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透明质酸与富血小板血浆对髌软骨病的协同作用

The Synergistic Effects of Hyaluronic Acid and Platelet-Rich Plasma for Patellar Chondropathy.

作者信息

Costa Fábio Ramos, Santos Márcia da Silva, Martins Rubens Andrade, Costa Cláudia Bruno, Hamdan Paulo César, Da Silva Marcos Britto, Azzini Gabriel Ohana Marques, Pires Luyddy, Menegassi Zartur, Santos Gabriel Silva, Lana José Fábio

机构信息

Department of Orthopedics, FC Sports Traumatology Clinic, Salvador 40296-210, Brazil.

Metropolitan Union of Education and Culture, Salvador 42700-000, Brazil.

出版信息

Biomedicines. 2023 Dec 19;12(1):6. doi: 10.3390/biomedicines12010006.

Abstract

Musculoskeletal disorders are increasingly prevalent worldwide, causing significant socioeconomic burdens and diminished quality of life. Notably, patellar chondropathy (PC) is among the most widespread conditions affecting joint structures, resulting in profound pain and disability. Hyaluronic acid (HA) and platelet-rich plasma (PRP) have emerged as reliable, effective, and minimally invasive alternatives. Continuous research spanning from laboratory settings to clinical applications demonstrates the numerous advantages of both products. These encompass lubrication, anti-inflammation, and stimulation of cellular behaviors linked to proliferation, differentiation, migration, and the release of essential growth factors. Cumulatively, these benefits support the rejuvenation of bone and cartilaginous tissues, which are otherwise compromised due to the prevailing degenerative and inflammatory responses characteristic of tissue damage. While existing literature delves into the physical, mechanical, and biological facets of these products, as well as their commercial variants and distinct clinical uses, there is limited discussion on their interconnected roles. We explore basic science concepts, product variations, and clinical strategies. This comprehensive examination provides physicians with an alternative insight into the pathophysiology of PC as well as biological mechanisms stimulated by both HA and PRP that contribute to tissue restoration.

摘要

肌肉骨骼疾病在全球范围内日益普遍,造成了巨大的社会经济负担并降低了生活质量。值得注意的是,髌软骨病(PC)是影响关节结构最常见的病症之一,会导致严重疼痛和残疾。透明质酸(HA)和富血小板血浆(PRP)已成为可靠、有效且微创的替代疗法。从实验室环境到临床应用的持续研究证明了这两种产品的诸多优势。这些优势包括润滑、抗炎以及刺激与增殖、分化、迁移和释放重要生长因子相关的细胞行为。总体而言,这些益处有助于骨骼和软骨组织的修复,否则这些组织会因组织损伤普遍存在的退行性和炎症反应而受损。虽然现有文献深入探讨了这些产品的物理、机械和生物学方面,以及它们的商业变体和不同的临床用途,但关于它们相互关联的作用的讨论有限。我们探讨了基础科学概念、产品变体和临床策略。这种全面的研究为医生提供了对PC病理生理学以及HA和PRP刺激的有助于组织修复的生物学机制的另一种见解。

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