Download Aspiration Techniques

5/5/2010 Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Disclaimer
The aspiration technique described is utilized by
Michael Murphy, M.D. Biomet Biologics, LLC,
does not practice medicine and does not
recommend this technique for any specific
patient.
Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Confidential. Inlended ""Iely lor Biomet Biologies Disbibutors and Sales Rep""'entatives,
Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Confidential. Intended solely for Biomet Biologics Distributors and Sales Repr""""tatiVes
Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Anatomy to avoid
Anatomic Landmarks
Iliac Crest
• Posterior Sacroiliac Ligaments
• Sciatic Nerve
Posterior Superior
Iliac Spine
• Superior Gluteal Nerve/Artery
Ilium
Confidential. Intended ""Iely fO( Biomet Biologies Disbibutors and Sales Representatives,
Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Needle Insertion
Confidential. Intended solely for Biomet Biologies Distributors and Sates RepresentatiVes
-.-.
Bone Marrow Aspiration
Iliac Crest-Posterior Approach
Insertion point is along posterior iliac
crest within 8cm of PSIS
Needle angle is approximately:
40 degrees lateral to the
para-sagittal plane
Insertion point
35-40 degrees inferior to the transverse
plane
Surgeon can adjust angle of needle within the ilium to make multiple passes
ConftdentlaL Intended solely for Biome' Biologies Distributors and Sales Representatives
Confidenliallntended solely for Biomet Biologics Distributors and Sales RepresentatiVes
1
5/5/2010 Bone Marrow Aspiration-Calcaneus
Disclaimer
The aspiration technique described is utilized by
Lew Schon, M.D. Biomet BiologiCS, LLC,
does not practice medicine and does not
recommend this technique for any specific
patient.
Bone Marrow Aspiration
Calcaneus
A printed version of this technique is available at
www.biomet.com/bio!ogics
Conlldenllial. Inlended solely for Biomel Biologics Dislributors and Sales Representatives
Bone Marrow Aspiration-Calcaneus
Anatomical Landmarks
Connde.lial. Intended solely
. t}
~
J
Calcaneus
Biologics Distributo," and Sal.. Representativ..
Bone Marrow Aspiration-Calcaneus
Anatomy to avoid
,
/C'~;d
l . '...'~
\..
tor Blome!
Sustentaculum
Tali
'
Insertion of achilles tendon
Sural Nerve
~
Confidentlial. Inlended solely for Blome! BIologics Distributors and Sales Represenlative.
Bone Marrow Aspiration-Calcaneus
Needle Insertion
Confidential. Intended solely
tor Blome!
Biologic. Distributors and Sales Representatives
Bone Marrow Aspiration-Calcaneus
Aspiration passages
Aspiration should be performed before using a tomiquet
,
• Only one insertion through the
_cortical bone is necessary.
• 3 passages through the bone
_marrow cavity can be made from
_single insertion point.
t t)~
• 5-1 Oml of SMA can be obtained
jor each passage
Make a small incision on the
latetal side of the ankle, anterior to
the insertion of the achilles tendon
Insert SMA needle anterior to the
achilles tendon and posterior to
the sural nerve
Actual insertion point may vary based on a individual patient's anatomy
Conlideniial. Intended solely lor Blome! Biologics Distributors and Sal.. Representatives
Confldenllal. tntended solely lor e;ome! Biologie. Dislributcrs and Sal.. Representaliv••
1
5/5/2010 Bone Marrow Aspiration
Proximal Tibia
Disclaimer
The aspiration technique described is utilized by
Monica H. Schweinberger and Thomas
Roukis, DPMs. This technique is described in
a peer-reviewed journal, Biomet Biologics
was not involved in the description of this
technique. Biomet Biologics LLC, does not
practice medicine and does not recommend
this technique for any specific patient.
Bone Marrow Aspiration
Proximal Tibia
Schweinberger MH, et al. J Foot Ankle Surg 2007;46(5):411-414.
Confidential. Intended solely for Biomet Biologics Distributoro and Sales Representatlves
Bone Marrow Aspiration
Proximal Tibia
Anatomic Landmarks
Bone Marrow Aspiration
Proximal Tibia
Anatomy to avoid
Medial Condyle Lateral
Condyle
,~i
I,
.,-,+
I ft. \
Articular surface of the tibial
(L~~
--~\~-
plateau
Insertion of Pate"arTendon
'\1 1! I, '­
i~
" _...
Conlldentlal. Intended solely for Biorne! Biologics Dilltributo", and Sales Representalives
Bone Marrow Aspiration
Proximal Tibia
Needle Insertion and Aspiration
Confidential. Intended solely for Biomet Biologics Distributo", and Sales Representatives
/"
Insertion is at the anterior­
medial aspect of the
proximal tibia metaphysis
Needle should be angled
down the shaft of the tibia
toward the ankle
Confidential. Intended solely for Biomel Biologics Diolribulo", and Sales Representatives
1
Disclaimer on Aspiration Techniques Surgeons using the BioCUETM System should be familiar
with bone marrow aspiration techniques and are
responsible for choosing the aspiration location(s) and
method(s) appropriate for each individual patient. The
surgical techniques described today and/or available at
www.biomet.com/biologics are provided for general
reference only. These techniques are not meant to be
utilized as a substitute for aspiration training in the
practice of medicine.
Confidential. Intended solely for Biomet Biologics Distributors and Sales Representatives