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This profile was last updated on 2/18/15  and contains information from public web pages and contributions from the ZoomInfo community.

Dr. Lisa A. Fortier

Wrong Dr. Lisa A. Fortier?

Consultant

Phone: (239) ***-****  HQ Phone
Arthrex Inc
1370 Creekside Blvd
Naples , Florida 34108
United States

Company Description: Arthrex's first project involves funding the building of wells in Guinea. The project has been underway for three years now and has been extended on account of its...   more
Background

Employment History

Board Memberships and Affiliations

Education

  • DVM
  • PhD
  • DVM Alberto Gobbi
  • MD
129 Total References
Web References
What makes recommendations for ...
www.thehorse.com, 18 Feb 2015 [cached]
What makes recommendations for regenerative therapies such as platelet-rich plasma (PRP) inexact is that these approaches are based in biology, not chemistry, said Lisa A. Fortier, DVM, PhD, Dipl. ACVS, of Cornell. Each preparation is just as variable and unique as one horse is to the next. Recognizing this can go a long way in setting clients' expectations for treatment success using these therapies and also in understanding the controversy that surrounds the best ways to use them. All veterinarians can do for the moment is choose cases carefully, extrapolate from current evidence when formulating treatment plans, and be sure to use traditional rehabilitation techniques as well.
"These are not drugs, they are not perfect, and they are not going to work when all of your other approaches fail," said Fortier, who is professor of large animal surgery at the university's vet school, in Ithaca, New York. She summarized current research on PRP and what she's learned using it at the 2014 American Association of Equine Practitioners Convention, held Dec. 6-10 in Salt Lake City, Utah.
The "tremendous degree of variability" among PRP preparations has to do with platelet and leukocyte (a type of specialized white blood cell that aids in healing) concentrations. Current evidence suggests that PRP preparations with platelet concentrations two- to fourfold over what's found in blood and low numbers of leukocytes are optimal for increased tissue repair.
Veterinarians initially used PRP for treating tendons and ligament injuries, but Fortier said there is now evidence it can help heal joint injuries as well. Research has shown that PRP can increase synovial cells' synthesis of hyaluronic acid (HA, an important cartilage component that helps maintain hydrostatic pressures to resist weight-bearing forces) and decrease joint pain and inflammation, making it a promising approach for enhancing early return to activity. Therefore, she recommended only using it in mild to moderate joint disease and pointed to human research: "PRP didn't do anything to help regrow cartilage in human knees, but it did help with pain and returning people to functional activity."
...
Fortier reviewed a few questions she commonly fields about PRP:
...
Fortier uses a 23-gauge needle to minimize damage to tissues. For lesions, she simply fills them up with PRP. For joints, Fortier injects 1-3 mL for smaller joints and 3-5 mL for larger ones. But it is important to point out that if injecting stem cells, you need a larger needle-nothing smaller than 21-gauge to avoid killing the stem cells. What's the horse's level of activity following treatment? The horse resumes active rest with a graded rehabilitation program aimed at getting the horse back to full work in four to six weeks for a joint injury and three to six months for a tendon injury. An attractive aspect to this treatment, she said, is that the horse can go back to work relatively quickly.
Ultimately, Fortier uses PRP as her first line of therapies for both joints and ligaments. She cautions veterinarians that-as with all other treatments in veterinary medicine-PRP doesn't always work. "If you don't get a response for your first injection, you're not going to get a response for a second," so move on to other treatment options.
She also said to remember that even PRP applied early will not cure the horse without other rehabilitation techniques, which include controlled exercise, weight loss, and consistent and good shoeing.
Fortier acknowledged it is unclear which biologic approach is best for certain injuries, given the variable nature of biologic therapy, but veterinarians are commonly using a dual PRP/stem cell approach to counteract the time and performance lost with musculoskeletal injuries.
As is practice at this peer-reviewed meeting, Fortier disclosed she is a consultant to Arthrex Inc.
Lisa A. Fortier, DVM, PhD. ...
sboanj.com, 13 Jan 2014 [cached]
Lisa A. Fortier, DVM, PhD. - Associate Professor, Cornell University College of Veterinary Medicine
International Cartilage Repair Society - ICRS
www.cartilage.org, 14 Feb 2013 [cached]
Co-chaired by Ken Zaslav (ICRS Treasurer) and Lisa Fortier (ICRS Past President), the meeting brought together 12 members of the ICRS, 15 representatives from the FDA and 20 Industry participants from around the world.
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Lisa Fortier, DVM, PhD ICRS Past-President 2009-2010
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Moderator: Lisa Fortier, Cornell University, Ithaca, New York, USA
...
Moderator: Lisa Fortier, Cornell University, Ithaca, New York, USA
Lisa A. Fortier, DVM, PhD, ...
www.thehorse.com, 4 Oct 2012 [cached]
Lisa A. Fortier, DVM, PhD, Dipl. ACVS Lisa A. Fortier, DVM, PhD, Dipl. ACVS, is an associate professor of Large Animal Surgery at Cornell, University's College of Veterinary Medicine in Ithaca, N.Y., where her research interests include arthritis, stem cells, and tendonitis.
Lisa Fortier, DVM, Ph.D., ...
www.aaep.org [cached]
Lisa Fortier, DVM, Ph.D., Diplomate ACVS, of Ithaca, N.Y. Dr. Fortier is a professor of surgery and an equine surgeon at Cornell University, where her research program investigates the clinical application of stem cells and biologics for cartilage repair and tendonitis.
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