IntraOsseous BioPlasty™ Surgical Technique

Terrence M. Philbin, DO, (Columbus, OH) and Shariff K. Bishai, DO, MS, (Detroit, MI) discuss the treatment of subchondral bone marrow lesions using the IntraOsseous BioPlasty™ (IOBP) surgical technique. The IOBP™ procedure is the biologic treatment of acute and chronic bone pathologies with the intent to restore normal bone anatomy and function. The IOBP technique includes the principles of decompressing the lesion to reduce intraosseous pressure and improve blood flow, followed by the direct application of PRP concentrate from bone marrow using the Arthrex^® Angel^® cPRP and bone marrow processing system.