2023 Specialty Day Access Pass-How Can I Use Bone Marrow Aspiration and Lipoaspiration in My Clinic?

How Can I Use Bone Marrow Aspiration and Lipoaspiration in My Clinic?

Video Transcription

Video Summary

Shane Shapiro from Mayo Clinic discusses using bone marrow aspiration (BMAC) and microfragmented adipose tissue (MFAT) in orthopedic practice, particularly for osteoarthritis. These biologics exist in an FDA "gray zone," allowed under the practice of medicine but not formally approved for orthopedic treatments. He emphasizes patient selection, scientific evidence tiers (PRP being Tier 1; BMAC and MFAT Tier 2), and integration of clinical expertise and ethics. Procedures can be done bedside or in the OR with minimally invasive techniques. Shapiro stresses education, outcome tracking, and viewing biologics as part of a product development pathway requiring thorough validation before widespread adoption.

Asset Caption

Shane A. Shapiro, M.D.

Keywords

bone marrow aspiration

microfragmented adipose tissue

orthopedic biologics

osteoarthritis treatment

FDA gray zone