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注射富血小板血浆治疗足底筋膜炎后的功能结局

Functional Outcomes After Injections of Platelet-Rich Plasma for Plantar Fasciitis.

作者信息

Singh Harpreet, Tyagi Sangam, Qamar Rayed, Parikh Mit, Sen Akshit, Joshi Kavya, Rampurwala Ammar, Bhrambhatt Purvesh

机构信息

Orthopaedics, Geetanjali Medical College and Hospital, Udaipur, IND.

Orthopaedics and Traumatology, Geetanjali Medical College and Hospital, Udaipur, IND.

出版信息

Cureus. 2025 Apr 30;17(4):e83276. doi: 10.7759/cureus.83276. eCollection 2025 Apr.

Abstract

Objective Plantar fasciitis is a rather common disorder with symptoms like heel discomfort. It usually gets worse with prolonged rest. Platelet-rich plasma (PRP) injections, derived from autologous blood, have emerged as a promising treatment option by promoting tissue healing and reducing inflammation. This study evaluates the outcome of PRP injections in decreasing pain and improving patients' function. Methods This study included 100 identified cases of plantar fasciitis altogether. After PRP injections, their results were evaluated using the American Orthopedic Foot and Ankle Score (AOFAS) at baseline and the visual analog scale (VAS) both at baseline and four, eight, and 12 weeks following injection. Results The mean VAS decreased to one from seven in males and from seven to one in females. A statistically significant difference existed between the males and females at four weeks (p ≤ 0.0001), eight weeks (p ≤ 0.0001), and 12 weeks (p = 1.0), and the AOFAS score reached 95/96 from 56/58 in males and females. Conclusion The efficacy of PRP in the treatment of plantar fasciitis is very high. It provides very good outcomes with significant pain relief while also promoting healing of the plantar fascia.

摘要

目的 足底筋膜炎是一种较为常见的疾病,伴有足跟不适等症状。长时间休息通常会使病情加重。源自自体血液的富血小板血浆(PRP)注射已成为一种有前景的治疗选择,可促进组织愈合并减轻炎症。本研究评估PRP注射在减轻疼痛和改善患者功能方面的效果。方法 本研究共纳入100例确诊的足底筋膜炎病例。PRP注射后,在基线时使用美国矫形足踝评分(AOFAS)进行评估,并在注射后的第4周、第8周和第12周以及基线时使用视觉模拟量表(VAS)进行评估。结果 男性的VAS平均分从7降至1,女性从7降至1。男性和女性在第4周(p≤0.0001)、第8周(p≤0.0001)和第12周(p = 1.0)存在统计学显著差异,男性和女性的AOFAS评分从56/58提高到95/96。结论 PRP治疗足底筋膜炎的疗效非常高。它能显著减轻疼痛,同时促进足底筋膜愈合,带来非常好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb5/12126916/d6c22abb1d46/cureus-0017-00000083276-i01.jpg

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