Sheinkop Mitchell, Langhenry Mary, Abd-Elsayed Alaa
Cellular Orthopedics, Chicago, IL 60661, USA.
Department of Anesthesiology, University of Wisconsin, Madison, WI 53706, USA.
Life (Basel). 2024 Oct 21;14(10):1340. doi: 10.3390/life14101340.
Knee osteoarthritis (OA) is a highly prevalent and debilitating condition with significant emotional and economic impacts. Current treatment options may only provide temporary pain relief and are not regenerative, thus the progression of knee OA is not deterred and total knee arthroplasty is inevitable. Injection therapies with orthobiologics possess regenerative potential and are an emerging treatment option. We present a prospective study aimed at examining patients with knee OA who had received an autologous platelet concentrate fluid (APCF) injection produced through a fluid volume reducer.
This was an observational review of the results following an APCF injection in a cohort of patients at a single site. Patients were included in the study if they were diagnosed with K/L grade 2-3 knee OA and treated with an APCF knee injection. Patients were excluded if they had obtained an orthobiologic injection in the three months prior to study enrollment or if baseline data were unavailable. Knee score and function score were used to assess patients at the baseline and post-injection follow-ups.
Improvements for knee score were statistically significant for the follow-ups at three months, six months, one year, and three years. Function score improved, with statistically significant changes for the three month and three year follow-ups.
Our study demonstrates that there is some utility in using APCF injection for knee OA, with improvements that may be sustained up to three years in some patients.
膝关节骨关节炎(OA)是一种高度流行且使人衰弱的疾病,具有重大的情感和经济影响。目前的治疗选择可能只能提供暂时的疼痛缓解,且不具有再生作用,因此膝关节OA的进展无法得到阻止,全膝关节置换术不可避免。使用骨科生物制剂的注射疗法具有再生潜力,是一种新兴的治疗选择。我们开展了一项前瞻性研究,旨在检查接受通过液体体积减少器制备的自体浓缩血小板液(APCF)注射的膝关节OA患者。
这是对单个地点一组患者接受APCF注射后结果的观察性回顾。如果患者被诊断为K/L 2-3级膝关节OA并接受了APCF膝关节注射,则纳入研究。如果患者在研究入组前三个月内接受过骨科生物制剂注射,或者基线数据不可用,则排除该患者。使用膝关节评分和功能评分在基线及注射后随访时评估患者。
在三个月、六个月、一年和三年的随访中,膝关节评分的改善具有统计学意义。功能评分有所改善,在三个月和三年随访时有统计学意义的变化。
我们的研究表明,使用APCF注射治疗膝关节OA有一定作用,在一些患者中改善效果可能持续长达三年。