The BIOS Orthopedic Institute

Alberto J. Panero, D.O.

Regenerative Orthopedics Specialist & Sports Medicine Specialist located in Sacramento, CA

Another way of improving outcomes of interventional orthopedic procedures is by using biologic scaffolds. Just like in construction, a scaffold can serves as a temporary structure that sticks to a tear or site of injury and provides a fixed target for us to inject PRP or “stem cells “ into. These scaffolds are ideal structural support for holding cells, growth, factors, and cytokines during the repair process. Moreover, we can use biologically “active” scaffolds, that have their own cells and growth factors that can not only act as a scaffold, but can initiate or regulate the body’s innate healing response within the musculoskeletal system.

Types of scaffolding for tendons:

1) Micronized Adipose tissue: we harvest a small amount of your own adipose tissue from your abdomen or buttocks. We process is and micronized the adipose tissue. Then we inject between 0.5-1cc of the micronized adipose into the tear just prior to the injection of the PRP or “Stem Cell” preparation.

2) Amnion Matrix: amniotic tissues are known to have growth factors and cytokines that are conducive to healing. We can precisely deliver a 40 X 5 mm membrane sheet or more if needed under ultrasound guidance directly to the site of injury to serve as a scaffold.

3) Demineralized Bone Matrix (DBM): Acellular allografts like demineralized bone matrix also have the capability to provide structural support or act as a scaffold for the proliferation of cellular components.

Dr. Panero is an amazing physician who truly cares about the wellbeing of his patients. His entire team is dedicated, thorough, and professional who makes sure all appointments go smoothly even with the ongoing pandemic. Dr. Panero recommended PRP for my elbow tendinitis and truly advocated for me to get the treatment I needed to improve my chronic pain. I am so grateful to be one of Dr. Panero’s patients!

Rena S.

I really appreciate Dr. Panero’s skill and expertise, as well as his focus, deep active listening, and clear communication about next steps. Thank you so much!

Susan C.

Very personable and knowledgeable presenting options for the problem and then going forward from the choice made. I would definitely recommend him to friends and family! Office staff is fabulous as well.

Jim M.

I was very happy with Dr. Panero. He took his time to listen to me and evaluate me. Then he went over all my options and answered all my questions. I am very glad I was referred to him!

David M.

Initial consultation went well. Looking forward to the next few appts to get back to total health.

Andy W.