- Body Composition Testing
- Open MRI
- Bone Health Clinic
- - Osteoporosis
- - Appointment Visits
- - Safety & Treatment
- Pediatric Orthopedics
- Spine & Pain Clinic
- Sports Medicine
- Injury Walk-In Clinic
- Kiva VCF Treatment System
- Total Ankle Replacement
- Total Hip Replacement
- Total Knee Replacement
- XP Preserving Knee
- Minimally Invasive Procedures
- - Direct Anterior Hip Replacement
- - Direct Superior Hip Replacement
- - Hip Arthroscopy
- - Meniscal Transplant
- - Mini-Posterior Hip Replacement
- - Regenerative Orthopedics
- - PRP Therapy
- - MACI
- - IRAP
- - FloGraft
Osteoarthritis is a debilitating disease caused by inflammation and worn cartilage. Patients will often times turn to analgesic drugs, lifestyle modifications, and physical therapy when experiencing OA pain of the knee. When those methods aren’t working, the next step is often surgery - until now.
Advanced autologous therapies are on the rise in medicine due to their ability to be tailored at the molecular level. They can be tailored to address specific injuries and diseases, such as osteoarthritis, by targeting inflamed cytokines. These inflamed cytokines are the cause of OA pain and cartilage degeneration. IRAP (Autologous Protein Solution) is an autologous therapy now offered at Iowa Ortho to treat OA of the knee. The IRAP solution contains a unique profile of the patient’s own concentrated white blood cells, platelets, and plasma. Recent studies have concluded that these concentrated elements in APS allow for the solution to inhibit inflammation and reduce cartilage degradation.
The IRAP kit contains two blood processing devices, a cell separator, cell concentrator, and a vial of Anticoagulant Citrate Dextrose Solution. The devices work together to produce a solution that is injected directly into the knee joint at the point-of-care. Patients typically begin experiencing relief one week after the injection, and the relief can last anywhere from 6-12 months.
There are 4 steps to the IRAP injection:
- Provider will draw 60 CC’s of patient’s blood.
- Blood is transferred to the centrifuge where it will spin for 15 minutes, extracting the plasma.
- Plasma and PPP (platelet poor plasma) is combined in a different centrifuge and spun for 2 minutes
- Provider places substance into syringe for injection. Lidocaine may be used prior at injection site.