Researchers of a study which outlined the
evidence-based uses of platelet-rich plasma found that the therapy is
efficacious in the treatment of lateral epicondylitis, but other
indications require additional research.
“While evidence suggests that that
[platelet-rich plasma] PRP improves tissue healing, we also found that
success varies depending on the preparation method and composition of
the PRP, medical condition, location on the body and tissue type,” Wellington Hsu, MD, spine surgeon at Northwestern Memorial Hospital in Chicago, stated in a press release.
According to the release, Hsu and colleagues
found PRP was effective at treating ankle arthritis and lateral
epicondylitis, and had some healing properties when used during ACL
reconstruction. However, they concluded that more evidence was needed
when PRP was used in knee osteoarthritis cases, Achilles tendon repair,
rotator cuff repair and other chronic tendinopathies. Further, they said
PRP should not be used during spinal fusion or bone grafting
procedures.
“We are hopeful that our findings can serve as a roadmap on how and when PRP is appropriate in orthopedic care,” Michael Terry, MD,
an orthopedic surgeon at Northwest Memorial Hospital, stated in a
release. “Now that we have a better understanding of when this therapy
is effective, we can tailor it to other applications. For example, if we
know evidence supports PRP use for arthritic ankles and knees, it makes
sense to start looking at it for osteoarthritis of the hip.”
Reference:
Hsu WK. J Acad Ortho Surg. 2013;doi:10.5435/JAAOS-21-12-739.
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