A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma

Autor: Rafal Kaminski; Krzysztof Kulinski; Katarzyna Kozar-Kaminska; Monika Wielgus; Maciej Langner; Marcin K. Wasko; Jacek Kowalczewski; Stanislaw Pomianowski
Sprache: Englisch
Veröffentlicht: 2018
Quelle: Directory of Open Access Journals: DOAJ Articles
Online Zugang: http://dx.doi.org/10.1155/2018/9315815
https://doaj.org/toc/2314-6133
https://doaj.org/toc/2314-6141
2314-6133
2314-6141
doi:10.1155/2018/9315815
https://doaj.org/article/4b9610ca65a94bbcac7d154211414c90
https://doi.org/10.1155/2018/9315815
https://doaj.org/article/4b9610ca65a94bbcac7d154211414c90
Erfassungsnummer: ftdoajarticles:oai:doaj.org/article:4b9610ca65a94bbcac7d154211414c90
id ftdoajarticles:oai:doaj.org/article:4b9610ca65a94bbcac7d154211414c90
bisp-collection base
recordtype bispbase
url http://dx.doi.org/10.1155/2018/9315815
https://doaj.org/toc/2314-6133
https://doaj.org/toc/2314-6141
2314-6133
2314-6141
doi:10.1155/2018/9315815
https://doaj.org/article/4b9610ca65a94bbcac7d154211414c90
https://doi.org/10.1155/2018/9315815
https://doaj.org/article/4b9610ca65a94bbcac7d154211414c90
url-type primary
primary
primary
primary
primary
primary
primary
info
info
spelling Medicine
R
A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma
publishDate 2018
publishDate_facet 2018
baseCollectionName Directory of Open Access Journals: DOAJ Articles
baseCountry org
title A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma
spellingShingle A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma
title_short A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma
title_sort A Prospective, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study Evaluating Meniscal Healing, Clinical Outcomes, and Safety in Patients Undergoing Meniscal Repair of Unstable, Complete Vertical Meniscal Tears (Bucket Handle) Augmented with Platelet-Rich Plasma
author2 Rafal Kaminski
Krzysztof Kulinski
Katarzyna Kozar-Kaminska
Monika Wielgus
Maciej Langner
Marcin K. Wasko
Jacek Kowalczewski
Stanislaw Pomianowski
author_facet Rafal Kaminski
Krzysztof Kulinski
Katarzyna Kozar-Kaminska
Monika Wielgus
Maciej Langner
Marcin K. Wasko
Jacek Kowalczewski
Stanislaw Pomianowski
author2-role Autor
Autor
Autor
Autor
Autor
Autor
Autor
Autor
abstract Objective. The present study aimed to investigate the effectiveness and safety of platelet-rich plasma (PRP) application in arthroscopic repair of complete vertical tear of meniscus located in the red-white zone. Methods. This single center, prospective, randomized, double-blind, placebo-controlled, parallel-arm study included 37 patients with complete vertical meniscus tears. Patients received an intrarepair site injection of either PRP or sterile 0.9% saline during an index arthroscopy. The primary endpoint was the rate of meniscus healing in the two groups. The secondary endpoints were changes in the International Knee Documentation Committee (IKDC) score, Knee Injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and analog scale (VAS) in the two groups at 42 months. Results. After 18 weeks, the meniscus healing rate was significantly higher in the PRP-treated group than in the control group (85% versus 47%, P=0.048). Functional outcomes were significantly better 42 months after treatment than at baseline in both groups. The IKDC score, WOMAC, and KOOS were significantly better in the PRP-treated group than in the control group. No adverse events were reported during the study period. Conclusions. The findings of this study indicate that PRP augmentation in meniscus repair results in improvements in both meniscus healing and functional outcome.
abstract_type general
abstract_lang eng
language eng
publisher Hindawi Limited
_version_ 1793496395984928768
score 13,561486