Tiwari Mukesh, Bhargava Rakesh
Associate Professor, Dept. of Orthopaedics, NIMS Medical College, Shobha Nagar, Jaipur, Rajasthan, India.
Professor, Dept. of Orthopaedics, NIMS Medical College, Shobha Nagar, Jaipur, Rajasthan, India.
J Clin Orthop Trauma. 2013 Mar;4(1):31-5. doi: 10.1016/j.jcot.2013.01.008. Epub 2013 Feb 4.
Chronic muscle & tendon injuries are one of the problems which are encountered by human being since last long time. These injuries are generally repetitive strain injuries, commonly found in athletes. There are various treatments which include conservative methods in initial stages to surgery in later stages. On minimal invasive aspect Ultrasound-guided fenestration and tenotomy surgery has been used with good results as an effective treatment of chronic tendinopathies.(1,2) There are various injectable agents which were also researched including simple solutions such as hyperosmolar dextrose(3) (prolotherapy) to complex orthobiologic agents such as bone morphogenic protein,(4) but none have achieved uniform success. Platelet rich plasma (PRP) injection has emerged as a treatment alternative for many musculoskeletal conditions. We have done this study on sixty patients to evaluate & compare the effects of platelet rich plasma & steroid injection on patients with planter fasciitis. The results at the 1, 3 & 6 months were evaluated, which showed the good results with platelet rich plasma in comparison to steroid injections.
慢性肌肉和肌腱损伤是人类长期以来一直面临的问题之一。这些损伤通常是重复性劳损损伤,常见于运动员。治疗方法多种多样,包括初期的保守治疗和后期的手术治疗。在微创方面,超声引导下开窗和肌腱切断术已被用作治疗慢性肌腱病的有效方法,效果良好。(1,2)人们还研究了各种可注射药物,包括高渗葡萄糖等简单溶液(注射疗法)以及骨形态发生蛋白等复杂的矫形生物制剂,(4)但都没有取得一致的成功。富血小板血浆(PRP)注射已成为许多肌肉骨骼疾病的一种治疗选择。我们对60名患者进行了这项研究,以评估和比较富血小板血浆和类固醇注射对足底筋膜炎患者的效果。对1个月、3个月和6个月时的结果进行了评估,结果显示与类固醇注射相比,富血小板血浆的效果良好。