Treatment

Autologous Tenocytes (Ortho-ATI™)

Autologous Tenocytes (Ortho-ATI™)

Autologous Tenocytes (Ortho-ATI™) are tendon cells cultured from a patients own tendon that are used to induce a healing response within a degenerative and ‘high-grade’ tendinopathy, with intrasubstance tears, that has failed to heal with a well structured rehabilitation program, focussing on eccentric strengthening exercises, and a single injection of leukocyte-rich platelet-rich plasma (LR-PRP).

The patient’s own patellar tendon is biopsied under local anaesthesia and ultrasound guidance as a clinic-based procedure. The biopsy specimen is sent to Orthocell where the tenocytes are cultured over a period of 4-6 weeks.

The patellar tendon biopsy is associated with minimal discomfort during and for 48-72 hours after the procedure.

Reimplantation of the tenocytes is also a clinic-based procedure and is performed under ultrasound guidance. The tenocytes are injected into the intrasubstance tears within the diseased tendon. Postinjection patients need to continue with an eccentric strengthening program with healing occurring over a period of 12 weeks.

The reimplantation procedure is accompanied by a period of postinjection flaring of pain. The rehabilitation exercises are recommenced when the flare settles, usually after 1-2 weeks.

Orthocell-ATI, tendinoapthy

Orthocell-ATI, Autologous Tenocytes available at SportsMed Sunshine Coast where the whole procedure from harvest to implantation by injection under ultrasound guidance can be performed by Dr Will Craddock for high-grade degenerative tendinopathy resistant to conservative management and the ultrasound guided injection of Leukocyte-Rich Platelet-Rich Plasma

Ultrasound

Tendinopathy

Plantar Fasciitis

Patellar Tendinoapathy

Achillles Tendinopathy and Enthesopathy

Achilles Paratenonitis

Extracorporeal Shock-Wave Therapy (ESWT)

US Guided Injection

Platelet Rich Plasma (PRP)/Preparation Rich in Growth Factors (PRGF)

Corticosteroids

Mesenchymal Stem Cells