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Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture
The Anterior Cruciate Ligament (ACL) rupture reduces knee stability. In old patients with ACL rupture, surgery is not recommended due to the person's low level of activity and knee osteoarthritis. Platelet-rich plasma (PRP) is a good treatment option in inflammatory cases in orthopedics. Hence,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580538/ https://www.ncbi.nlm.nih.gov/pubmed/35916761 http://dx.doi.org/10.4081/ejtm.2022.10538 |
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author | Eslami, Sepehr Fattah, Shamim Taher, Soosan Alimohammadzade Rezasoltani, Zahra |
author_facet | Eslami, Sepehr Fattah, Shamim Taher, Soosan Alimohammadzade Rezasoltani, Zahra |
author_sort | Eslami, Sepehr |
collection | PubMed |
description | The Anterior Cruciate Ligament (ACL) rupture reduces knee stability. In old patients with ACL rupture, surgery is not recommended due to the person's low level of activity and knee osteoarthritis. Platelet-rich plasma (PRP) is a good treatment option in inflammatory cases in orthopedics. Hence, the aim of this study was to assess and comparison of the effect of PRP and arthroscopic surgery on anterior cruciate ligament rupture. This is a clinical trial that was performed in 2020-2021 in Tehran. 100 patients were randomly divided into two groups. The first group of patients underwent ACL tendon repair surgery by arthroscopy and tendon graft. The second group were treated by PRP injection. Both groups of patients were visited from 3 months to 14 months after surgery or PRP treatments. The pain was assessed by Visual Analogue Scale (VAS), we also used Knee Score by the Oxford Score Knee Outcome Scale (OKS) to assess patient’s functions. The mean VAS score was 3.05 ± 2.47 in patients in surgery group and mean VAS score was 4.39± 2.66 in patients in the PRP group (p = 0.03). These data showed significant improvements in VAS score in both groups with higher improvements in surgical group. After procedures, the ROM was 120.33 ± 19.60º in surgery group and 109.31 ± 17.22º in PRP group (p = 0.03). Patients in both groups had significantly decreased pain severity after 14 months, but the patients in the surgical treatment group had significantly lower pain and higher ROM compared to PRP group. |
format | Online Article Text |
id | pubmed-9580538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-95805382022-10-20 Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture Eslami, Sepehr Fattah, Shamim Taher, Soosan Alimohammadzade Rezasoltani, Zahra Eur J Transl Myol Article The Anterior Cruciate Ligament (ACL) rupture reduces knee stability. In old patients with ACL rupture, surgery is not recommended due to the person's low level of activity and knee osteoarthritis. Platelet-rich plasma (PRP) is a good treatment option in inflammatory cases in orthopedics. Hence, the aim of this study was to assess and comparison of the effect of PRP and arthroscopic surgery on anterior cruciate ligament rupture. This is a clinical trial that was performed in 2020-2021 in Tehran. 100 patients were randomly divided into two groups. The first group of patients underwent ACL tendon repair surgery by arthroscopy and tendon graft. The second group were treated by PRP injection. Both groups of patients were visited from 3 months to 14 months after surgery or PRP treatments. The pain was assessed by Visual Analogue Scale (VAS), we also used Knee Score by the Oxford Score Knee Outcome Scale (OKS) to assess patient’s functions. The mean VAS score was 3.05 ± 2.47 in patients in surgery group and mean VAS score was 4.39± 2.66 in patients in the PRP group (p = 0.03). These data showed significant improvements in VAS score in both groups with higher improvements in surgical group. After procedures, the ROM was 120.33 ± 19.60º in surgery group and 109.31 ± 17.22º in PRP group (p = 0.03). Patients in both groups had significantly decreased pain severity after 14 months, but the patients in the surgical treatment group had significantly lower pain and higher ROM compared to PRP group. PAGEPress Publications, Pavia, Italy 2022-08-01 /pmc/articles/PMC9580538/ /pubmed/35916761 http://dx.doi.org/10.4081/ejtm.2022.10538 Text en https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Article Eslami, Sepehr Fattah, Shamim Taher, Soosan Alimohammadzade Rezasoltani, Zahra Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title | Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title_full | Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title_fullStr | Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title_full_unstemmed | Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title_short | Platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
title_sort | platelet-rich plasma therapy or arthroscopic surgery on repair of anterior cruciate ligament rupture |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580538/ https://www.ncbi.nlm.nih.gov/pubmed/35916761 http://dx.doi.org/10.4081/ejtm.2022.10538 |
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