Blog | Dr Don Buford | Orthopedic Doctor Dallas, TX

How to make shoulder surgery (rotator cuff repair) better with regenerative medicine (PRP - platelet rich plasma)
Posted on: 27-Sep-2024 | No of views: 979
*Can you do an intra-osseous orthobiologic injection with just an 18g needle?*
Of course you can. Location matters....here is a video documented 18g injection into the greater tuberosity right after a rotator cuff repair....no power needed, takes 2.54 seconds! And...no 11g hole in the bone.....don't do that.
You can use the same technique for the femoral condyles and tibial plateaus, especially if there are small cortical breaks visualized on ultrasound...aim for those! Pro tip" If you are putting in 10cc volume....getting the needle perfectly in the center of a bone marrow lesion is not critical to clinical success...10cc spreads pretty quickly throughout the space....promis
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This is why we test ALL PRP at Texas Orthobiologics....so we know what dose we are giving!
Posted on: 23-Sep-2024 | No of views: 587
Regenerative Medicine Clinics should know the dose of any drugs they give to patients....including platelet rich plasma! At Texas Orthobiologics we test every dose
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2024 FDA Regulation of Regenerative Medicine Products
Posted on: 25-Aug-2024 | No of views: 2426
*2024 FDA Untitled Letters and what it means for Orthobiologics*

In 2024, there have been 5 Untitled Letters sent out for regulatory noncompliance with biologics. Untitled letters typically give the company or person a chance to correct the variance before any further FDA regulatory action and clearly show the current FDA regulatory stances on various orthobiologics.
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Stem Cell Injection For Anterior Cruciate Ligament (ACL) Tear? Yes...9 years later
Posted on: 19-Aug-2024 | No of views: 1274
Here is 9 year followup from one of the youngest patients I have treated with bone marrow concentrate for a partial ACL tear.
He also had a displaced medial meniscus tear that needed to be repaired so I did that surgically.

After several discussions, the parents, the patient (he was 14 years old) and I all agreed to inject the ACL with BMC.

We were hoping to avoid ACL reconstruction and the potential future arthritic changes that often occur after that surgery, especially when done in a 14 year old
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Regenerative Medicine Road Trip To The University Of Alabama - Birmingham
Posted on: 19-Aug-2024 | No of views: 374
Join us on September 10, 2024, as we welcome Don Buford, MD, from Texas Orthobiologics, and hosted by Amit Momaya, for a Grand Rounds lecture to discuss "Evidence Based Orthobiologics From A-Z."
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Does Your Regenerative Medicine Clinic Give You Actual Data On Your PRP or Stem Cell Injection?
Posted in: Platelet-Rich Plasma, Regenerative Medicine | Posted on: 05-Aug-2024 | No of views: 1334
At Texas Orthobiologics we use a hematology machine to quantify the PRP doses and concentrations we are giving patients. We have an abundance of high level clinical data giving us dosing parameters (from hematology machines) for various orthopedic conditions. It isn't perfect but it is the best we can do in the office at the point of care. Likewise, getting a cell counter so we can determine a total nucleated cell count for a bone marrow concentrate(BMC) procedures make sense. But TNCC also has limitations.....TNCC doesn't directly correlate with the actual MSC or HSC count....but it is a good proxy same day metric for quantifying BMC procedures
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Should You Go Out Of The Country For Stem Cell Therapy? NO, here is the evidence...
Posted on: 05-Aug-2024 | No of views: 432
This is a 10 minute review on why we need stem cells as a treatment option for knee arthritis.

The talk includes the most recent evaluation of the clinical literature supporting bone marrow, adipose, and bone marrow concentrate as stem cell treatments for knee osteoarthritis.

No need to go to Columbia, Mexico, Costa Rica, Honduras, etc.....until the critical clinical research supports spending 3x-5x more money for the exact same outcomes

Call us for an unbiased eval and personalized treatment options! 877-777-8883

texasorthobiologics.com
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Recent Platelet Rich Plasma, PRP, Research For Tennis Elbow -- Better Than Dry Needling.
Posted in: Elbow | Posted on: 10-Jul-2024 | No of views: 1948
PRP is a good treatment option for tennis elbow. Research for using platelet rich plasma is over 10 years old.
I think that a single higher dose PRP injection eliminates the need for a second injection for tennis elbow most of the time. High dose would mean a 60cc blood draw and getting the platelet dose definitely above 3.5 billion and more likely up around the 5 billion range in a 3cc-4cc PRP injection. Platelet count in the PRP would be a 1200-1500 depending on the patient's starting platelet count.
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Steroid Shots Into A Joint Are Bad!
Posted on: 30-Jun-2024 | No of views: 1345
We have many non-steroid alternatives for joint pain and inflammation:
Laser, Shockwave, Platelet rich plasma, bone marrow concentrate, micro-fat, toradol, cryoneurolysis....all come to mind as treatment options without this documented risk of increasing infection rates or potentially accelerating degenerative changes. Other than the cryoneurolysis....none of these are "destructive" and many have documented long term benefits measured in years!
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Shoulder dislocation, subluxation, or instability? We can help!
Posted on: 30-Jun-2024 | No of views: 547
For this patient the best and most predictable long term outcome was to stabilize the shoulder arthroscopically.
For the majority of our orthopedic patients....we can avoid surgery while getting them back to doing the things they love with less pain! Call us for an in person or telemed consult. Check our bio!
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