Hyaluronate acid plus platelet-rich plasma is superior to steroids for pain relief less than 6 months using injection therapy of partial rotator cuff tears: A systematic review and network meta-analysis

医学 肩袖 眼泪 富血小板血浆 荟萃分析 外科 止痛 麻醉 血小板 内科学
作者
Viktor Weninger,Gergely Agócs,Norbert Kovács,Szilárd Váncsa,Luca Hergár,Chan Ju Baek,Péter Hegyi,Gergely Holnapy,Gábor Skaliczki
出处
期刊:Arthroscopy [Elsevier BV]
被引量:1
标识
DOI:10.1016/j.arthro.2024.03.035
摘要

Purpose We conducted our network meta-analysis to compare the efficacy of the steroid injections to other injectable therapies in partial-thickness rotator cuff tears (PTRCTs). Methods A systematic literature search was performed until October 25, 2021 in three databases (CENTRAL, Embase, MEDLINE). Eligible studies compared the efficacy of steroid, hyaluronic acid (HA), platelet-rich plasma (PRP), the combination of HA and PRP (HA+PRP), and adipose-derived regenerative cells (ADRC) in RC tears. The primary outcomes were the Visual Analogue Scale (VAS), Constant Murley Score (CMS), and American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form. Using paired and network meta-analysis, we calculated pooled mean differences (MDs) with 95% confidence intervals (CIs). Results We included a total of seven articles in the quantitative synthesis. In shorter periods, the HA+PRP combination was superior to the other substances we investigated (HA+PRP: VAS (0-4 weeks): MD: −0.99 [CI = −1.62, −0.36]; CMS (0-3 months): 20.56 [CI = 16.18, 24.94]. This combination was followed by the use of HA or PRP alone, depending on the duration of follow-up and the outcome being studied. In our study, short-term results suggest that saline is superior to steroids for partial tears, but this trend is reversed at six-month follow-up. Conclusion Our results suggest the combination of HA and PRP to be a more effective therapeutic option for partial RC ruptures for short terms, but there is no significant difference after 6 months. Level of Evidence II, Included of Level of Evidence studies I-II
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
小青年儿完成签到 ,获得积分10
刚刚
刚刚
追寻书白发布了新的文献求助10
刚刚
耍酷问兰发布了新的文献求助10
1秒前
tracy发布了新的文献求助30
1秒前
1秒前
2秒前
英姑应助莹0000采纳,获得10
2秒前
Kris发布了新的文献求助10
4秒前
我是老大应助牛马采纳,获得10
5秒前
科研通AI2S应助鳗鱼思真采纳,获得10
9秒前
Liufgui应助机灵的觅山采纳,获得10
12秒前
12秒前
上官若男应助Kris采纳,获得10
13秒前
酷波er应助追寻书白采纳,获得10
14秒前
15秒前
16秒前
小北完成签到,获得积分10
18秒前
李健应助Ch_7采纳,获得10
18秒前
18秒前
19秒前
21秒前
临渊之何发布了新的文献求助10
22秒前
雪山飞龙发布了新的文献求助10
23秒前
852应助耍酷问兰采纳,获得10
24秒前
自信雅琴完成签到,获得积分10
24秒前
杨123发布了新的文献求助10
25秒前
wanci应助相信未来采纳,获得10
25秒前
nczpf2010完成签到,获得积分10
26秒前
111111111发布了新的文献求助10
26秒前
冷艳的姿发布了新的文献求助10
26秒前
27秒前
学术渣渣发布了新的文献求助10
28秒前
28秒前
量子星尘发布了新的文献求助10
29秒前
男子无才便是德完成签到,获得积分10
30秒前
30秒前
yuhangcao完成签到,获得积分10
30秒前
乐乐应助皮老师采纳,获得10
30秒前
SciGPT应助雪山飞龙采纳,获得10
31秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989069
求助须知:如何正确求助?哪些是违规求助? 3531351
关于积分的说明 11253589
捐赠科研通 3269939
什么是DOI,文献DOI怎么找? 1804851
邀请新用户注册赠送积分活动 882074
科研通“疑难数据库(出版商)”最低求助积分说明 809073