The use of platelet-rich plasma injections in the treatment of meniscal injuries - review of the literature

Katarzyna Wiejak, Kinga Przyborowska, Michał Łata, Beata Getka, Justyna Kwiecień, Mateusz Rukat, Agnieszka Strojny
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Abstract

Introduction: In the knee joint are two menisci, which are fibrocartilaginous structures. The tears of the meniscus are one of the most common injuries within knee. Arthroscopy with suturing of torn or menisectomy are the most popular methods of treatment, however in long term observation menisectomy often results in osteoarthritis 10-20 years after surgery. For this reason, less invasive treatment methods are being sought, such as platelet-rich plasma injections. Platelet-rich plasma has many growth factors, which stimulates healing. Objective: The aim of this study is to review latest the literature on the use of platelet-rich plasma injections in the patients with meniscus tears. Material and methods: A literature review was conducted on databases such as PubMed and Google Scholar using the terms: ”meniscus”, “meniscus tear”, “platelet-rich plasma”, “platelet-rich plasma injections”, “meniscus injuries treatment’. Conclusions: The injuries of meniscus are very common, and often must be treated by arthroscopy. Platelet-rich plasma has a positive impact on tissue healing. Platelet-rich plasma injuries in the patients with meniscal tears repair lead to improve healing rates compare with patients without PRP injections, but there is no guidelines and further studies are necessary.
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使用富血小板血浆注射治疗半月板损伤--文献综述
简介膝关节内有两个半月板,它们是纤维软骨结构。半月板撕裂是膝关节最常见的损伤之一。关节镜手术缝合撕裂的半月板或半月板切除术是最常用的治疗方法,但在长期观察中,半月板切除术往往会导致术后 10-20 年出现骨关节炎。因此,人们开始寻求创伤较小的治疗方法,如注射富血小板血浆。富血小板血浆含有多种生长因子,可刺激伤口愈合:本研究旨在回顾有关半月板撕裂患者使用富血小板血浆注射的最新文献:在 PubMed 和 Google Scholar 等数据库中使用以下术语进行了文献综述:半月板"、"半月板撕裂"、"富血小板血浆"、"富血小板血浆注射"、"半月板损伤治疗":结论:半月板损伤非常常见,通常必须通过关节镜进行治疗。富血小板血浆对组织愈合有积极影响。与未注射 PRP 的患者相比,在半月板撕裂修复患者中注射富血小板血浆可提高愈合率,但目前尚无相关指南,有必要开展进一步研究。
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