MIBRAR® — Micro-Invasive Biological Regenerative Autologous Reconstruction
Revolutionary method for treating spine and joint disorders, developed by Prof. Dr. med. Dr. h.c. Arsen Babayan and used since 2013 in Germany. Over 25,000 successful procedures.
What does MIBRAR® mean?
Micro-Invasive Biological Regenerative Autologous Reconstruction is a comprehensive approach to treating degenerative musculoskeletal disorders, based on utilizing the patient's own regenerative resources.
Unlike traditional surgery, which removes or replaces damaged structures, MIBRAR® restores them from within. Autologous (patient's own) regenerative concentrates are introduced micro-invasively directly into the area of damage, triggering natural biological regeneration processes.
Key principles of MIBRAR®:
- Micro-invasiveness — surgical accesses 0.3-1.5 mm, comparable to a syringe needle prick. Tissue integrity is restored within hours
- Biological nature — only natural biological materials are used, no synthetic implants
- Regenerativity — not pain masking, but true regeneration of damaged tissues: cartilage, discs, tendons, ligaments
- Autologous nature — all materials are obtained from the patient's own body: blood and adipose tissue. Zero risk of rejection
- Reconstructiveness — restoration of anatomical structure and function of damaged organs
Components of the MIBRAR® method
CGF — Concentrated Growth Factors
Concentrate of growth factors obtained from the patient's venous blood by centrifugation. Contains:
- Platelet-derived growth factors (PDGF, TGF-β, VEGF, IGF)
- Cytokines with anti-inflammatory effects
- CD34+ stem cells from peripheral blood
- Fibrin matrix — scaffold for regeneration
CGF surpasses standard PRP therapy by 5-8 times in growth factor concentration.
Lipogems® — stem cells from adipose tissue
Micro-fragmented autologous adipose tissue containing:
- Mesenchymal stem cells (MSC) — capable of differentiating into chondrocytes, osteocytes, tenocytes
- Pericytes — cells stabilizing vessels and stimulating angiogenesis
- Adipocytes with anti-inflammatory properties
- Extracellular matrix — natural scaffold for cell adhesion
Lipogems® preserves the native microstructure of adipose tissue, ensuring high stem cell viability.
Navigation and control technologies
Cyber Navi Hand™
Patented 3D robot-navigator for planning surgical access. Analyzes MRI/CT and creates an individualized route for each patient with precision up to 1° angle and 1 mm depth. Eliminates human factor in determining the entry point.
Sono Control Arm™
Ultrasound manipulator for real-time visualization. Allows control of instrument position and delivery of concentrates without X-ray radiation. Particularly important for joints and soft tissues.
Micro-dimensional Instrumentation
Specially developed endoscopes and instruments for working through punctures 0.3-1.5 mm. Provide access to the most hard-to-reach areas of the Spine and joints without damaging surrounding tissues.
Areas of MIBRAR® Application
Spine
Herniated Disc, Spinal Stenosis, Osteochondrosis, Spondylolisthesis, Sciatica
Hip Joint
Hip Osteoarthritis (Coxarthrosis), Avascular Necrosis of the Femoral Head, Hip Bursitis, Hip Impingement (FAI)
Knee Joint
Knee Osteoarthritis (Gonarthrosis), Meniscus Tear, Cruciate Ligament Injury
Shoulder Joint
Rotator Cuff Tear, Frozen Shoulder (Adhesive Capsulitis), Calcific Tendinitis
Hand & Wrist
Carpal Tunnel Syndrome, Thumb Basal Joint Arthritis (Rhizarthrosis), Dupuytren's Contracture
Foot & Ankle
Hallux Valgus, Heel Spur (Plantar Fasciitis), Ankle Osteoarthritis
Advantages over Traditional Surgery
No General Anesthesia
All procedures are performed under local anesthesia. The patient remains conscious and can communicate with the doctor. No risks associated with general anesthesia.
No Incisions
Surgical accesses 0.3-1.5 mm — smaller than a syringe needle. No sutures, no scars, no risk of wound infection.
Outpatient
The patient goes home the same day. No hospitalization, ICU, or nursing care required.
Multiple Areas at Once
Several discs and joints can be treated simultaneously in one procedure. This is impossible with joint replacement.
Regeneration, Not Replacement
MIBRAR® restores your own tissues, rather than replacing them with artificial ones. The effect increases over time.
Zero Rejection Risk
Only the patient's own biomaterials are used. Allergic reactions and rejection are excluded.
