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手术后半月板修复伴或不伴多次关节内注射富血小板血浆的临床结果

Clinical Outcomes of Meniscus Repair with or without Multiple Intra-Articular Injections of Platelet Rich Plasma after Surgery.

作者信息

Yang Cheng-Pang, Hung Kung-Tseng, Weng Chun-Jui, Chen Alvin Chao-Yu, Hsu Kuo-Yao, Chan Yi-Sheng

机构信息

Department of Orthopedic Surgery, Division of Sports Medicine Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Linkou 333, Taiwan.

Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou 333, Taiwan.

出版信息

J Clin Med. 2021 Jun 9;10(12):2546. doi: 10.3390/jcm10122546.

Abstract

Preservation of the meniscal volume is crucial in meniscus repair. The goal of this study was to evaluate the clinical outcome of repeated intra-articular platelet-rich plasma (PRP) injections after arthroscopic repair of a traumatic meniscal tear. We retrospectively reviewed 61 primary meniscal repairs in 61 patients (PRP group: 30; non-PRP: 31) from 2017 to 2018. Patients in the PRP group received repeated intra-articular PRP injections in week 2,4,6 after the primary meniscus repair. Subsequent meniscal repair treatment or meniscectomy, knee arthroplasty, and IKDC changes of less than 11.5 points were defined as healing failures. After following up for at least 24 months, the IKDC score was 75.1 ± 13.6, and the Lysholm score was 80.6 ± 14.9 in the PRP group and 72.6 ± 15.8 (IKDC) and 77.7 ± 17.2 (Lysholm) in the non-PRP group. Healing rates of the PRP and the non-PRP groups were 93.3% (Kaplan-Meier 91.6%) and 87.1% (Kaplan-Meier 84.7%), respectively (log rank test = 0.874). Our study is the first to use multiple intra-articular PRP injections to facilitate meniscal healing after meniscal repair. Though selection bias may be present in this study, the PRP group had similar functional outcome and healing rate compared to non-PRP group.

摘要

保留半月板体积在半月板修复中至关重要。本研究的目的是评估创伤性半月板撕裂关节镜修复术后重复关节内注射富血小板血浆(PRP)的临床疗效。我们回顾性分析了2017年至2018年61例患者的61例初次半月板修复病例(PRP组:30例;非PRP组:31例)。PRP组患者在初次半月板修复后第2、4、6周接受重复关节内PRP注射。后续的半月板修复治疗或半月板切除术、膝关节置换术以及国际膝关节文献委员会(IKDC)评分变化小于11.5分被定义为愈合失败。至少随访24个月后,PRP组的IKDC评分为75.1±13.6,Lysholm评分为80.6±14.9;非PRP组的IKDC评分为72.6±15.8,Lysholm评分为77.7±17.2。PRP组和非PRP组的愈合率分别为93.3%(Kaplan-Meier法为91.6%)和87.1%(Kaplan-Meier法为84.7%)(对数秩检验=0.874)。我们的研究首次使用多次关节内PRP注射来促进半月板修复后的愈合。尽管本研究可能存在选择偏倚,但与非PRP组相比,PRP组的功能结局和愈合率相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcc/8228048/234f7f63af0f/jcm-10-02546-g001.jpg

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