IntraOsseous BioPlasty (IOBP) Procedure

What is the IOBP Procedure?

The IntraOsseous BioPlasty (IOBP) procedure is an innovative, minimally invasive method designed to treat bone pathologies that often result in pain, particularly those associated with bone marrow lesions due to conditions like osteoarthritis, avascular necrosis, or persistent bone bruises. Its primary goal is to promote bone healing and alleviate pain by encouraging natural bone remodeling.

How Does It Work?

• Core Decompression: The procedure begins with core decompression where a small hole is drilled into the bone at the site of the lesion. This reduces intraosseous pressure which can be a source of pain.

• Biologic Enhancement: Following decompression, the site is infused with biologic materials:

  • Platelet-Rich Plasma (PRP) from bone marrow aspirate (BMA) is used to deliver growth factors that can stimulate healing.

  • Sometimes, additional biologics like stem cells or demineralized bone matrix are introduced to further enhance healing and bone regeneration.

Applications:

• Osteoarthritis: Helps in managing pain and possibly slowing the progression of the disease by addressing bone marrow lesions.

• Avascular Necrosis: Early treatment can potentially prevent further bone deterioration.

• Bone Bruises: Encourages faster healing of persistent bone bruises which might otherwise lead to chronic pain.

Benefits:

• Pain Relief: Many patients report significant pain reduction post-procedure, improving quality of life.

• Function Improvement: There is often an increase in mobility and function, particularly noted in activities like sports and daily tasks.

• Minimally Invasive: The procedure is less invasive compared to traditional surgeries, leading to quicker recovery times and fewer complications.

• Bone Repair: Over 80% of patients show bone repair in follow-up imaging, indicating effective healing.

Rehabilitation:

• Post-procedure, patients undergo a phase of rehabilitation focusing on the protection of the treated area, restoring full range of motion, and strengthening the surrounding muscles. This phase is crucial for optimal recovery and to prevent re-injury.

Conclusion:

The IntraOsseous BioPlasty procedure represents a significant advancement in pain management for bone-related issues. By combining traditional surgical techniques with modern biologic approaches, it offers hope for pain relief and functional improvement without the need for extensive surgical intervention. If you or someone you know suffers from bone pain due to lesions, consulting with a pain specialist to discuss the possibility of IOBP might be a step towards better management and potentially a life with less pain.