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Reconstructive Orthopedics – PRP Overview

Brad Bernardini, M.D., and Jeffrey Murray, D.O., M.S.P.T., share how platelet-rich plasma (PRP) injections, a newer conservative treatment option, are developing as well as how they are being used in the field of orthopedics.

Please see below for the full video transcript.

Dr. Bernardini: At Reconstructive, we've been using PRP for probably the last six years. It's not a brand-new technology, but you know, we like to be conservative with our adoption of new technologies. We don't want to be necessarily the first because we want to be able to prove that there is safety and that there is benefit.

Dr. Murray: PRP can often be successful in treatment of tendinopathy or tendonitis type symptoms. Both around the knee and the elbow have been the most consistent. There is some good early literature now coming out about the use of PRP for patients with early arthritic changes in the knee, which is a promising piece of information that hopefully will continue to develop.

Dr. Bernardini: You know, we're still learning a lot about PRP, and a lot of this clinical studies are coming back showing us how to best use it and in what scenarios it's best used in. In some treatments, such as tendonitis, arthritis, it's a standalone treatment option where injections could be performed. Sometimes, we'll couple that with a physical therapy program, but in those options, it's a standalone treatment. If we're trying to augment a cartilage restoration procedure or a meniscus repair, it's usually coupled with some other therapy whether it be surgical or otherwise.

Dr. Murray: Because it's newer in the field of orthopedics, it is not recognized by insurance companies at this point. So, it is an out-of-pocket expense for patients. But we have had good results with it. So, it's certainly a conversation that can be had with a patient on what their goals are and whether or not this would be a good option for them for treatment.

Dr. Bernardini: This is really becoming a widespread treatment modality that's again been shown to be safe. And at this point, we've really gotten a good hand on our clinical experience with PRP. We've used it both in the operating room and the office setting, and we're really getting some good clinical data back about how to best use it.

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