Blog | Dr Don Buford | Orthopedic Doctor Dallas, TX

Do Older Patients Still Get Good Results From Surgery Or Regenerative Medicine Procedures? YES!!!
Posted on: 12-Nov-2023 | No of views: 1559
Orthopedic Clinicians often assume that older patients don't do as well with surgery or even with regenerative medicine procedures. There may be some biological truth to that BUT we have ways to mitigate the effects of aging...and it really isn't that hard. We can still do PRP (platelet rich plasma) procedures and bone marrow concentrate procedures and adipose procedures and expect good outcomes for the proper indications.
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The Arthrex ACP Max Platelet Rich Plasma Bench Test Is Done!
Posted on: 07-Nov-2023 | No of views: 1706
We have tested many #PRP kits and protocols over the years to see see how they perform in a real world situation. We can standardize the blood draw and compare the PRP output from any kit...and we have now tested about 8 of the more common ones available in the USA. Last week we were able to test The Arthrex ACP Max PRP system. We had some key orthobiologic gurus from Arthrex present to walk us thru the system and interpret the results. Here is what we found:
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Should we do PRP Injections for SLAP Lesions? Why? What is the goal?
Posted in: Shoulder, Platelet-Rich Plasma | Posted on: 29-Oct-2023 | No of views: 2133
With mounting registry data, we are able to tell patients and their families about how long a PRP injection might help with their SLAP lesion symptoms. We are trying to decrease their pain and improve their function. But surgery is still the gold standard for anyone who still has pain or dysfunction with a type 2 SLAP lesion.
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Do NOT Do IV Stem Cells! Why? Read Below.....
Posted on: 28-Oct-2023 | No of views: 950
Cells get trapped in the lung as the vascular tree gets smaller. This "first pass" effect is not a new discovery....it is known human biology for at least 35 - 40 years if not longer. With regards to any cellular therapy.....there have been lots of publications documenting the 95+ % first pass effect in which cells injected IV are trapped in the lungs....they don't make it back to your knee....they don't go to your spine....they stay in your lungs....so if you have a lung problem that really is the only reason to pay for an IV stem cell injection (once there is evidence that it a good treatment...) Anyone selling IV stem cells in regenerative medicine is a fraud at this point.
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Interested In How We Know We Are Making Good #PRP? Ask Us!!!
Posted on: 26-Oct-2023 | No of views: 660
We test and know the dose of every PRP injection we do. All patients, Every day!

We have invested in an in-office hematology machine...about a $12,000 piece of equipment...because it is the standard of care for analyzing blood samples and determining the Platelet Rich Plasma doses we are giving to patients. We want to know the dose of the drug that is effective and patients paying for these procedures deserve to know the dose they are paying for. Simple!

Yet less than 5% of doctors doing these procedures have a hematology machine on-site to get these answers where the procedure is happening.
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How much does PRP cost for a knee injection? Here is the latest in the USA!
Posted in: Knee, Orthobiologics, Platelet-Rich Plasma, Regenerative Medicine | Posted on: 12-Oct-2023 | No of views: 926
* What is the average price for a knee #PRP injection at the top 25 US Hospitals?*
The average is $800 per injection.
But how many platelets are in that injection? We have an average price but we don't know how many platelets that is buying. As a result the conclusion misses out on some critical price factors that must be considered by doctors and patients alike when choosing PRP companies, following dosing protocols, and pricing the PRP for patients.
Let me explain.
Single Price does not equal the total cost to the patient.
Would you rather have 3 injections for $800 each or 1 injection for $1800 if the results were the same? Right.
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How much PRP will the Conmed Biobrace Hold?
Posted on: 11-Oct-2023 | No of views: 23851
The 23mm x 30mm Biobrace holds 89% of its weight in PRP!
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How Much PRP Can the Biobrace ACL Implant Hold? 342% Of Its Weight!
Posted in: Knee | Posted on: 06-Oct-2023 | No of views: 730
We decided to see how much PRP the Biobrace 5mm by 250mm implant would absorb before saturation.

The answer? 342% of its weight!
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Do you have hip pain? Avascular Necrosis of the Hip? Regenerative Medicine for Hip Pain.
Posted on: 29-Sep-2023 | No of views: 552
Yesterday I got a chance to help someone with Ficat stage 2 AVN of the hip. The regenerative medicine treatment option with bone marrow concentrate injection is the state of the art. Replacing avascular bone marrow with healthy concentrated bone marrow from the iliac crest makes biologic and common sense. And has the data to back it up.
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Texas Orthobiologics is on the move! (this time to Mexico...not Frisco, TX!)
Posted on: 28-Aug-2023 | No of views: 545
Texas Orthobiologics is going back to Mexico! I get to give 3 of my favorite talks at the 2nd International Conference on Regenerative Orthopedics in the city of Queretaro. Talk #1: Patient candidacy and clinical decisionmaking ....maybe the most important...knowing how to personalize care and properly inform patients of their options. Talk #2: Platelet Dosing for Knee and Shoulder Conditions....a review of the current dosing date to get the best clinical results...along with pearls on how to evaluate regenerative medicine papers Talk #3: 10 Common MSKUS Guided Injections....bread and butter stuff for a orthopedic surgeon or orthopedist doing injections! I learn as much as I teach at these international meetings. Can't wait to see what I can bring back to my patients after this meeting!
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