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Enfoque Actual de las Lesiones Deportivas
- 1. ENFOQUE ACTUAL DE LAS LESIONES DEPORTIVAS GERMAN ALBERTO OCHOA MD EDMUNDO BERUMEN MD
- 11. PROPOSITO
- 12. MAYO 2009
- 14. PROBLEMA
- 22. EFFECTS OF PLATELET GROWTH FACTORS Effects of growth factors Chemotaxis Differentiated function Proliferation Differentiation Chemotactic and Mitogenic Stimulation of Human Mesenchymal Stem Cells by Platelet Rich Plasma Suggests a Mechanism for Bone Repair. Haynesworth et al. Presented at the 48 th Annual Meeting of the Orthopaedic Research Society, Dallas TX, 2002 PRP
- 24. EMERGING TECH. IN SPORTS MEDICINE Freddie H. Fu MD AOSSM July 21 - 2003 Grown Factor Skeletal Muscle Hyaline Cartilage Meniscus Ligament Bone IGF-1 + + +/- +/- + BFGF + + + +/- + NGF + - - PDGF - - +/- EGF - + + + TGF-alfa - + - TGF-beta +/- + +/- +/- + BMP-2 + + +
- 37. “ Uno debe ser consecuente con el discurso”
- 39. LA RECONSTRUCCION DEL LCA ASEGURA EL RETORNO DEPORTIVO PRELESIONAL??
- 46. FUTBOL Y LCA COMBINACION INCOMPATIBLE ESCANDINAVIA 1984 ALTERACION BIOMECANICA COMPENSATORIA CADERA Y TOBILLO HAWKINS SMF, VAIL Co MARZO 1989
- 65. REFLEXION Protocolos Agresivos 6 meses ? Protocolos no incluyen ciertos deportes rotacionales (solitaciones biomecánicas distintas y gesto deportivo diferente) CADA DIA TIENE SU AFAN
- 66. REFLEXION INTERNA EXTERNA PACIENTE TERAPEUTA ENTRENADORES, DIRECTIVOS PRESION Precipitud en la competencia Alto impacto Injerto avascular inmaduro, inelástico, débil
- 83. BIBLIOGRAFIA ACTUAL ANALISIS BIOMECANICO RECONSTRUCC. DOBLE HAZ MEJOR CINEMATICA Yagi et al Am j sports med 2002 CINEMATICA POST-RECONSTRUCC. HAZ A.M. NO RESTAURA Tashman et al Am j sports med 2004 REVISION LCA + AUGMENTACION HAZ P.L. HAZ P.L. RESTAURA LA ESTABILIDAD ROTACIONAL Fredie Fu Isakos 2005
- 84. BIBLIOGRAFIA ACTUAL DOS TUNELES DOS BANDAS MAYOR CONTROL ROTACIONAL ???? UN TUNEL DOS BANDAS EVITA EL PIVOT SHIFT ???? INJERTO MIXTO AUTOLOGO MAS HETEROLOGO HIBRIDO MAS INTEGRACION ????
- 85. LA RECONSTRUCCION DEL LCA ASEGURA EL RETORNO DEPORTIVO PRELESIONAL ?? NO PERO ES EL GOLD STANDARD
- 89. PUBALGIA GERMAN ALBERTO OCHOA P CLINICA SEBASTIAN DE BELALCAZAR
- 94. DEFINICION DOLOR INCAPACITANTE A NIVEL DE LAS INSERCIONES MIOTENDINOSAS DEL ANILLO PELVICO
- 104. ALTERACION DE LAS CADENAS MUSCULARES TREN SUPERIOR, MEDIO, E INFERIOR
- 105. SINTOMATOLOGIA DOLOROSA INCOMPETENCIA DEL PISO PELVICO Y PARED ABDOMINAL
- 125. 10 MESES POP
- 126. MUCHAS GRACIAS
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- A recent study by Haynesworth et al represented the first published data showing a direct effect of PRP releasate on purified human MSCs, which play a pivotal role in the process of musculoskeletal tissue repair. This study confirmed that PRP has a dose dependent effect on Chemotaxis – the ability to attract cells, by either biologic signals or physiological cues, into the wound site or graft to initiate repair or regeneration. Proliferation or mitogenisis– the increase in cell number due to cell division. The study also concluded that although PRP could not cause differentiation, the ability to influence conversion of a cell to another specialized cell, it did enhance the function of cells that had already undergone differentiation. Let’s examine each of these effects in more detail. Haynesworth, Kadiyala, Liang, Thomas, Bruder: Chemotactic and Mitogenic Stimulation of Human Mesenchymal Stem Cells by Platelet Rich Plasma Suggests a Mechanism for Bone Repair. Presented at the 48 th Annual Meeting of the Orthopaedic Research Society, Dallas TX, 2002.
- Platelets may enhance the bioactivity of graft materials because they serve two very important functions - Structure and Signaling. When the platelet concentrate meets the graft material it forms a clot, due to its role in creating a three dimensional fibrin mesh. A concentration of growth factors improves signaling and recruitment of cells to the graft site. More platelets will mean more growth factors to signal for osteoprogenitor cells.