Utility of Platelet-Rich Plasma Therapy in the Management of Meniscus Injuries: A narrative review.
Anas El ZouhbiJeffrey YammineMaya HemdaniehElie Toni KorbaniMohamad NassereddinePublished in: Orthopedic reviews (2024)
Menisci are crucial for knee joint functions and meniscal tears are common injuries, especially in sports activities. Platelet-rich plasma (PRP), which enhances healing, has emerged as a promising additive treatment for meniscus injuries, utilizing the regenerative properties of platelets and growth factors for improved clinical outcomes. In studies with a follow-up period of less than one year, the use of platelet-rich plasma (PRP) therapy for meniscus injuries showed significant improvements in knee symptoms and daily activity. Patients experienced enhanced outcomes in terms of pain reduction and increased sports activity, with MRI scans indicating stable meniscus conditions after six months. Studies with a follow-up of more than one year, however, did not find significant differences between groups treated with PRP and groups not treated with PRP in terms of various outcome measures, including pain and knee function. The vascularization of the menisci is vital for their proper function, and insufficient blood supply can affect healing of meniscal injuries. PRP therapy is used to enhance meniscal healing by introducing growth factors and anti-inflammatory agents. PRP therapy may enable athletes with meniscal tears to return to sports more quickly and has less rehabilitation duration. While PRP seems promising as an alternative to failed treatment or as an adjunct to treatment in the short term, its long-term effectiveness remains inconclusive. Patient preferences, commitment to therapy rehabilitation, and cost should all be considered on an individual basis.
Keyphrases
- platelet rich plasma
- anterior cruciate ligament
- anterior cruciate ligament reconstruction
- chronic pain
- stem cells
- magnetic resonance imaging
- randomized controlled trial
- total knee arthroplasty
- anti inflammatory
- systematic review
- pain management
- computed tomography
- end stage renal disease
- physical activity
- knee osteoarthritis
- combination therapy
- type diabetes
- cell therapy
- spinal cord
- peritoneal dialysis
- spinal cord injury
- red blood cell
- smoking cessation