超声引导下注射富血小板血浆治疗运动相关半月板损伤的疗效

Prabakar Singh Raju, M. Sriraghavan, Pazhani Jayaraman, Bheeshma Balasubramaniam, Karthik Shanmugavel Karuppiah, Poornima Kumararaja
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摘要

目的 半月板损伤是运动相关活动中的常见损伤,通常会导致疼痛、关节功能减退和运动表现受损。本研究旨在评估超声引导下关节内注射通过连续离心获得的富血小板血浆(PRP)在治疗运动导致的半月板损伤中的作用。材料与方法 一项前瞻性研究涉及 54 例 I 级、II 级和 III 级半月板损伤病例,年龄分别为 18 岁和 43 岁。自体血液样本经过两步离心过程制备出富含 PRP 的液体。治疗前和治疗后定期对患者进行评估。结果 患者表示治疗后疼痛减轻,关节功能得到改善。患者的平均年龄为 34.4 岁,平均随访时间为 275.1 天。值得注意的是,没有发现双侧半月板损伤的病例,这表明治疗主要集中在单膝关节损伤上。II级损伤居多,这表明 PRP 干预疗法可能对治疗更严重的半月板撕裂尤为有效。结论 我们的研究结果为 PRP 增量在半月板修复中的积极作用提供了令人信服的证据。我们的研究结果表明,PRP疗法有可能为膝关节半月板撕裂患者带来巨大的益处,尤其是在缓解疼痛和增强功能方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Ultrasound-Guided Injection of Platelet-Rich Plasma in Treatment of Sports-Related Meniscal Injuries
Purpose Meniscal injuries are a common occurrence in sports-related activities, often leading to pain, reduced joint function, and impaired athletic performance. This study aimed to evaluate the role of ultrasound-guided intra-articular platelet-rich plasma (PRP)-rich fluid injection which was obtained through serial centrifugation in the treatment of meniscal injuries resulting from sports activities. Materials and Methods A prospective study was conducted involving 54 cases with grade I, II, and III meniscal injuries, aged 18 and 43 years. PRP-rich fluid was prepared by subjecting autologous blood samples to a two-step centrifugation process. Patients were assessed pretreatment and at regular intervals posttreatment. Results Patients reported reduced pain and improved joint functionality following treatment. Average age of the patients was 34.4 years, and average follow-up period was 275.1 days. It is noteworthy that no cases of bilateral meniscal injuries were identified; indicating that the focus was primarily on single knee injuries. Predominance of grade II injuries suggests that the PRP intervention might be particularly effective in addressing more severe meniscal tears. Conclusion The results of our study provide compelling evidence for the positive impact of PRP augmentation in meniscus repair. Our findings indicate that PRP therapy has the potential to bring about substantial benefits for individuals with meniscus tears of the knee, particularly in terms of pain relief and enhanced functional capabilities.
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