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病例系列:富血小板血浆(PRP)对双侧前交叉韧带(ACL)重建术中半腱肌和股薄肌移植物取出后双侧肌肉损伤恢复的影响。

Case series: effects of platelet-rich plasma (PRP) on the recovery of bilateral muscle injuries after removal of semitendinosus and gracilis grafts in bilateral anterior cruciate ligament (ACL) reconstruction.

作者信息

De Castro Pochini Alberto, Bueno Anna Carolina, Mattos Roque Antonio Cury, Ejnisman Benno, Cohen Moises

机构信息

Department of Orthopedics and Traumatology, UNIFESP, RUA BOTUCATU, 740-1o. ANDARVILA CLEMENTINO - SP, CEP 04023-900, Sao Paulo, Brazil.

Sports Medicine and Physical Activity Discipline, EPM/UNIFESP, R. Estado de Israel, 713 - Vila Clementino, São Paulo - SP, 04022-002, Brazil.

出版信息

J Surg Case Rep. 2025 Feb 10;2025(2):rjae641. doi: 10.1093/jscr/rjae641. eCollection 2025 Feb.

DOI:10.1093/jscr/rjae641
PMID:39931035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11808801/
Abstract

To assess the healing of acute bilateral muscle injury in cases of bilateral anterior cruciate ligament reconstruction using platelet-rich plasma (PRP) after tendon graft removal. The study included 12 cases of bilateral anterior cruciate ligament reconstruction using semitendinosus and gracilis (STG) grafts. In the right knee, the STG graft was removed, and saline solution was applied; in the left knee, the graft was removed, and PRP was applied. Patients were evaluated using the visual analog scale, pre and postoperative isokinetic tests (5 months), and muscle area analysis. A slight difference in results was observed at 15 and 30 days on the PRP-treated side, but there was no variation in circumference and muscle strength. Due to the small sample size, the study will be continued to increase the number of cases, aiming for the publication of results.

摘要

评估在肌腱移植物移除后使用富血小板血浆(PRP)进行双侧前交叉韧带重建的病例中急性双侧肌肉损伤的愈合情况。该研究纳入了12例使用半腱肌和股薄肌(STG)移植物进行双侧前交叉韧带重建的病例。在右膝,移除STG移植物并应用生理盐水;在左膝,移除移植物并应用PRP。使用视觉模拟量表、术前和术后等速测试(5个月)以及肌肉面积分析对患者进行评估。在PRP治疗侧,15天和30天时观察到结果略有差异,但周长和肌肉力量没有变化。由于样本量小,该研究将继续增加病例数量,以期发表结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99d/11808801/3ead43e8df59/rjae641f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99d/11808801/3ead43e8df59/rjae641f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99d/11808801/3ead43e8df59/rjae641f1.jpg

相似文献

1
Case series: effects of platelet-rich plasma (PRP) on the recovery of bilateral muscle injuries after removal of semitendinosus and gracilis grafts in bilateral anterior cruciate ligament (ACL) reconstruction.病例系列:富血小板血浆(PRP)对双侧前交叉韧带(ACL)重建术中半腱肌和股薄肌移植物取出后双侧肌肉损伤恢复的影响。
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[The effect of platelet-rich plasma on graft healing in reconstruction of the anterior cruciate ligament of the knee joint: prospective study].[富血小板血浆对膝关节前交叉韧带重建中移植物愈合的影响:前瞻性研究]
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本文引用的文献

1
The Biological Use of Platelet-Rich Plasma in Skeletal Muscle Injury and Repair.富含血小板血浆在骨骼肌损伤与修复中的生物学应用
Am J Sports Med. 2023 Apr;51(5):1347-1355. doi: 10.1177/03635465211061606. Epub 2021 Dec 14.
2
Treatment of Acute Thigh Muscle Injury with or without Hematoma Puncture in Athletes.运动员急性大腿肌肉损伤伴或不伴血肿穿刺的治疗
Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):6-12. doi: 10.1016/j.rbo.2017.09.002. Epub 2019 Mar 1.
3
Current Clinical Recommendations for Use of Platelet-Rich Plasma.富血小板血浆使用的当前临床建议。
Curr Rev Musculoskelet Med. 2018 Dec;11(4):624-634. doi: 10.1007/s12178-018-9527-7.
4
Treatment of Muscle Injuries with Platelet-Rich Plasma: a Review of the Literature.富血小板血浆治疗肌肉损伤:文献综述
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5
Analysis of cytokine profile and growth factors in platelet-rich plasma obtained by open systems and commercial columns.通过开放系统和商业柱获得的富血小板血浆中细胞因子谱和生长因子的分析。
Einstein (Sao Paulo). 2016 Jul-Sep;14(3):391-397. doi: 10.1590/S1679-45082016AO3548.
6
Platelet-rich plasma injections in acute muscle injury.急性肌肉损伤中的富血小板血浆注射
N Engl J Med. 2014 Jun 26;370(26):2546-7. doi: 10.1056/NEJMc1402340.
7
Platelet-rich plasma (PRP) for acute muscle injury: a systematic review.富血小板血浆(PRP)治疗急性肌肉损伤:一项系统评价。
PLoS One. 2014 Feb 28;9(2):e90538. doi: 10.1371/journal.pone.0090538. eCollection 2014.
8
Platelet-rich therapies for musculoskeletal soft tissue injuries.用于肌肉骨骼软组织损伤的富血小板疗法。
Cochrane Database Syst Rev. 2013 Dec 23(12):CD010071. doi: 10.1002/14651858.CD010071.pub2.
9
Does single intramuscular application of autologous conditioned plasma influence systemic circulating growth factors?自体条件血浆单次肌内注射是否影响全身循环生长因子?
J Sports Sci Med. 2012 Sep 1;11(3):551-6. eCollection 2012.
10
Use of an antifibrotic agent improves the effect of platelet-rich plasma on muscle healing after injury.使用抗纤维化药物可提高富血小板血浆在损伤后肌肉愈合中的作用。
J Bone Joint Surg Am. 2013 Jun 5;95(11):980-8. doi: 10.2106/JBJS.L.00266.