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  • Dr. Buford Says Goodbye To An Old Friend....

    Dr. Buford Says Goodbye To An Old Friend....

    *Goodbye old friend......*
    At the end of this past week I had to make the difficult decision to let go of one of my oldest friends. Someone who has been on my journey as an orthopedic surgeon since 1999. From my start as a shoulder and knee surgeon.....to being named a master shoulder instructor at the learning center....to helping develop and validate new products....to getting into MSK ultrasound....and to being an early adopter of the biologics/regenerative medicine changes that are growing rapidly within orthopedics.
    My friend? This green Linvatec surgical tray that was a gift from Linvatec (now Conmed) for serving as lab faculty at the 1999 San Diego Shoulder Course. I was fresh out of fellowship and heading to Dallas to set up private practice and the few things I was able to put together and keep in that tray meant the world to me. I became a Conmed consultant based off of that lab experience. I have kept and used this green Linvatec tray ....as a reminder of how many people gave me an opportunity along the way....and of how hard one must work to be responsible for others. The tray finally tapped out last week and cracked....26 years of the same unquestioning service. Not sure if there are 7 stages of grief for surgical trays but I know there is at least 1!

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  • Platelet Rich Plasma Versus Steroid Injections For Knee Arthritis

    Platelet Rich Plasma Versus Steroid Injections For Knee Arthritis

    *The Real Hidden Conclusion In This 2025 Level 1 Study Comparing Steroid to Platelet Rich Plasma*
    This month (3/2025) the Journal of Arthroplasty published a level 1 research paper comparing PRP injections to corticosteroid injections for patients with KL2/3 knee osteoarthritis. The authors' conclusion? Steroid injection gives better pain relief than PRP injection at 6 weeks and BOTH steroid and PRP were not effective at 3 months. On initial review, a conclusion that steroid might be better for pain relief is actually not that surprising since the benefits of PRP continue to improve over 3 months. This would be like a level 1 paper concluding that 2% lidocaine gives better pain relief than corticosteroid at 15 minute followup.

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  • Have you heard about exosomes?  Here is the latest book chapter and update on using exosomes in the USA!

    Have you heard about exosomes? Here is the latest book chapter and update on using exosomes in the USA!

    Mesenchymal stem cell (MSC) exosomes are small, extracellular vesicles that mediate intercellular communication.

    MSC exosomes may be a treatment option for patients with orthopedic conditions like knee osteoarthritis but currently there are scientific, regulatory and manufacturing hurdles restricting exosome use in the United States.

    Food and Drug Administration (FDA) regulates exosomes as a drug, and since there is no current FDA approval, clinicians are restricted from using exosomes in every day medical practice in the USA.

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  • Tips for getting the best bone marrow concentrate (Stem Cell Injection!)

    *Regenerative medicine fact*
    Still believe that an open ended Jamshidi needle leads to peripheral blood dilution?
    Well, It does NOT if you use good technique:
    1. Use smaller syringes (ie. 10cc)
    2. Use smaller volume draws per syringe...6-8cc in a 10cc syringe for example 3. Draw from multiple depths AND/OR from multiple cortical entry points.
    I draw from multiple depths...from superficial to deep... and just one entry!

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  • Platelet Rich Plasma (PRP) Injections For Hip Pain Can Last 1.5 years!

    Platelet Rich Plasma (PRP) Injections For Hip Pain Can Last 1.5 years!

     Do you have hip pain and don't want steroid shots or surgery?  We have some incredible non-surgical options based on regenerative medicine techniques.  In her own words, this recent patient describes her results 1.5 years after receiving PRP injections into both of her painuful hips.  

    At Texas Orthobiologics....our PRP is evidence based and high dose and we can get results with a single treatment in the office for most conditions.  With over 2500 5 star reviews....our patients agree that regenerative medicine options have helped them...and can help you too!

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  • Texas Orthobiologics is enrolling patients in a new study evaluating activated PRP injections for knee arthritis

    Texas Orthobiologics is enrolling patients in a new study evaluating activated PRP injections for knee arthritis

    Texas Orthobiologics announces enrollment is opening for a level 1 PRP study for knee arthritis patients!
    Question: Does photoactivation of high dose PRP lead it improved outcomes in a single injection protocol when treating knee OA?
    We will see.....
    We will randomize the study and likely need 30-40 in each group to reach statistical significance.
    We will follow patients for a year after the procedure and use DataBiologics to track PRP doses, photo-activation, and PROM for outcomes.

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  • How to properly dose PRP for knee arthritis to get predictable and longer term outcomes!

    How to properly dose PRP for knee arthritis to get predictable and longer term outcomes!

    The American Academy of orthopedic surgeons is sponsoring a webinar on Thursday, January 30, 2025. The webinar title is PRP dosing for knee osteoarthritis.

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  • How to avoid meniscus surgery AND knee replacement!

    How to avoid meniscus surgery AND knee replacement!

    At Texas Orthobiologics we have regenerative medicine solutions that other orthopedic surgery and regenerative medicine clinics simply don't offer or cannot do.   Why not investigate ALL your treatment options?  We have evidence based solutions that are non-surgical...but if you need surgery we can do that too!

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  • What is the Best Type Of PRP For Knee Arthritis?  High dose PRP!

    What is the Best Type Of PRP For Knee Arthritis? High dose PRP!

    If you want ACP results, use ACP.

    If you want PRP results then you need to draw 6x more blood and use a system that concentrates about 4x more than the ACP system.

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  • How to know which Regenerative Medicine clinics to avoid

    How to know which Regenerative Medicine clinics to avoid

    Patients, get at least two opinions from different clinics before spending money on a cash pay regenerative medicine procedure. We encourage that at Texas Orthobiologics....we don't try to pressure patients into a same day procedure with a low down payment. If you have felt pressured to purchase a months long "package" with "easy financing" and didn't have a physical exam or even imaging.....that clinic's opinion is probably worthless.
    There are now many excellent clinicians and clinics in this field it is not too hard to find out who and where they are.
    Most of us do not have celebrity spokespeople!!!

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