Orthobiologics and PRP for Fort Worth, TX
Fort Worth is about forty-five minutes east on I-30, and nobody makes that drive casually. The patients who do are generally looking for a specific kind of expertise rather than the nearest available injection, so it is worth being direct about what is here.
Orthobiologics is a field where technique and dose vary enormously between practices, and where the same treatment name can mean very different things. Don Buford, MD has spent two decades setting those standards rather than following them.
Why patients travel for this
Don Buford, MD is a board-certified orthopedic surgeon who has spent two decades teaching orthobiologics to other physicians. He serves as Chairman of the Biologic Association for 2026–2027, and is a past president of the Interventional Orthobiologics Foundation, where he served two terms and still sits on the Executive Committee and Board of Directors. He is in his fourth year on the Board of Directors of the Arthroscopy Association of North America and is founding editor of the Biologic Orthopedics Journal.
Since 2008 he has directed the Las Vegas Regenerative Medicine and MSK Ultrasound Course, one of the longest-running courses in the field, where more than 2,500 clinicians have trained.
That is the ultrasound-guided technique used in this office every day, on every orthobiologic injection.
What is offered
- Platelet-rich plasma (PRP) — higher-dose protocols, because platelet dose is the variable most often responsible for a disappointing result.
- Bone marrow aspirate concentrate, BMAC (stem cells) — drawn from your own marrow and concentrated during the same visit.
- Cartilage restoration surgery — MACI, osteochondral allograft and CartiHeal Agili-C, for defects that an injection cannot address.
Every orthobiologic injection we perform is autologous, and every one is placed under ultrasound guidance so the needle is watched into the target in real time.
Both options. One board-certified surgeon.
Platelet dose, which is where most treatments go wrong
The clearest example of why the practice matters more than the label is dose. The RESTORE trial delivered roughly 1.6 billion platelets per injection and found no benefit. Bansal and colleagues, in a double-blind randomised trial of 150 patients published in Scientific Reports in 2021, delivered ten billion platelets in eight millilitres and reported better outcomes than hyaluronic acid on WOMAC, IKDC and six-minute walk distance. This practice works in higher-dose protocols for that reason. It is also why “I already had PRP and it did not work” is not the end of the conversation - it usually raises the question of what dose you actually received.
Getting here from Fort Worth
I-30 east into Dallas, then north to 3310 Live Oak Street - roughly forty-five minutes clear of peak traffic. Appointments here are scheduled with enough time to perform a same-day procedure, so one trip is realistic: if you are a candidate and you want to go ahead, the evaluation and the treatment happen in the same visit. If you have prior images, our office can show you how to upload them from our website, or point you to the facility's own portal. Mention it and we will help.
Common questions
I already had PRP somewhere else and it did not work. Why would this be different?
The first question is what dose you received, and most patients were never told. The RESTORE trial used roughly 1.6 billion platelets and found no benefit; Bansal and colleagues used ten billion and reported clear improvement over hyaluronic acid. A prior PRP injection that failed at an unknown dose does not establish that PRP cannot help you, though sometimes the honest answer is still that it will not.
How much does PRP cost, and how many visits from Fort Worth?
High-dose single-injection PRP runs $1,500 to $3,500 nationally and BMAC $5,000 to $13,000, depending on joints treated. Those are national ranges rather than a quote for your treatment; your investment is confirmed in writing at the consultation. On visits: we set aside enough time at the consultation to perform a same-day procedure, so if you are a candidate and you want to proceed, you can be evaluated and treated in a single trip.
Do you do joint replacement?
No. Dr. Buford does not perform joint replacement or spine surgery. He is a board-certified orthopedic surgeon who performs cartilage restoration - MACI, osteochondral allograft and CartiHeal Agili-C - and offers orthobiologic injections. Where replacement is the right answer for your joint, you will be told so plainly and directed to an appropriate surgeon rather than sold an injection.
Request an appointment
New patient evaluations routinely run past forty-five minutes, because the imaging review is the appointment.
Other areas we serve
Texas Orthobiologics · 3310 Live Oak, Ste 202, Dallas, TX 75204 · (877) 777-8883. This page is for educational purposes only and does not constitute medical advice. Individual results vary.
Location
& Directions
Texas Orthobiologics
Don Buford, MD
3310 Live Oak
Ste 202
Dallas,
TX 75204
(877) 777-8883 (Dallas)
Monday - Friday: 8:30 am - 4:00 pm
