Post on 17-Dec-2015
transcript
Tissue Regenration by local
administration of autologeus conditiond
Concentrate of Thrombocytes in Orthopedics and
Sporttraumatology
Thrombocytes concentrates
PRP Platelet-rich Plasma
P-LRP Platelate leucocyt rich plasma
ACP Autologeus Conditiond plasma
Thrombocyte with alpha granules, Lysomoe and Delta granules
(Dense Bodies)
Penetration from Thrombin into Thrombocyte causes releasing of alpha
granules andlysosome to infiltration in wound of
fracture
Growth Factors GF Mechanismus of action
PDGF Platelet devired Growth Factor
TGF – ß Transforming Growth Factor Beta
VFGF Vascular Endothellial Growth Factor
EGF Epidermal Growth Factor
Recurit smoth muscle cell
Remodels extracellular matrix
Affectes Angiogensis and
permealbilty
Promotes angiogensis and epithelial cells
Endothelial cells migrate as reparing cells to traumatized area
Vascular endothelial growth factor (VEGF) stimulates diveloping of new
blood vessels
Platelet drived factor (PDFG-AB) intensifieds mitogenisis and
angiogenesis activates macrophages, stemcells and recriute
smoth muscle and connective tissue celles.
Transforming Growth Factors Beta (TGF) promotes extraecellular matrix and
musculoskletal production
Traumatic rupture of anterior cruciate ligament
Regeneration 3 months after application of ACP
Traumatic rupture of the ligamentum patella
Surgical reconstruction and application of ACP
Rupture of the medial Mensikus
fresh traumatic rupture of the medial meniscus
Traumatic rupture of the medial meniscus surgical suture and aplication of ACP
Achillodynie
MRI of Achillestendon
2 weeks afterwards of ACP application
Technique of autologous conditioned plasma
Thank you so much for your attention
Prof.Dr.med.Y.M-Goudarzi