关键词: Achilles tendinopathy Achilles tendon rupture Ankle osteoarthritis Foot and ankle Hallux rigidus Orthobiologics Osteochondral lesions of the talus PRP Plantar fasciitis Platelet-rich plasma

Mesh : Humans Ankle Achilles Tendon / pathology Tendinopathy / therapy Tendon Injuries / pathology Platelet-Rich Plasma Treatment Outcome

来  源:   DOI:10.1016/j.fas.2023.07.010

Abstract:
Platelet-rich plasma (PRP) is an autologous serum containing higher concentrations of platelets and growth factors above normal blood. The process of obtaining PRP involves the extraction of blood from the patient which is then centrifuged to obtain a concentrated suspension of platelets. PRP continues to evolve as a potential treatment modality with many applications in orthopaedic surgery. The therapeutic components of PRP possess numerous theoretical regenerative properties. The present manuscript outlines how PRP is prepared, noting the tremendous variability between preparation protocols. Given the growing body of evidence examining the use of PRP in pathologies of the foot and ankle, we assess its efficacy as it relates to our field. Specifically, we evaluate the literature in the past five years regarding the role of PRP in treating plantar fasciitis, Achilles tendinopathy, insertional Achilles tendinitis, Achilles tendon ruptures, osteochondral lesions of the talus, hallux rigidus, and ankle osteoarthritis.
摘要:
富血小板血浆(PRP)是一种自体血清,其含有高于正常血液的较高浓度的血小板和生长因子。获得PRP的过程包括从患者中提取血液,然后将其离心以获得浓缩的血小板悬浮液。PRP作为一种潜在的治疗方式继续发展,在骨科手术中具有许多应用。PRP的治疗组分具有许多理论再生性质。本手稿概述了PRP是如何准备的,注意到准备方案之间的巨大差异。鉴于越来越多的证据检查PRP在脚和脚踝病变中的使用,我们评估它的功效,因为它与我们的领域有关。具体来说,我们评估了过去五年有关PRP在治疗足底筋膜炎中的作用的文献,跟腱病,插入性跟腱炎,跟腱断裂,距骨软骨损伤,hallux刚性,和踝关节关节炎。
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