Tri-State Orthopaedics provides the Pittsburgh region with the most advanced orthopaedic care for sports-related injuries, general orthopedic problems and occupational injuries.Jack Failla, Victor Thomas, Paul Liefeld, Brian Jewell, Mark Langhans, Steve Kann, Steven Kann, Jeff Kann, Jeffrey Kann, Gerard Werries, John Christoforetti, Mike Pagnotto, Michael Pagnotto,Physician, physicians, surgeon, orthopedic surgeon, orthopedic doctor, orthopedic physician, bones, ortho, Pittsburgh, North Hills, Seven Fields, Fox Chapel, Robinson Twp, Tri-State Orthopaedics, sports medicine, orthopaedic, orthopedic, orthopedics, board certified, surgeons, fellowship training, team physician, tristateortho, tri-state physical therapy, TSPT, ACP, PRP, therapy, EMG, nerve conduction studies,hand, finger, wrist, elbow, upper extremity surgery, minimally invasive surgery, carpal tunnel, trigger finger, foot, ankle, foot, toe, injuries, pain, athletic injuries, shoulder, knee, arthroscopic surgery, hip, repair, reconstruction, total joint replacement, revision surgery, spine, back, neck, fracture care, fractures, DJD, degenerative joint disease, mini-incision surgery, micro-surgery, musculoskeletal injuries, occupational injuries, Sprain, Strain, Bursitis, Tendon, Tendinitis, Tendinosis, Instability, Impingement Syndrome, Minimally-Invasive Surgery, Micro-Surgery, Arthroscopy, Knee Scope, Shoulder Scope, Synvisc, Supartz, viscosupplementation, injections of the knee, joint injections,Rotator Cuff Tears, Bankart Tears, SLAP Tears, Biceps Tendinopathy, Subacromial Impingement, Adhesive Capsulitis, Frozen Shoulder, Arthritis, Rotator Cuff, Labral Bankart Repair, Shoulder Replacement, Shoulder Reconstruction, Subacromial Decompression, Medial Lateral Epicondylitis, Golfers Elbow, Tennis Elbow, Ulnar Neuritis Entrapment, Distal Biceps Ruptures, Cartilage Ligament Injuries, Minimally Invasive Epicondyle Release, Elbow Arthroscopy, Ulnar Nerve Transposition, Biceps Repair, Carpal Tunnel Syndrome, de Quervain’s Tenosynovitis, Tendon Injuries, CTR, Carpal Tunnel Release, Mini Incision Carpal Tunnel Release, Trigger Finger Release, Wrist Arthroscopy, CMC Arthroplasty, Tendon Reconstruction, Labral Tears, Hip Bursitis, Femoroacetabular Impingement, FAI, Hamstring Injuries, Gluteus Medius Tears, Hip Arthroscopy, Arthroscopic Bursectomy, Tendon Repair, Minimally-Invasive Total Hip Replacement, Total Hip Arthroplasty, Revision Total Hip Replacement, Open surgery, closed surgery, Arthroscopic Hip Surgery, Labrum Repair, Labrum Reconstruction, Arthroscopic Repair, Gluteus Medius Tears, Meniscus Tears, MCL, ACL Tears, Ligament Injuries, PCL, Cartilage Defects, Quad Ruptures, Knee Arthroscopy, ACL Reconstruction, Minimally Invasive Partial Knee Replacement, Total Knee Replacement, Knee Arthroplasty, Revision Total Knee Replacement, Cartilage Transplantation in Knee, Disc Herniations, Degenerative Disc Disease, DDD, Vertebral Fractures, Micro-Discectomy, Laminectomy, Cervical Fusion, Lumbar Spinal Fusion, Kyphoplasty, Ankle Sprains, Achilles Tendinitis, Achilles Rupture, Plantar Fasciitis, Flat Foot Deformity, Arthritis, Bunion, Hammer Toe, Claw Toe Deformity, Cartilage Injury, Tendon Repair, Ligament Repair, Reconstruction, Bunionectomy, Ankle Arthroscopy, Ankle Replacement.
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In-Office Services
Platelet Rich Therapy
Autologous Conditioned Plasma (ACP) / Platelet Rich Plasma Therapy (PRP)

For more than a decade, researchers have experimented with using growth factors from special blood cells called platelets to improve the healing process. This non-surgical treatment called Autologous Conditioned Plasma (ACP) and sometimes also referred to as Platelet-Rich Plasma (PRP), uses the patient’s own blood to help expedite healing. There have been several studies that have shown good results using these factors, derived from a patient’s own blood platelets, to speed-up recovery from muscle, tendon and ligament injuries. ACP is now widely accepted as a treatment option for many orthopaedic conditions and has gained international acceptance amongst physicians of professional, collegiate and high school athletes, as well as non-athletes.

Years ago, Tri-State Orthopaedics & Sports Medicine was selected to be one of the first practices in Pennsylvania to provide ACP treatments in the office setting. ACP is a concentration of platelets and beneficial growth factors created from a small amount of your own blood. When injected into the injured area, increased levels of growth factors aim to improve the movement of cells to the injury site to control inflammation and to optimize and accelerate healing.

Since 2009, Tri-State Orthopaedics has offered ACP injections to select patients and athletes. Though we’ve had great results, ACP may not be appropriate for all patients, injuries and orthopaedic conditions. An office exam and consultation with one of our orthopaedic physicians, specifically trained in ACP injection therapy, would be required to determine if you might benefit from this treatment.

If you are a candidate for ACP injections, the process is easy and relatively painless. First, a simple blood draw from your arm using a specifically designed ACP syringe is performed in our office. Next, the blood is placed into a filtration machine called a centrifuge, which spins to separate the platelet-rich plasma from the rest of the blood. The clear plasma contains the healing factors. This conditioned platelet-rich plasma is then carefully injected by the physician directly into the site of muscle, tendon, ligament or joint injury. Some patients may require more than one injection.

To learn more or schedule an appointment for an ACP evaluation with one of our physician specialists, please contact our Tri-State Orthopaedics office at (412) 369-4000 Ext 322 or email

Note: The office visit consultation is typically covered by insurance. However, the ACP/PRP injection treatments are not covered by insurance. While ACP/PRP treatments have been around for many years, most insurance companies do not currently cover this treatment. Therefore, pre-payment is required (cash, check or credit card) prior to receiving your first injection.