Current concept for the use of PRP in arthroscopic surgery.
PRP is commonly used in sports medicine and because it is supposed to increase healing capacities of damaged tissues, it is expected to be increase efficiency or god clinical outcomes when added to arthroscopic surgical procedure. The current review of literature explores the evidence-based medicine supporting the use of PRP in three arthroscopic related disorders. Regarding cartilage lesions of the knee, many studies are exploring several aspect of cartilage lesion treatment. It appears that PRP, in some protocols with specific concentration, should be more efficient than current therapies in the treatment of early stages of knee OA, but only in the field of rheumatology or sport medicine, not when used during surgery. PRP have been used in ACL reconstruction, no benefit has been reported in any study regarding clinical or radiological outcomes. In shoulder cuff disorder, to date, no clinical benefit nor increased healing rate have been clearly reported. Thus, in 2013, it is clear that there is no evidence base medicine data supporting the use of PRP in arthroscopic surgery.
Clinique Maussins-Nollet & UR4 université Pierre-et-Marie-Curie, 67, rue de Romainville, 75019 Paris, France. Electronic address: gnourissat@wanadoo.fr.
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Nourissat
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Mainard
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Kelberine
D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D003131:Combined Modality Therapy; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000628:therapy; D008297:Male; D053657:Platelet-Rich Plasma; D016032:Randomized Controlled Trials as Topic; D020127:Recovery of Function; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery; D013178:Sports Medicine / Q000379:methods; D013708:Tendon Injuries / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing / Q000187:drug effects*
Arthroscopic surgery; Evidence-based medecine; PRP; Therapeutic value