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富血小板血浆疗法在半月板损伤治疗中的应用:一项叙述性综述。

Utility of Platelet-Rich Plasma Therapy in the Management of Meniscus Injuries: A narrative review.

作者信息

El Zouhbi Anas, Yammine Jeffrey, Hemdanieh Maya, Korbani Elie Toni, Nassereddine Mohamad

机构信息

Faculty of Medicine American University of Beirut, Beirut, Lebanon.

Division of Orthopedic Surgery American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

Orthop Rev (Pavia). 2024 Mar 17;16:94240. doi: 10.52965/001c.94240. eCollection 2024.

Abstract

Menisci are crucial for knee joint functions and meniscal tears are common injuries, especially in sports activities. Platelet-rich plasma (PRP), which enhances healing, has emerged as a promising additive treatment for meniscus injuries, utilizing the regenerative properties of platelets and growth factors for improved clinical outcomes. In studies with a follow-up period of less than one year, the use of platelet-rich plasma (PRP) therapy for meniscus injuries showed significant improvements in knee symptoms and daily activity. Patients experienced enhanced outcomes in terms of pain reduction and increased sports activity, with MRI scans indicating stable meniscus conditions after six months. Studies with a follow-up of more than one year, however, did not find significant differences between groups treated with PRP and groups not treated with PRP in terms of various outcome measures, including pain and knee function. The vascularization of the menisci is vital for their proper function, and insufficient blood supply can affect healing of meniscal injuries. PRP therapy is used to enhance meniscal healing by introducing growth factors and anti-inflammatory agents. PRP therapy may enable athletes with meniscal tears to return to sports more quickly and has less rehabilitation duration. While PRP seems promising as an alternative to failed treatment or as an adjunct to treatment in the short term, its long-term effectiveness remains inconclusive. Patient preferences, commitment to therapy rehabilitation, and cost should all be considered on an individual basis.

摘要

半月板对膝关节功能至关重要,半月板撕裂是常见损伤,尤其是在体育活动中。富含血小板血浆(PRP)具有促进愈合的作用,已成为一种有前景的半月板损伤辅助治疗方法,利用血小板和生长因子的再生特性来改善临床结果。在随访期少于一年的研究中,使用富含血小板血浆(PRP)疗法治疗半月板损伤在膝关节症状和日常活动方面显示出显著改善。患者在减轻疼痛和增加体育活动方面有更好的结果,磁共振成像(MRI)扫描显示六个月后半月板状况稳定。然而,随访超过一年的研究发现,在包括疼痛和膝关节功能在内的各种结果指标方面,接受PRP治疗的组与未接受PRP治疗的组之间没有显著差异。半月板的血管化对其正常功能至关重要,血液供应不足会影响半月板损伤的愈合。PRP疗法通过引入生长因子和抗炎剂来促进半月板愈合。PRP疗法可能使半月板撕裂的运动员更快重返运动,康复时间更短。虽然PRP作为失败治疗的替代方法或短期内治疗的辅助手段似乎很有前景,但其长期有效性仍不确定。应根据个体情况考虑患者偏好、对治疗康复的投入以及成本。

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