Acute Injury and Fracture Care


Dr. David Simon – Orthopedic and Fracture Specialists

Hyalauronic Acid Therapy

A significant amount of evidence exists suggesting beneficial effects of intra-articular hyaluronate preparations in treating the symptoms of OA. The beneficial effects of these compounds tend to persist for several months after cessation of therapy, unlike anti-inflammatory drug effects. In addition, several clinical trials comparing these agents to anti-inflammatory medications indicate efficacy of symptom improvement equivalent to that of the anti-inflammatories. A few clinical studies have failed to demonstrate an effect, and clearly much work remains to be done in this area to fully determine rational treatment strategies with these agents. The symptom improvement is generally moderate, and additive effects of these agents with anti-inflammatories have not been demonstrated. Adverse local reactions have been reported in some clinical series of hyaluronate injections. Although the invasive nature of the procedure is a drawback, overall it appears to be well tolerated and is probably not harmful to articular cartilage, a major advantage over the widely practiced introduction of intra-articular steroids. Documentation of true chondroprotective effects or alteration of the natural history of cartilage degeneration by these agents is lacking in the clinical literature and awaits further study. Cost effectiveness of this therapy versus other treatments, including the costs of treatment of side effects, also requires further rigorous evaluation, and may influence acceptability of this form of treatment to various health care providers and organizations.

Orthobiologics

Orthobiologics is a rapidly advancing field that uses cell-based therapies and biomaterials to promote healing. By empowering the body to repair and regenerate itself, orthobiologic treatments offer exciting alternatives to traditional orthopedic options. Compared to the implantation of foreign hardware made of plastic and metal, orthobiologic procedures are often less invasive and more effective at restoring patients to their normal, active lives. In recent decades, breakthrough orthobiologic therapies have helped to improve the long-term health of patients suffering from disabling musculoskeletal disorders and injuries. The development of biological solutions for repairing cartilage and bone has given surgeons alternatives to implanting mechanical adaptations. Promising innovations in orthopedics and spinal surgeries, bone grafting, and tissue regeneration are accelerating healing, reducing hospital visits, shortening stays, and improving lives. By empowering the body to repair and regenerate itself, orthobiologic treatments offer exciting alternatives to traditional orthopedic options. Compared to the implantation of foreign hardware made of plastic and metal, orthobiologic procedures are often less invasive and more effective at restoring patients to their normal, active lives.

Platelet Rich Plasma Therapy

Platelet rich plasma procedures incorporate significantly higher blood platelet concentrations and are much more pure than PRP offered at clinics utilizing a simple bedside centrifuge to process blood draws. Our PRP therapy procedures produce the best possible patient results and fewer inflammatory side effects due to the purity of the PRP mixture.

Autologous Stem Cell Therapy

Autologous stem-cell transplantation (also called autogenous, autogeneic, or autogenic stem-cell transplantation and abbreviated auto-SCT) is autologous transplantation of stem cells—that is, transplantation in which stem cells (undifferentiated cells from which other cell types develop) are removed from a person, stored, and later given back to that same person. Although it is most frequently performed with hematopoietic stem cells (precursors of blood-forming cells) in hematopoietic stem cell transplantation, cardiac cells have also been used successfully to repair damage caused by heart attacks.

Autologous stem-cell transplantation is distinguished from allogenic stem cell transplantation where the donor and the recipient of the stem cells are different people

Orthobiologics is a rapidly advancing field that uses cell-based therapies and biomaterials to promote healing. By empowering the body to repair and regenerate itself, orthobiologic treatments offer exciting alternatives to traditional orthopedic options. Compared to the implantation of foreign hardware made of plastic and metal, orthobiologic procedures are often less invasive and more effective at restoring patients to their normal, active lives.

What People are Saying

Last year I was at the point of having a complicated knee surgery, but at the last moment I was given a choice, operation or try the BREG Knee Brace so I opted for the brace. The help was almost instantaneous, and the relief was unbelievable. I can even play a round of golf; go walking, all with little discomfort. All around pain free living is amazing.
– Patrick Riley