Platelet Rich Plasma Treatment for Chronic Achilles Tendinosis

Foot and Ankle International - Tập 33 Số 5 - Trang 379-385 - 2012
Raymond Rocco Monto1
1Nantucket Cottage Hospital, Orthopedic Surgery, Nantucket, MA 02554, USA. [email protected]

Tóm tắt

Background: Chronic Achilles tendinosis is a relatively common but difficult orthopedic condition to treat. In this study, autologous platelet rich plasma (PRP), a concentrated bioactive blood component rich in cytokines and growth factors, was evaluated to determine its potential long-term efficacy in treating chronic cases of Achilles tendinosis resistant to traditional nonoperative management. Methods: Thirty patients with chronic Achilles tendinosis who did not respond to a minimum of 6 months of traditional nonoperative treatment modalities were treated with a single ultrasound guided injection of PRP. AOFAS scoring was completed for all patients pretreatment and at 0, 1, 2, 3, 6, 12, and 24 months post-treatment. MRI and/or ultrasound studies were completed for all patients pre-treatment and at 6 months post-treatment. Prior to the PRP treatment all of the patients in this study were considering surgical Achilles repair for their severe symptoms. Results: The average AOFAS score increased from 34 (range, 20 to 60) to 92 (range, 87 to 100) by 3 months after PRP treatment and remained elevated at 88 (range, 76 to 100) at 24 months post-treatment. Pretreatment imaging abnormalities present in the Achilles tendon on MRI and ultrasound studies resolved in 27 of 29 patients at 6 months post-treatment. Clinical success was achieved in 28 of 30 patients. Conclusion: Platelet-rich plasma was used effectively to treat chronic recalcitrant cases of Achilles tendinosis. Level of Evidence: IV, Case Series

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Foot and Ankle International

Tập 33 Số 5

379-385

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