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Flash Regenerative Medicine Sale Monday 1/25/2021 only!

If you are “on the fence” about getting a PRP or Stem Cell procedure, maybe this Monday is the answer for you! Our flash sale is about 50% off the normal pricing.  All evaluations and procedures are done by Don Buford, MD, the Director of the Institute and a Board Certified Orthopedic Surgeon.

 1-877-777-8883 for Monday appt.

The best place to get stem cells?

Where does Dr. Buford get the cells he uses to perform cellular therapy? Your own body! He draws bone marrow from the patient’s Iliac Crest! This procedure is done in the office under local anesthesia in as little as an hour, and can help you reduce pain, and avoid surgery! ⠀⠀⠀⠀⠀⠀⠀⠀⠀

Check out our 250 5 Star Reviews On Healthgrades!

Healthgrades Reviews

Sometimes it is nice to know a clinic or surgeon has been doing something for a long time and has multiple patients from all over the world all very happy with their treatment!  Have a look at Dr. Buford’s 5 Star reviews on Healthgrades and see why he has been a well respected orthopedic surgeon and regenerative medicine doctor in Dallas for over 20 years.

 

Our Orthopedic Youtube Channel Rocks!

Youtube Channel

The #5 Orthopedic Youtube channel for 2021 is the same one as in 2020! A combination of arthroscopic surgery videos demonstrating anatomy and surgical techniques, regenerative medicine videos and lectures, musculoskeletal ultrasound videos, lectures, webinars, funny clips, etc. Check back often…2-5 new videos a week.

Our Most Recent Paper Will Be Published This Month!

As anyone who has published medical papers knows….it can be a long run! 10 months after submission, we are finally at the finish line for our paper evaluating the average level of evidence in 6 of the top 10 orthopedic surgery journals. Summary: 13 months of journal articles evaluated, 1425 papers evaluated…..average level of evidence? 3! Although the gold standard is the randomized blinded controlled clinical trial…..in actuality the most practical study format for a surgical discipline like orthopedics appears to be level 3 (non randomized trials or retrospective cohort studies for example)

This will be published in the Biologic Orthopedic Journal!

We Can’t Use Adipose In A Joint or For Tendon/Ligaments! (source: FDA)

The 2020 AAOM virtual meeting is going on right now!

Today (12/6/2020) in a Q&A led expertly by Sean Mulvaney, MD,
Dr. Peter Marks, Director of CBER of the FDA gave important….albeit unofficial…advice on current FDA thoughts on adipose tissue.

See Video:   CLICK HERE

I am paraphrasing the questions but the content is accurate.
Question #1 “Can a clinician use adipose (SVF) or microfat (ala Lipogems) in a knee joint or for tendinopathy?”

Answer #1 No

Question #2 “Can a clinician use fat without manipulation, other than rinsing, in a remote location for cushioning?”

Answer #2 Maybe

I have friends using adipose and gathering data and doing research. It is important research that needs to be done if we going to get IND/BLA and ultimate FDA approval for this orthobiologic for typical orthopedic pathologies. RIght now, I worry about the medico-legal risk of using an unapproved biologic drug….even if the FDA isn’t stopping me…the plaintiff’s attorney could come after me and I am not sure if my malpractice would cover my use of an unapproved biologic drug per the FDA Director of CBER.

 

More level 1 evidence that PRP is as good or better than a steroid injection for rotator cuff tendinopathy.

Even Low Dose PRP is as good or better than a steroid shot!

There is a new level 1 study the the Journal of Arthroscopy comparing steroid and PRP injections for partial thickness rotator cuff tears.

Results? At 3 months patients receiving PRP injection had significantly better function and pain relief. However at 1 year there was no difference between the two groups.

*Important Notes*

The PRP was made with Regenlabs in which 10cc of blood is made into 5.5cc of PRP. The PRP concentration is only 1.6x. Typically I draw 60cc of blood to make the same 5.5 cc of PRP so the concentration is nearly 6 times higher than Regenlabs.

Additionally, I still feel it is important to quantify EVERY PRP dose with whole blood and PRP analysis on a validated hematology machine at the point of care. Every patient gets a whole blood AND PRP eval with WBC with diff., RBC, and Platelet count. PRP with 6x the platelet and growth factor dose might show that PRP’s benefit is even better! There should be no additional cost to the patient of drawing 60cc versus 10cc of their own blood.

I commend Ian Lo, MD and his team on this work and showing that even a low dose PRP orthobiologic treatment is safe and at least as effective as a steroid treatment. We need more work like this!