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富血小板血浆疗法对年轻运动员运动损伤愈合的疗效

Efficiency of platelet-rich plasma therapy for healing sports injuries in young athletes.

作者信息

Herdea Alexandru, Struta Alexandra, Derihaci Răzvan Petru, Ulici Alexandru, Costache Adrian, Furtunescu Florentina, Toma Alexandra, Charkaoui Adham

机构信息

11th Department of Pediatric Orthopedics, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Pediatric Orthopedics, 'Grigore Alexandrescu' Children's Emergency Hospital, 011743 Bucharest, Romania.

出版信息

Exp Ther Med. 2022 Mar;23(3):215. doi: 10.3892/etm.2022.11139. Epub 2022 Jan 11.

Abstract

In recent years, platelet-rich plasma (PRP) therapy has been a subject of controversy in orthopedics field. Our objective was to assess the efficiency of PRP therapy for patients who have suffered grade 2 meniscal lesions and grade 2 anterior cruciate ligament (ACL) lesions, graded by magnetic resonance imaging (MRI). A retrospective observational study was conducted, which included 72 young recreational athletes who had been diagnosed with grade 2 meniscal injury, graded using MRI, that benefited from PRP therapy as an enhancement of the primary treatment, after cast immobilization. The Lysholm score, the pain intensity and the resuming of the physical activity before the PRP treatment and one month after were analyzed. Our study revealed that patients had an improved subjective perception of pain after PRP therapy and an improvement of the Lysholm score. Concurrently, 83.3% of patients could return to sports and daily physical activity. It can be concluded that PRP therapy is a safe, easy to manage treatment, efficient for pain relief and in resuming of sports activities for young recreational athletes who have sustained partial meniscal or ACL tears. In terms of pain relief, it appears that the PRP therapy could be more efficient for young patients with ACL injuries.

摘要

近年来,富血小板血浆(PRP)疗法在骨科领域一直是一个有争议的话题。我们的目的是评估PRP疗法对经磁共振成像(MRI)分级为2级半月板损伤和2级前交叉韧带(ACL)损伤患者的疗效。我们进行了一项回顾性观察研究,纳入了72名年轻的休闲运动员,他们经MRI诊断为2级半月板损伤,在石膏固定后,作为主要治疗的强化手段接受了PRP治疗。分析了PRP治疗前和治疗后1个月的Lysholm评分、疼痛强度以及体育活动恢复情况。我们的研究表明,患者在PRP治疗后疼痛的主观感受有所改善,Lysholm评分也有所提高。同时,83.3%的患者能够恢复运动和日常体育活动。可以得出结论,PRP疗法是一种安全、易于管理的治疗方法,对于遭受部分半月板或ACL撕裂的年轻休闲运动员来说,在缓解疼痛和恢复体育活动方面是有效的。在缓解疼痛方面,PRP疗法似乎对年轻的ACL损伤患者更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d96/8796279/bc2b819931b7/etm-23-03-11139-g00.jpg

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