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Don Buford, M.D., Orthopedic Regenerative Medicine Experts, Dallas, TX / Blog

  • Should’t We Treat People With Cartilage Problems As Well As We Treat Horses?

    Posted in: General Info |Posted on: 01-Sep-2018 | No. of views: 1811

    Bone marrow derived stem cells for cartilage repair worked in horses 8 years ago…isn’t time we started treating people with state of the art equine care?? In a 2010 article published in the Journal of Bone And Joint Surgery, the authors compared micro fracture of a 15mm chondral lesion in the trochlea with micro fracture plus bone marrow aspirate concentrate injection. Outcomes at 8 months showed that all scoring systems AND histology AND MRI analysis all showed that both the amount of cartilage AND the type 2 collagen content was significantly better in the BMAC treated group.

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  • Meniscus Tear? Surgery is not always necessary

    Meniscus Tear? Surgery is not always necessary

    Posted in: General Info |Posted on: 31-Aug-2018 | No. of views: 2048

    I like to try to have a thoughtful personalized approach to treating meniscal pathology rather than a less sophisticated approach of “treat them all the same”. After 25 years of surgical experience to use to help interpret often contradictory published papers, I think the best approach is to separate out the acute from the degenerative tears, stable from the unstable tears, and finally to appreciate the vascular anatomy of the tear location. The picture presented is of a patient who had an acute onset of knee pain over the medial joint line and who failed to get better with a month of directed physical therapy.

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  • Ever Wish You Could Go To An “Honest” PRP and Stem Cell Seminar? Now you can

    Ever Wish You Could Go To An “Honest” PRP and Stem Cell Seminar? Now you can

    Posted in: Seminars |Posted on: 31-Aug-2018 | No. of views: 2071

    I am happy to report that our first three Dinner Seminars on PRP and Stem Cells in Orthopedics have sold out. There are 180 people signed up to attend one of our first 3 dinner seminar series being held in Dallas, Texas. These first 3 seminars include a Ruth’s Chris Dinner!

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  • We just completed our first 3 Dinner Seminars!

    Posted in: Seminars |Posted on: 22-Aug-2018 | No. of views: 1915

    Thanks for attending our recent dinner seminar series at Ruth’s Chris Steakhouse. We wanted to make sure you had our contact info in case you or any loved ones have any orthopedic concerns and wish to make an appointment.

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  • Shoulder Pain From Impingement? Try Orthobiologics Before Surgery

    Posted in: Shoulder |Posted on: 21-Aug-2018 | No. of views: 2084

    Here is another example of how we use Platelet Rich Plasma (PRP) in an orthopedic surgery practice to minimize the need for surgery. Our patient had shoulder impingement and pain for 2-3 months before seeing us. We put him on a rehab program and did a subacromial steroid injection. Unfortunately that did not work over the next 4-6 weeks. Traditionally, he would now be considered for a subacromial decompression…an arthroscopic surgical procedure that requires some rehab and “downtime” to recover. Instead, were did a subacromial PRP injection, using his own blood in a 30 minute ultrasound guided office procedure, and within the next 2 months he was pain free.

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  • What About Exosomes In Orthopedics?

    Posted in: General Info |Posted on: 20-Aug-2018 | No. of views: 2203

    What about exosomes as an “off the shelf” orthobiologic therapy?
    Today I received 4 email inquiries about exosomes.
    How much human outcomes data there is on the efficacy of exosomes in orthopedics? …not much at all. Exosomes are produced locally in response to the specific environment…ie. if a joint is inflammed, the exosomes being produced may have an anti-inflammatory nature overall.

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  • The 25th Las Vegas MSK Ultrasound And Orthobiologics Course

    Posted in: General Info |Posted on: 18-Aug-2018 | No. of views: 2516

    We just completed another successful training course…our 25th in 9 years…and now have trained well over 1000 clinicians on MSK ultrasound. Our next Course in January 24-26, 2019 at the Cosmopolitan Hotel in Las Vegas. www.orthosono.com

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  • Orthobiologics for Hip Arthritis, Labral Tears, and sometimes instead of hip surgery!!

    Posted in: Hip |Posted on: 04-Aug-2018 | No. of views: 2161

    Hip Pain? Here is yet another patient testimonial for an orthobiologic instead of steroid or surgery. She is 2 months s/p PRP injection for labral tears in both hips. She had not improved from an “umbilical cord blood/placental tissue” injection a year before. 2.5 minute clip…. Results are becoming more predictable for this application at our clinic!

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  • Who thinks cement is better than bone marrow?

    Posted in: General Info |Posted on: 27-Jul-2018 | No. of views: 2051

    I recently received a “Cease and Desist” letter from the attorneys for Zimmer because I used the term “subchondroplasty” in a lecture presentation and on Dallas PRP and Stem Cell’s web site . Zimmer has a trademark on the term “subchondroplasty” which they market as a specific procedure where bone cement is put into a bone lesion…it is not a regenerative medicine procedure and obviously a non-anatomic procedure.

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  • Keeping up with the shoulder surgery world!

    Posted on: 24-Jul-2018 | No. of views: 2074

    This will be my 19th year in a row teaching at the San Diego Shoulder Meeting…every since fellowship at SCOI. Most don’t get to see all of the behind the scenes work that goes into producing the largest(about 500 surgeons), longest running (35 yrs), international shoulder meeting on earth. Here are a couple pre-game pics. This year I am doing a focus demonstration for the general assembly, Director of an Alex Shoulder Model Lab, and one of the EPIC one-on-one shoulder instructors in cadaver lab.

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