富血小板血浆疗法在治疗半月板损伤中的作用:叙述性综述。

IF 1.4 Q3 ORTHOPEDICS Orthopedic Reviews Pub Date : 2024-03-17 eCollection Date: 2024-01-01 DOI:10.52965/001c.94240
Anas El Zouhbi, Jeffrey Yammine, Maya Hemdanieh, Elie Toni Korbani, Mohamad Nassereddine
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引用次数: 0

摘要

半月板对膝关节功能至关重要,半月板撕裂是常见的损伤,尤其是在体育活动中。富血小板血浆(PRP)可促进伤口愈合,它利用血小板和生长因子的再生特性改善临床疗效,已成为一种很有前景的半月板损伤辅助治疗方法。在随访期少于一年的研究中,使用富血小板血浆(PRP)疗法治疗半月板损伤显示,膝关节症状和日常活动均有显著改善。患者的疼痛减轻,运动量增加,磁共振成像扫描显示六个月后半月板状况稳定。然而,随访时间超过一年的研究并未发现,在疼痛和膝关节功能等各种结果指标方面,使用 PRP 治疗的组别与未使用 PRP 治疗的组别之间存在显著差异。半月板的血管化对其正常功能至关重要,血液供应不足会影响半月板损伤的愈合。PRP 疗法通过引入生长因子和抗炎剂来促进半月板愈合。PRP 疗法可使半月板撕裂的运动员更快地恢复运动,并缩短康复时间。虽然 PRP 在短期内似乎很有希望替代失败的治疗或作为治疗的辅助手段,但其长期疗效仍无定论。患者的偏好、对治疗康复的承诺和费用都应根据个人情况加以考虑。
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Utility of Platelet-Rich Plasma Therapy in the Management of Meniscus Injuries: A narrative review.

Menisci are crucial for knee joint functions and meniscal tears are common injuries, especially in sports activities. Platelet-rich plasma (PRP), which enhances healing, has emerged as a promising additive treatment for meniscus injuries, utilizing the regenerative properties of platelets and growth factors for improved clinical outcomes. In studies with a follow-up period of less than one year, the use of platelet-rich plasma (PRP) therapy for meniscus injuries showed significant improvements in knee symptoms and daily activity. Patients experienced enhanced outcomes in terms of pain reduction and increased sports activity, with MRI scans indicating stable meniscus conditions after six months. Studies with a follow-up of more than one year, however, did not find significant differences between groups treated with PRP and groups not treated with PRP in terms of various outcome measures, including pain and knee function. The vascularization of the menisci is vital for their proper function, and insufficient blood supply can affect healing of meniscal injuries. PRP therapy is used to enhance meniscal healing by introducing growth factors and anti-inflammatory agents. PRP therapy may enable athletes with meniscal tears to return to sports more quickly and has less rehabilitation duration. While PRP seems promising as an alternative to failed treatment or as an adjunct to treatment in the short term, its long-term effectiveness remains inconclusive. Patient preferences, commitment to therapy rehabilitation, and cost should all be considered on an individual basis.

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来源期刊
Orthopedic Reviews
Orthopedic Reviews ORTHOPEDICS-
CiteScore
2.70
自引率
4.80%
发文量
122
审稿时长
10 weeks
期刊介绍: Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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