Deans Victoria M, Miller Alison, Ramos James
Department of Trauma and Orthopaedics, Birmingham Heartlands Hospital, Birmington, United Kingdom.
J Foot Ankle Surg. 2012 Nov-Dec;51(6):706-10. doi: 10.1053/j.jfas.2012.06.009. Epub 2012 Jul 21.
Chronic Achilles tendinopathy is a difficult problem to manage, because it can result in significant patient morbidity. We conducted a prospective case series involving 26 patients (2 bilateral cases) with painful and ultrasound-confirmed Achilles tendinopathy for a minimum duration of 6 months. Our objective was to assess whether this condition can be effectively treated with a treatment protocol combining an intratendinous autologous-conditioned plasma injection followed by a standardized rehabilitation protocol. The rehabilitation protocol consisted of full weightbearing in a pneumatic cast boot for 6 weeks, therapeutic ultrasound treatment, and an eccentric exercise program. Our results showed statistically significant improvements in terms of pain (p < .0001), other symptoms (p = .0003), activities of daily living (p = .0002), sports activities (p = .0001), and quality of life (p = .0002). We believe that the use of autologous-conditioned plasma can provide a potential treatment solution for chronic Achilles tendinopathy.
慢性跟腱病是一个难以处理的问题，因为它会导致患者出现明显的发病情况。我们开展了一项前瞻性病例系列研究，纳入了26例（2例双侧病例）经超声确诊、病程至少6个月的疼痛性跟腱病患者。我们的目的是评估采用一种先进行腱内自体浓缩血浆注射，随后进行标准化康复方案的治疗方案能否有效治疗这种疾病。康复方案包括在气动石膏靴中完全负重6周、接受超声治疗以及进行离心运动计划。我们的结果显示，在疼痛（p <.0001）、其他症状（p =.0003）、日常生活活动（p =.0002）、体育活动（p =.0001）和生活质量（p =.0002）方面均有统计学上的显著改善。我们认为，使用自体浓缩血浆可为慢性跟腱病提供一种潜在的治疗方案。
