Do plasma-rich protein injections have a role in orthopaedics? A systematic review and meta-analysis of the randomized control trials

Q4 Medicine
Marjan Raad, Priya Sekhon, Alastair Robertson
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引用次数: 0

Abstract

We evaluated the effectiveness of plasma-rich protein injections (PRP) in terms of pain, patient-reported outcomes and function in degenerative joint disease and tendinopathy. The search strategies were ran in Ovid Medline and Ovid Embase in October 2023 by a clinical librarian. Results were limited to the last 10 years. The search terms used were ‘platelet rich plasma’ and ‘orthopaedics’. After screening and the eligibility process this resulted in 18 randomized control trials (RCTs). We analysed 18 level 1 RCTs in regard to gluteal tendinopathy, hip osteoarthritis, patella tendinopathy, knee osteoarthritis, Achilles tendinopathy, plantar fasciitis, rotator cuff tendinopathy and elbow tendinopathy. Further research, such as meta-analyses and double-blinded trials with more patients, longer follow-up and with a placebo group, is needed to better elucidate the safety and efficacy of PRP injections.

富血浆蛋白注射剂在矫形外科中发挥作用吗?随机对照试验的系统回顾和荟萃分析
我们评估了富血浆蛋白注射(PRP)在退行性关节病和肌腱病的疼痛、患者报告结果和功能方面的有效性。2023 年 10 月,临床图书管理员在 Ovid Medline 和 Ovid Embase 中使用了检索策略。结果仅限于过去 10 年。使用的检索词为 "富血小板血浆 "和 "骨科"。经过筛选和资格审查,最终得出 18 项随机对照试验 (RCT)。我们分析了 18 项一级 RCT,涉及臀部肌腱病、髋关节骨关节炎、髌骨肌腱病、膝关节骨关节炎、跟腱病、足底筋膜炎、肩袖肌腱病和肘部肌腱病。为了更好地阐明 PRP 注射的安全性和有效性,还需要进行更多的研究,例如荟萃分析和双盲试验,这些试验应包括更多的患者、更长的随访时间和安慰剂组。
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来源期刊
Orthopaedics and Trauma
Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine
CiteScore
1.00
自引率
0.00%
发文量
57
期刊介绍: Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.
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