The effect of platelet-rich plasma on arthroscopic double-row rotator cuff repair A clinical study with 12-month follow-up

医学 肩袖 外科 富血小板血浆 破折号 可视模拟标度 关节镜检查 磁共振成像 肩袖损伤 血小板 内科学 放射科 计算机科学 操作系统
作者
Zhenxiang Zhang,Yong Wang,Junying Sun
出处
期刊:Acta Orthopaedica et Traumatologica Turcica [AVES Publishing Co.]
被引量:50
标识
DOI:10.3944/aott.2015.15.0113
摘要

The aim of the study was to assess the effect of platelet-rich plasma on arthroscopic double-row rotator cuff repair.The study included 60 patients with arthroscopic rotator cuff repair. Thirthy patients (mean age: 57.2±7.4; 16 males and 14 females) underwent arthroscopic double-row repair alone (Group 1), another 30 (mean age: 56.9±6.0; 15 males and 15 females) had an injection of platelet-rich plasma (PRP) (Group 2). The groups were compared with DASH as a primary outcome score and Constant-Murley score, visual analog scale, measurement of active forward flexion, and external and internal rotation as secondary outcome measures. Magnetic resonance imaging was used to assess the integrity of the repair at 12 months postoperatively.Primary and secondary outcome measures statistically improved in both groups postoperatively (p<0.05). Overall mean primary and secondary postoperative outcome measures were not significantly different between the 2 groups. A retear was seen in 9 subjects (30%) in Group 1 and 4 subjects (14%) in Group 2 (p<0.05).The local injection of PRP into a primary arthroscopic double-row cuff repair resulted in lower recurrence rates than repairs without the novel biological augmentation material.
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