Knee: An Approach to Orthobiologic Injections-Knee: An Approach to Orthobiologic Injections

Video Transcription

Video Summary

This presentation provides an update on the use of orthobiologic injections, specifically focusing on the knee. The speakers discuss various aspects of this approach, including patient selection, treatment techniques, and post-procedure rehabilitation. The use of orthobiologics, such as platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and adipose tissue, is explored for conditions like knee osteoarthritis (NEOA) and patellar tendinopathy. The speakers highlight the variability in current research, including differences in PRP composition, injection volumes, and number of injections. They also emphasize the need for further research to optimize these procedures. In terms of patient selection, candidates for orthobiologic injections include those with NEOA who have not responded to standard treatments and are not surgical candidates, as well as patients with resistant patellar tendinopathy. The speakers outline contraindications, such as recent cancer or bone marrow disorders, and exclusion criteria, including significant genuvarum or genuvalgum. The technical aspects of the procedures are discussed, including the use of image guidance and needle size. Post-procedure precautions, such as avoiding anti-inflammatory medications and weight-bearing restrictions, are also recommended. Rehabilitation protocols are explored, with an emphasis on gradually progressing patients through different phases of exercise and loading. The speakers suggest incorporating strengthening exercises, stability training, and neuromuscular training into rehabilitation. They also discuss adjunctive treatments, like manual therapy and modalities such as blood flow restriction therapy and whole body vibration therapy. Overall, this presentation provides an overview of the current understanding of orthobiologic injections in the knee, highlighting the need for further research and individualized treatment approaches.

Keywords

orthobiologic injections

knee

patient selection

treatment techniques

post-procedure rehabilitation

platelet-rich plasma

bone marrow aspirate concentrate

knee osteoarthritis

patellar tendinopathy

rehabilitation protocols