TAME & Musculoskeletal Embolization
Successful Case Sharing of [Post-Traumatic Degenerative Ankle Arthritis with Bone Marrow Edema] [Transarterial Microembolization (TAME)] and [Intramedullary PRP Regenerative Injection]
Author: Bow Wang, M.D.
Mr. C, 61 years old, suffered from left ankle pain for many years after an injury more than ten years ago. After seeking medical treatment, he was diagnosed with [traumatic degenerative ankle arthritis]. Although he underwent arthroscopic debridement and various injections, the pain persisted. Mr. C's pain index (out of 10) reached a high level of 10, requiring long-term use of painkillers and pain patches.
After Mr. C consulted with Dr. Liu Bingtang at the Qiao Li Clinic in Kaohsiung, he was referred to the National Cheng Kung University Hospital Interventional Medical Center and the Bow Wang, M.D. outpatient clinic for further discussion.
After discussing with Mr. C, Bow Wang, M.D. first performed the Transarterial Microembolization (TAME) procedure on him. Under X-ray fluoroscopy guidance and local anesthesia, Dr. Wang punctured the inguinal artery and inserted a microcatheter into the painful area. Then, under arterial angiography, contrast agent was injected to identify newly formed capillary-like vessels; embolizing medication was then injected through the microcatheter to remove these abnormal capillary-like vessels.
Two months later, Mr. C informed Dr. Wang that the pain on the outer side of his ankle had decreased from 10 to 0, but the pain on the inner side, where there was bone marrow edema, had decreased from 10 to 5-6. Therefore, Bow Wang, M.D. then performed an intramedullary PRP regenerative injection therapy on Mr. C.
Under local anesthesia, guided by a ultrasound and X-ray fluoroscopy, Dr. Wang inserted a needle into the bone marrow edema site via epidermal puncture, and then injected PRP (platelet-rich plasma).
In the follow-up after the injection, although Mr. C experienced discomfort for 3-5 days, after this period, the pain in the front of his inner ankle gradually decreased from 5-6 points to 2-3 points, and his quality of life improved significantly. Dr. Wang plans to give Mr. C a second PRP injection, hoping for further reduction and improvement in pain.
This page is for medical education and academic communication. It does not replace individual diagnosis or treatment advice.
Continue reading this category →![Successful Case Sharing of [Post-Traumatic Degenerative Ankle Arthritis with Bone Marrow Edema] [Transarterial Microembolization (TAME)] and [Intramedullary PRP Regenerative Injection] — related image 3](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMwF6lnifdFpEZrd33jyq7VK7eB7XxObB7fG8hwBV2hjE4mJUOUEvcsdnZG3J5vnJ0DZecxz1HeZxLlkFxHzpSmwNqKEYspAqdXztpcN-fGYKwvFT-cYaPOs0YLn9Tq9a1BU3EUpsldUYdccMfzs9z4S6iTjkKV4KE5zk2VhuCwegBLs7ES7_-UXlFyr71/s16000/3.jpg)