Tissue Graft Repair of the Plantar Fascia
We utilize tissue graft repair for plantar fasciitis and damage to the flexor digitorum brevis muscle at the heel. This technology utilizes our patient's own blood. The blood is treated by a two-stage centrifuge (spin down), which allows for a high concentration of the platelets and growth factor. This tissue can be used as graft repair material, which is then percutaneously placed in the damaged area. For example, using ultrasound guidance, the concentrated tissue graft material is percutaneously injected directly into the damage plantar fascia and flexor digitorum brevis muscle at the heel. This can be done instead of surgery for chronic plantar fasciitis. It is also used for damaged tendons. In this way, the body's own healing ability is utilized to repair damaged tissue. The best part of this procedure is that it is minimally invasive compared to other procedures. And, it utilizes your own blood or tissue and not another donor. This has been used by oral surgeons and plastic surgeons for over a decade. The tissue graft material is derived from a small amount of your own blood that is drawn at the time of the repair procedure.
Individuals undergo surgery for a variety of different reasons. For some, the decision is prompted by the need to repair damage caused by trauma, birth defects, and/or the aging process. For others, the decision is to improve their personal appearance and well-being. In either situation, platelet-rich plasma (PRP)* enriched with growth factors is one tool used by surgeons to help improve surgical outcomes.
PRP is made from a small sample of your own blood (approximately 1 oz.). The process concentrates the platelets found in the blood sample. These concentrated platelets contain huge reservoirs of growth and wound healing factors. Growth and would healing factors are natural components of your body. Clinical data has shown that growth and wound healing factors may enhance and accelerate your body's normal healing process.
The use of PRP is now readily accessible in our office. Potential benefits of PRP include the reduction of bleeding and bruising, decreased inflammation and swelling, enhanced would closure, accelerated bone growth and reduction of overall healing times.
How long has PRP been used?
PRP has been used clinically for over a decade in specialties such as dental, ENT, Facial Plastic & Reconstructive Surgery. Orthopedics, Cardiovascular, Plastic Surgery and Wound Healing routinely use
PRP to deliver a cocktail of natural, bioactive growth factors.
How could PRP be used for me?
The use of PRP varies from procedure to procedure. Common podiatric use of PRP are: plantar fascitis, non-union or delay union of bone, post-op or intra operative foot and ankle surgery tendon injuries.
Why is PRP (enriched with growth factors) preferred over other products or methods?
PRP is the only available product that contains elevated levels of all of your naturally occurring growth factors. These growth factors are maintained in precisely the same ratios found circulating in your body. Although recombinant products are available, these products are usually synthetic derivatives of a single growth factor. Fibrin glues are another product readily available to the physician. However, the fibrin glues currently marketed do not contain any growth factors and are virally inactivated derivatives of blood components drawn from other donors.
Is PRP safe?
The PRP is made point-of-care under physician's control. Also, since the PRP is made from your own blood, it is insulated against the risk of disease transmission.
Who makes PRP?
Historically, the production of PRP at the time of surgery was complex, time consuming, expensive and required large blood volumes. The process often involved outside personnel and a transfusion of blood products. The recent introduction of small automated, office based PRP systems makes the benefits of PRP practical in the office and outpatient setting. Now, our doctors and staff prepare PRP in parallel with the surgical procedure.
How is PRP made?
20cc of your blood is placed in a specialized centrifuge that spins and automatically separates the red blood cells from the plasma. The plasma is then further centrifuged to concentrate the autologous platelets and hence your natural growth factors. The PRP is then available for our doctors' use as needed. The entire process takes less than 15 minutes.
What is platelet-rich plasma (PRP)?
Platelet-rich plasma (PRP) is composed of platelets and plasma. Platelets are tiny cells that are partially responsible for causing blood to clot. Platelets also contain large reservoirs of natural growth factors. While a normal concentration of platelet circulating in your blood is 200,000 per micro liter, the platelet count in PRP can exceed 2 million platelets per micro liter.
What are growth factors?
Platelets contain potent growth factors necessary to begin tissue repair and regeneration at the wound site. Growth factors derived from platelets initiate connective tissue healing, bone regeneration and repair, promote development of new blood vessels and stimulate the wound healing process.
Is platelet-rich plasma enriched with growth factors (PRP) for you?
The use of PRP is considered by many to be a "new frontier" of clinical therapy. Since PRP can be used in so many types of procedures and for so many types of patients, you should discuss your specific surgery with your doctor.
*Platelet-rich Plasma (PRP) is also known as Autologus Platelet Concentrate (APC+) and Autologous Conditioned Plasma (ACP).