
Visco-PRP of
elbow joint
44. 1/The BME Pattern
is a non-specific finding
which could be found
out of Traumatic Bone Bruise
and out of Osteo-Arthritis
2/We are using the « Anticatabolic
Effect » of Visco-PRP against
BME and algodystrophy
V/Bone Marrow Lesions with Bone Marrow Edema
Algoneurodystrophy Osteonecrosis and Stress Fractures
46. Knee Algoneurodystrophy 3 months after trauma
(partial lesion of ACL) and 2 months after CMTM
No tibial trabecular bone edema, no ACL edema, no pain
47. Medial femoral condyle OsteoNecrosis and OA
BME before Visco-PRP and 5 weeks after Visco-PRP, no BME
48. Big Joints : Indications of Visco-PRP
(Cellular MatrixTM
) : Super Visco ?
*Visco-PRP can complete or replace other infiltrations
(HA alone +/- NSAIDs) after failure of classical procedures,
and for diabetic patients+++ (no risk with PRP vs NSAIDs)
*Visco-PRP is a good complement to surgery
for improving healing : microfracturing, shaving
but also microdrilling with CSM grafts
*Post-operative recovery is better after Visco-PRP (natural antalgic and
anti-inflammatory effects + bacteriostatic)
*Better results of Visco-PRP are for the Knee (FT joint)
49. Big Joints : Indications of Visco-PRP
(Cellular MatrixTM
)
*Visco-PRP is efficient for stable fibro-cartilaginous damages
Meniscus of the knee
Labrum of the Hip
Labrum of the Gleno-Humeral Joint
*For Post-Traumatic Osteochondritis and Bone Marrow Lesions
50. Visco-PRP for isolated labral tear of shoulder
(14 yo, soccer)
No pain No tear visible
on MRI 3D millimetric
sequence at 2 months
51. Visco-PRP with low concentration of HA
(CMTM
BCT HA, 15 mg/ml, CM 1,5)
for Small Joints (forefoot, hindfoot, wrist, hand)
Tendon Sheaths and Peri-articular Bursae
1/Degenerative (and Inflammatory ?) Osteo-Arthritis
2/Sub-Acromial Conflict
(rotator cuff tears and sub-acromial bursa)
3/Tendonitis/Teno-Synovitis (fluid production by synovium)
4/Other Bursitis (hip, knee)
52. CT-guided Visco-PRP of Sub-talar PTOA
Very good result after three years of failure for corticosteroid infiltrations and classical visco
I/Visco-PRP for Small Joints
53. Woman 55 yo, Morton’s neuroma + plantar plate lesion (meniscus of the foot)
Pain 7/10, 2 simultaneous injections : simple PRP for Morton +
US-guided Visco-PRP into the second metatarso-phalangeal joint
54. Five weeks after treatment, pain 2/10, plantar plate
improvement, size of neuroma decrease
58. US guided Visco-PRP
2/Sub-acromial way (needle tract)
Sub-acromial Conflict
and supra-spinatus tendon tear
Diffusion of PRP
(hyperechogenic) into the
tendon tear and into
subdeltoid bursa
59. Tendon Sheath : Tibialis Posterior Tendonitis with fluid collection
Before injection of US-guided Visco-PRP
After injection of Visco-PRP No fluid collection
60. Hip Bursitis : US-guided Visco-PRP
between Medius Gluteus Tendon and Trochanter major
61. Knee Bursitis : Tensor of the Fascia lata, Pes Anserinus
TFL before and after PRP Pes Anserinus Bursitis before
and after draining
Pes Anserinus Bursitis
Tibial Exostosis
62. *Determining the best frequency for administering Visco-
PRP in the preventive treatment of OA is still
unresolved !
*The purpose is to maintain a good clinical result for pain
beyond one year, and to avoid or delete surgical planning!
One Visco-PRP injection each year for sportsmen
or a course of one Visco-PRP every two months
or 3 to 5 iterative i-a injections ?
*Visco-PRP has the potential to reduce pain more effectively
than Classical Visco-Supplementation, and to prevent or at
least to slow the progression of meniscal lesions and OA
Conclusions (1)
63. *Protection of fibro-cartilaginous structures is clearly coupled with
the protection of articular cartilage
*We cannot ignore the fact that being overweight, or having
traumatic instability or distortions of the skeleton disadvantages the
therapeutic benefits of any treatment
*Preventive treatment is extremely important regarding pain,
functional limitation and cost of public health
Conclusions (2)
Early Screening
(bio-markers+++, MRI)
+ Early Treatment
= Prevention and Efficiency
64. Combination Therapy is a New Concept :
« Visco-PRP into the Joint + PRP out of the Joint »
to improve the clinical performance by
accumulating the profits of superficial and deep ways !
*patellar instability : patellar retinaculum by
PRP + patellar joint by Visco-PRP
*patellar tendon by PRP + patellar joint by
Visco-PRP
*meniscal lesion by direct PRP « out » through
meniscal wall (US-guided) and Visco-PRP into
the joint (under patella)
*knee sprain : Medial Collateral Ligament by
PRP + Joint and medial meniscus by Visco-PRP
*ankle sprain : anterior talo-fibular ligament by
PRP +Joint for talar dome injury by Visco-PRP
Conclusions (3)
65. Tibial and Femoral CSM Grafts by microdrilling
(by cortesy of Michel Assor) Kellgren IV knee arthritis
Completed at 2 months by Visco-PRP
because of permanent pain
Resolution of pain after 2 Visco-PRP
Association of HA, PRP and MSCs (Biological Synergy) ?
66. The Future ? Potential benefits of utilizing chondroprogenitors
In cell-based cartilage therapy
(Chathuraka T. Jayasuriya and Qian Chen, Connect Tissue Res. 2015; 56(4) 265-271