Karabas Caglar, Tezcan Ezgi Akyildiz
Private Practice, Antalya, Turkiye.
Department of Physical Medicine and Rehabilitation, Cumra State Hospital, Konya, Turkiye.
North Clin Istanb. 2025 Apr 22;12(2):204-210. doi: 10.14744/nci.2024.89587. eCollection 2025.
Osteoarthritis (OA) is a prevalent and disabling joint condition that affects millions worldwide, particularly in the knee joint, and it presents limited therapeutic options. Platelet-rich plasma (PRP) and hyaluronic acid (HA) have emerged as promising intra-articular treatments. This study aimed to compare the effects of single-dose PRP and HA on pain, functionality, and stiffness in patients with knee OA over a 12-week follow-up period.
A retrospective analysis was conducted on 64 patients who underwent single-dose intra-articular HA or PRP treatment for knee OA between December 2021 and June 2022. Pain and functional outcomes were assessed using the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. Patient satisfaction was evaluated using a Likert scale. Appropriate statistical analyses were performed to compare treatment outcomes and p<0.05 was considered statistically significant.
Both PRP and HA treatments led to significant improvements in pain, functionality, and stiffness over the 12-week follow-up period. VAS pain scores decreased significantly in both groups, but a greater reduction was observed in the HA group. Additionally, the HA group exhibited superior improvement in the WOMAC physical function score at the 4-week mark (p=0.047).
This study is another novel contribution to the growing literature on treatment of PRP and HA treatments for knee OA, where we highlighted the potential benefits of single-dose HA in alleviating pain and enhancing physical function.
骨关节炎(OA)是一种常见且致残的关节疾病,全球数百万人受其影响,尤其是膝关节,且治疗选择有限。富血小板血浆(PRP)和透明质酸(HA)已成为有前景的关节内治疗方法。本研究旨在比较单剂量PRP和HA对膝骨关节炎患者在12周随访期内疼痛、功能和僵硬程度的影响。
对2021年12月至2022年6月期间接受单剂量关节内HA或PRP治疗膝骨关节炎的64例患者进行回顾性分析。使用视觉模拟量表(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分评估疼痛和功能结果。使用李克特量表评估患者满意度。进行适当的统计分析以比较治疗结果,p<0.05被认为具有统计学意义。
在12周的随访期内,PRP和HA治疗均使疼痛、功能和僵硬程度有显著改善。两组的VAS疼痛评分均显著降低,但HA组降低幅度更大。此外,HA组在4周时WOMAC身体功能评分的改善更显著(p=0.047)。
本研究是关于PRP和HA治疗膝骨关节炎的文献不断增加的又一新颖贡献,我们强调了单剂量HA在减轻疼痛和增强身体功能方面的潜在益处。