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使用富血小板血浆增强髋部和骨盆疾病的保守治疗及手术治疗。

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders.

作者信息

Kraeutler Matthew J, Garabekyan Tigran, Mei-Dan Omer

机构信息

University of Colorado School of Medicine, Department of Orthopedics, Aurora, USA.

Southern California Hip Institute, North Hollywood, CA, USA.

出版信息

Muscles Ligaments Tendons J. 2016 Dec 21;6(3):410-419. doi: 10.11138/mltj/2016.6.3.410. eCollection 2016 Jul-Sep.

DOI:10.11138/mltj/2016.6.3.410
PMID:28066748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5193533/
Abstract

BACKGROUND

In recent years, platelet-rich plasma (PRP) has gained popularity within the orthopaedic community as a treatment modality to enhance tissue healing.

PURPOSE

This review aims to concisely present the current indications for PRP injections in the treatment of hip and pelvic pathologies and to describe some novel applications for PRP which have not yet been reported in the literature.

METHODS

We reviewed the literature on the non-operative and operative indications for PRP in the treatment of hip and pelvic pathologies.

CONCLUSIONS

With regard to hip and pelvic pathologies, PRP injections are used most commonly as a non-operative intervention, and have been described in the literature to treat osteoarthritis of the hip joint as well as tendinopathy of the hamstrings, adductor longus, and gluteus medius. In contrast, most of the surgical applications of PRP for the hip are novel, with few reported studies in the literature. Because of the increasing awareness of PRP's beneficial effects on musculoskeletal healing and thus the growing number of indications for its use, this review also describes some novel applications for PRP, including osteitis pubis, post-microfracture of the hip, tears of the rectus femoris, and avulsion of the sartorius muscle.

LEVEL OF EVIDENCE

V.

摘要

背景

近年来,富血小板血浆(PRP)作为一种促进组织愈合的治疗方式,在骨科领域越来越受欢迎。

目的

本综述旨在简要介绍PRP注射治疗髋部和骨盆疾病的当前适应证,并描述一些尚未见文献报道的PRP新应用。

方法

我们回顾了关于PRP治疗髋部和骨盆疾病的非手术及手术适应证的文献。

结论

对于髋部和骨盆疾病,PRP注射最常用于非手术干预,文献中已描述其可用于治疗髋关节骨关节炎以及腘绳肌、长收肌和臀中肌的肌腱病。相比之下,PRP在髋部的大多数手术应用都是新的,文献报道的研究较少。由于对PRP对肌肉骨骼愈合有益作用的认识不断提高,其使用适应证也不断增加,本综述还描述了PRP的一些新应用,包括耻骨炎、髋部微骨折术后、股直肌撕裂和缝匠肌撕脱。

证据水平

V级。

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Muscles, Ligaments and Tendons Journal - Basic principles and recommendations in clinical and field Science Research: 2016 Update.《肌肉、韧带和肌腱杂志》——临床与现场科学研究的基本原理及建议:2016年更新版
Muscles Ligaments Tendons J. 2016 May 19;6(1):1-5. doi: 10.11138/mltj/2016.6.1.001. eCollection 2016 Jan-Mar.
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Platelet-Rich Plasma May Improve Osteochondral Donor Site Healing in a Rabbit Model.富血小板血浆可能改善兔模型中骨软骨供体部位的愈合。
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The Cost-Effectiveness of Using Platelet-Rich Plasma During Rotator Cuff Repair: A Markov Model Analysis.肩袖修复术中使用富血小板血浆的成本效益:马尔可夫模型分析
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Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study.超声引导下单独及联合注射富血小板血浆和透明质酸治疗髋骨关节炎:一项随机对照研究
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Short term results comparison of intraarticular platelet-rich plasma (prp) and hyaluronic acid (ha) applications in early stage of knee osteoarthritis.膝关节骨关节炎早期关节腔内应用富血小板血浆(PRP)与透明质酸(HA)的短期效果比较
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Autologous Platelet-Rich Plasma Preparations: Influence of Nonsteroidal Anti-inflammatory Drugs on Platelet Function.富血小板血浆制剂:非甾体抗炎药对血小板功能的影响。
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Leukocyte and Platelet Rich Plasma (L-PRP) Versus Leukocyte and Platelet Rich Fibrin (L-PRF) For Articular Cartilage Repair of the Knee: A Comparative Evaluation in an Animal Model.富白细胞和血小板血浆(L-PRP)与富白细胞和血小板纤维蛋白(L-PRF)用于膝关节软骨修复:动物模型的比较评估
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