To help bulk up an autologous semitendinosis ACL graft, a bit deficient in diameter (gracilis was not adequate), I chose to augment with: Artelon "Flexband Plus"
Photo 1 (left): after preparation Photo 2: after implantation
-reproduces the modulus of elasticity of normal ligament.
-gradually resorbs over several years.
-recent RCT shows no adverse effects at 4 years and minimal complications (Lars Peterson MD).
-provides an excellent scaffold for Biologics (in this case, PRP).
-reimbursed as an implant, similar to suture anchors; "off-the-shelf" availability.
With all the interest in biologics and augmentation, this may be one alternative for “stress sharing” instead of stress shielding.
Orthopedic regenerative techniques continue to evolve, to the benefit of our patients!
To learn more about Dr. Cunningham's practice, please contact us!
Kelly Cunningham MDAustin OrthoBiologics | austinorthobio.com Board Certified Orthopedic Surgeon Fellowship trained sports medicine Arthroscopy and regenerative medicine specialist PRP and cell-based (formerly "stem cell") therapy, either office-based &/or combined w/ surgery
Knee & shoulder cartilage injury/arthritis specialist, delay or avoid joint replacement