The Role of Platelet-Rich Plasma Therapy in Joint Arthroplasty A Mini-Review.

Journal of medical clinical case reports Pub Date : 2023-01-01 Epub Date: 2023-06-21 DOI:10.47485/2767-5416.1035
Marco Foreman, Devon Foster, Ivelina Kioutchoukova, Brandon Lucke-Wold
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Abstract

Orthobiologics are playing an increasingly large role in the clinical setting across multiple fields of surgery. Particularly, in the field of orthopedic surgery, the employment of platelet-rich plasma (PRP) therapy in total joint arthroscopy (TJA) has become popular for its prompted benefits of controlling pain, blood loss, and increased wound healing. PRP was originally used for thrombolytic conditions, however, the aforementioned potential benefits have led to its increased use across various fields of medicine including dermatology, neurosurgery, orthopedics, and sports medicine. Currently, there is a persisting gap in the literature surrounding the mechanism of action of PRP, as well as its true role in increasing positive patient outcomes in the context of TJA. Thus, this review aims to briefly highlight the physiological mechanisms underlining PRP therapy, evaluate recent preclinical and clinical data about its effects on TJA patient outcomes, and to describe its concomitant use in novel orthopedic-applications.

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富含血小板的血浆疗法在关节置换术中的作用——一个小综述。
正交生物制剂在多个外科领域的临床环境中发挥着越来越大的作用。特别是,在骨科手术领域,在全关节关节镜(TJA)中使用富含血小板的血浆(PRP)疗法因其控制疼痛、失血和增加伤口愈合的益处而变得流行。PRP最初用于溶栓条件,然而,上述潜在益处导致其在皮肤科、神经外科、骨科和运动医学等各个医学领域的应用增加。目前,关于PRP的作用机制,以及它在TJA背景下增加积极患者结果的真正作用,文献中存在着持续的空白。因此,本综述旨在简要强调PRP治疗的生理机制,评估其对TJA患者预后影响的最新临床前和临床数据,并描述其在新型骨科应用中的伴随应用。
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