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自体富血小板血浆注射治疗足底筋膜炎的疗效

Efficacy of Autologous Platelet-Rich Plasma Injections for Treating Plantar Fasciitis.

作者信息

Ahmad Waseem, Ullah Rahim, Ullah Zia, Roghani Arsalan Shah, Raza Muhammad Maaz, Hassan Rao Erbaz, Khan Moiz I, Khan Hafiz Mursalin, Faraj Mustafa, Khan Irfan

机构信息

Trauma and Orthopedics, Mufti Mehmod Memorial Teaching Hospital, Dera Ismail Khan, PAK.

Surgery, Hayatabad Medical Complex Medical Teaching Institute (MTI), Peshawar, PAK.

出版信息

Cureus. 2024 Oct 23;16(10):e72208. doi: 10.7759/cureus.72208. eCollection 2024 Oct.

DOI:10.7759/cureus.72208
PMID:39583524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583948/
Abstract

Introduction Plantar fasciitis, a common cause of heel pain, is often treated conservatively. Platelet-rich plasma (PRP) injections have emerged as a promising treatment option. This study aimed to evaluate the efficacy of autologous PRP injections for plantar fasciitis. The objective of this study was to assess the effectiveness of autologous PRP injections delivered at the plantar fascia origin in reducing pain (measured by the Visual Analog Scale (VAS) pain intensity score) in patients with plantar fasciitis. Materials and methods A prospective cohort study was conducted at the Department of Orthopedics, Hayatabad Medical Complex, Peshawar. Patients with plantar fasciitis, a VAS pain score ≥ 7, and failure of conservative treatment were included. A single injection of autologous PRP was administered to the plantar fascia. Pain reduction was assessed using the VAS score at a 12-week follow-up. Result The study included 163 patients. Success was achieved in 80.3% of cases, showing that autologous PRP injection resulted in significant pain improvement in patients with plantar fasciitis (p≤0.05). An increased likelihood of successful treatment was observed in individuals with symptoms lasting less than 12 months. No other variables (gender, age group, residence, literacy) significantly impacted treatment efficacy. Conclusion Autologous PRP injections may be a promising treatment option for plantar fasciitis, particularly when administered early. Further research is needed to validate these findings and explore optimal patient selection criteria.

摘要

引言

足底筋膜炎是足跟疼痛的常见原因,通常采用保守治疗。富血小板血浆(PRP)注射已成为一种有前景的治疗选择。本研究旨在评估自体PRP注射治疗足底筋膜炎的疗效。本研究的目的是评估在足底筋膜起点注射自体PRP对减轻足底筋膜炎患者疼痛(通过视觉模拟量表(VAS)疼痛强度评分测量)的有效性。

材料与方法

在白沙瓦哈亚塔巴德医疗中心骨科进行了一项前瞻性队列研究。纳入足底筋膜炎患者,其VAS疼痛评分≥7且保守治疗失败。向足底筋膜注射一次自体PRP。在12周随访时使用VAS评分评估疼痛减轻情况。

结果

该研究纳入了163例患者。80.3%的病例取得了成功,表明自体PRP注射使足底筋膜炎患者的疼痛显著改善(p≤0.05)。症状持续时间少于12个月的个体治疗成功的可能性增加。没有其他变量(性别、年龄组、居住地、文化程度)对治疗效果有显著影响。

结论

自体PRP注射可能是治疗足底筋膜炎的一种有前景的治疗选择,尤其是早期注射。需要进一步研究来验证这些发现并探索最佳的患者选择标准。