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May 18, 2023
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VIDEO: Speaker addresses use of autologous tissue in orthobiologic surgery

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Key takeaways:

  • The biceps tendon or the bursa may be used as a biologic augment to enhance repair quality in rotator cuff tears.
  • Adipose tissue may be used for rotator cuff repair or in the setting of osteoarthritis.

NEW ORLEANS — In this video, Brian J. Cole, MD, MBA, FAANA, discusses the possible use of autologous tissue for orthobiologic surgery.

According to Cole, use of the biceps tendon or the bursa as a biologic augment may help enhance the repair quality of rotator cuff tears, and bone marrow aspirate concentrate may be useful in managing osteochondral allograft transplantation or ACL reconstruction with bone-tendon-bone allograft. Cole also noted adipose tissue may be used as a biologic adjunct for rotator cuff repair or in the setting of osteoarthritis. He added there may be a supply of adipose tissue from the infrapatellar fat pad that could be obtained at the time of ACL reconstruction.

“Then, finally, I’ll be talking about the use of autogenous bone that could be obtained at the time of drilling the femoral tunnel where it could be captured within the shaver and it can be used, for example, to fill a patellar tendon defect following ACL reconstruction,” Cole told Healio. “So, it’s a concept that can utilize autologous tissue that is normally discarded that maybe has biologic ability.”