2018 Orthobiologics Surgical Skills Online-4 - Bone Marrow Techniques (ASIS) by Brian J Cole, MD, MBA

Video Transcription

Video Summary

In this video, Dr. Brian Cole discusses his use of the ASIS (anterior superior iliac spine) technique for bone marrow aspirate concentrate (BMAC) procedures. He mentions that he primarily uses ASIS for shoulder procedures and emphasizes the importance of efficiency. While he acknowledges that there is no data to definitively prove one technique is better than the other, he believes that nucleated cells are important in some way. He explains that they use flow cytometry to assess cell counts and analyze the presence of certain cell surface markers. Dr. Cole also mentions several ongoing studies exploring the use of BMAC in ACL allografts, meniscectomy with OA, and rotator cuff repairs. He highlights the increase in cell concentration seen in the studies and their use of characterizing techniques like smears. He briefly touches on the debate over concentrating bone marrow aspirate and the potential benefits of maximizing trabecular trauma. Dr. Cole also briefly discusses the use of BMAC for osteotomies and mentions the importance of informed consent and transparent communication with patients. The video concludes with a question and answer session where Dr. Cole provides additional insights into his technique and the billing process. No credits are mentioned.

Keywords

ASIS technique

bone marrow aspirate concentrate

BMAC procedures

flow cytometry

cell concentration