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The role of platelet gel in osteoarticular injuries of young and old patients.

Rizzo C, Vetro R, Vetro A, Mantia R, Iovane A, Di Gesù M, Vasto S, Di Noto L, Mazzola G, Caruso C - Immun Ageing (2014)

Bottom Line: The data here reported showed that the ability to physical recovery response is evident in tendon injuries, while the large joints injuries gave a poor response.Our data indicate that, pain relief and ability to physical recovery of muscles, tendons and ligaments depend on tissue repair clearly visible by echo ultrasound evaluation.On the other hand tissue repair seems not occur in the large joints (hip and knee) where arthritis and /or corrosion of articular cartilage cannot be repaired and the only relief is exclusively linked to the reduction of periarticular inflammation (reduction of the inflammatory leakage and signs).

View Article: PubMed Central - PubMed

Affiliation: Unit of Transfusion Medicine, University Hospital "Paolo Giaccone", Palermo, Italy ; Department of Pathobiology and Medical and Forensic Biotechnologies, University of Palermo, Palermo, Italy.

ABSTRACT

Background: The use of autologous platelet gel in orthopedics is effective in accelerating the healing process of osteochondral, muscle, tendon and ligament lesions. The aim of our study was to verify whether the variability in response to infiltration with platelet gel was dependent on the underlying disease treated, sex and age of the patients. During four years, 140 patients have been treated for musculoskeletal injuries by infiltration of gel platelet and lysate platelet obtained from autologous thrombin, with echo-ultrasound guided. The response to treatment was assessed at different time points T0, T1, T2 with respect to pain estimation (VAS), joint mobility (ROM scale) and echo-ultrasound evaluation. This data collection has allowed classifying the response to treated lesions in three categories: NR (no response), PR (partial response), CR (complete response).

Results: The data here reported showed that the ability to physical recovery response is evident in tendon injuries, while the large joints injuries gave a poor response. Almost all patients showed a significant pain relief after the first infiltration, but in terms of echo-ultrasound evaluation and tissue repair, only the muscle and tendon injuries showed hyperechoic areas, signs or evidences of repair. Concerning the correlation between response to infiltration with platelet gel and gender/age of the patients, the clinical results appear not influenced by the age and the gender of the patient.

Discussion: Our data indicate that, pain relief and ability to physical recovery of muscles, tendons and ligaments depend on tissue repair clearly visible by echo ultrasound evaluation. On the other hand tissue repair seems not occur in the large joints (hip and knee) where arthritis and /or corrosion of articular cartilage cannot be repaired and the only relief is exclusively linked to the reduction of periarticular inflammation (reduction of the inflammatory leakage and signs).

No MeSH data available.


Related in: MedlinePlus

Response to treatment in osteoarticular diseases treated (percentage). NR: no response, PR: partial response, CR, complete response.
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Fig9: Response to treatment in osteoarticular diseases treated (percentage). NR: no response, PR: partial response, CR, complete response.

Mentions: On average, 102 patients (73% of the population sample) were infiltrated with the second aliquot after a month and a half (48 days) and the third infiltration was performed to 61 patients (44% of the population sample) around five months after the second (158 days). The frequency with which are carried out infiltration is strictly related to the type of lesion: the injuries of tendons and muscles are infiltrated at earlier time schedule than those involving large joints (Figure 9).Figure 9


The role of platelet gel in osteoarticular injuries of young and old patients.

Rizzo C, Vetro R, Vetro A, Mantia R, Iovane A, Di Gesù M, Vasto S, Di Noto L, Mazzola G, Caruso C - Immun Ageing (2014)

Response to treatment in osteoarticular diseases treated (percentage). NR: no response, PR: partial response, CR, complete response.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4263213&req=5

Fig9: Response to treatment in osteoarticular diseases treated (percentage). NR: no response, PR: partial response, CR, complete response.
Mentions: On average, 102 patients (73% of the population sample) were infiltrated with the second aliquot after a month and a half (48 days) and the third infiltration was performed to 61 patients (44% of the population sample) around five months after the second (158 days). The frequency with which are carried out infiltration is strictly related to the type of lesion: the injuries of tendons and muscles are infiltrated at earlier time schedule than those involving large joints (Figure 9).Figure 9

Bottom Line: The data here reported showed that the ability to physical recovery response is evident in tendon injuries, while the large joints injuries gave a poor response.Our data indicate that, pain relief and ability to physical recovery of muscles, tendons and ligaments depend on tissue repair clearly visible by echo ultrasound evaluation.On the other hand tissue repair seems not occur in the large joints (hip and knee) where arthritis and /or corrosion of articular cartilage cannot be repaired and the only relief is exclusively linked to the reduction of periarticular inflammation (reduction of the inflammatory leakage and signs).

View Article: PubMed Central - PubMed

Affiliation: Unit of Transfusion Medicine, University Hospital "Paolo Giaccone", Palermo, Italy ; Department of Pathobiology and Medical and Forensic Biotechnologies, University of Palermo, Palermo, Italy.

ABSTRACT

Background: The use of autologous platelet gel in orthopedics is effective in accelerating the healing process of osteochondral, muscle, tendon and ligament lesions. The aim of our study was to verify whether the variability in response to infiltration with platelet gel was dependent on the underlying disease treated, sex and age of the patients. During four years, 140 patients have been treated for musculoskeletal injuries by infiltration of gel platelet and lysate platelet obtained from autologous thrombin, with echo-ultrasound guided. The response to treatment was assessed at different time points T0, T1, T2 with respect to pain estimation (VAS), joint mobility (ROM scale) and echo-ultrasound evaluation. This data collection has allowed classifying the response to treated lesions in three categories: NR (no response), PR (partial response), CR (complete response).

Results: The data here reported showed that the ability to physical recovery response is evident in tendon injuries, while the large joints injuries gave a poor response. Almost all patients showed a significant pain relief after the first infiltration, but in terms of echo-ultrasound evaluation and tissue repair, only the muscle and tendon injuries showed hyperechoic areas, signs or evidences of repair. Concerning the correlation between response to infiltration with platelet gel and gender/age of the patients, the clinical results appear not influenced by the age and the gender of the patient.

Discussion: Our data indicate that, pain relief and ability to physical recovery of muscles, tendons and ligaments depend on tissue repair clearly visible by echo ultrasound evaluation. On the other hand tissue repair seems not occur in the large joints (hip and knee) where arthritis and /or corrosion of articular cartilage cannot be repaired and the only relief is exclusively linked to the reduction of periarticular inflammation (reduction of the inflammatory leakage and signs).

No MeSH data available.


Related in: MedlinePlus