title: [Platelet-rich plasma in knee osteoarthritis treatment].
abstract: The biological changes that commonly cause degenerative articular cartilage injuries in the knee are primarily associated to misalignment of the joint and metabolic changes related to age, as occurs in osteoarthritis. Furthermore, the capacity for cartilage self-regeneration is quite limited due to the lack of vascularity of the tissue. To date there is no ideal treatment capable to stimulate cartilage regeneration; thus there is a need to seek alternative therapies for the treatment of such conditions. The number of publications demonstrating the therapeutic and regenerative benefits of using platelet-rich plasma as a treatment for knee osteoarthritis has been increasing in recent years. In spite of encouraging results, there are still only a few randomised control studies with strong clinical evidence, lacking clarity on points such as the optimum formulation or the mechanism of action of platelet-rich plasma. Up to this point and based on the results of clinical studies, not all patients can benefit from this therapy. It is important to consider aspects such as the age and grade of cartilage degeneration. The aim of the present paper is to review the recent scientific literature on the treatment of knee osteoarthritis with platelet-rich plasma, and the biological bases of this therapy, as well as presenting the current opinion on this subject.
authors.affiliation: Departamento de Bioquímica y Medicina Molecular, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: Mario Alberto
authors.initials: MA
authors.lastname: Simental-Mendía
authors.affiliation: Servicio de Ortopedia y Traumatología, Hospital Universitario Dr. José Eleuterio González,Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: José Félix
authors.initials: JF
authors.lastname: Vílchez-Cavazos
authors.affiliation: Departamento de Bioquímica y Medicina Molecular, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. Electronic address: herminia.martinezrd@uanl.edu.mx.
authors.forename: Herminia Guadalupe
authors.initials: HG
authors.lastname: Martínez-Rodríguez
mesh_terms: D006801:Humans; D020370:Osteoarthritis, Knee / Q000628:therapy*; D053657:Platelet-Rich Plasma
keywords: Cartilage; Factores de crecimiento; Growth factors; Osteoarthritis; Osteoartrosis; Plasma rico en plaquetas; Platelet-rich plasma; Regeneración; Regeneration; Rodilla