2018 Orthobiologics Surgical Skills Online-7 - Adjunct to RCR and QA by Brian J Cole, MD, MBA

Video Transcription

Video Summary

In this video, a group of doctors discuss the use of orthobiologics as an adjunct to rotator cuff repair. They discuss the need for orthobiologics due to the high rate of re-tear in rotator cuff repairs, and the fact that many rotator cuff tears are due to degeneration rather than trauma. They highlight the challenge of dealing with compromised biology in tendon healing and the potential role of biologics in promoting tendon regeneration. The panel discusses the use of platelet-rich plasma (PRP) and bone marrow concentrate (BMC) as potential options. They also touch on the importance of understanding the specific pathology and characteristics of tendinopathies when determining the optimal treatment approach. The panel mentions the importance of further research to determine the most effective dosing and treatment strategies for orthobiologics. They also briefly discuss the use of thrombin in stabilizing orthobiologic injections and the potential for multiple injections in cases of tendinopathy.

Keywords

orthobiologics

rotator cuff repair

re-tear

degeneration

tendon healing

platelet-rich plasma

bone marrow concentrate