A Randomised control study on effects of autologous platelet rich plasma injection in early osteoarthritis knee by single dose versus double dose regimen

Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2

Abstract

Materials and Methods A total of 263 knees 150 patients males 65 females 85 with early OA were divided randomly into two groups Group A 75 patients 134 knees received a single injection of PRP group B 75 patients 129 knees received 2 injections of PRP 3 weeks apart PRP with a platelet count 5 times that of baseline was administered in all Clinical outcome was evaluated using the Western Ontario and McMaster Universities Arthritis Index WOMAC questionnaire before treatment and at 1 month 3 month and 6 months post injection A reduction in WOMAC score is suggestive of improvement in patient conditionResults significant improvement in all WOMAC parameters was noted in groups A and B within 3 to 4 weeks and lasting until the final followup at 6 months The mean WOMAC scores pain stiffness physical function and total score for group A at baseline were 158 622 4309 and 6511 respectively and at final followup were 483 100 1412 and 1995 respectively showing significant improvement Similar improvement was noted in group B mean WOMAC scores at baseline 1651 691 4198 and 6538 respectively mean WOMAC scores at final follow up 550 112 1369 and 2037 respectively The 2 groups were compared with each other and no improvement was noted in group B as compared with groups A P value 077Conclusion Autologous PRP infiltration in early Osteoarthritis of Ahlbacks radiological grading does give relief from pain stiffness and improves functionality without any major side effects Double dose doesnt offer any additional advantageKeywords Platelet rich plasma Early osteoarthritis knee

Authors and Affiliations

K. Deepak, Hameed Reza, G. Jagadesh, Akash, Pavan Kumar

Keywords

Related Articles

Treatment of metaphysial distal radius fractures in children by Sauve Kapandji’s intrafocal reduction method and K-wiring- A retrospective analysis

Fractures of distal radius in metaphyseal region in paediatric age are one of most common orthopaedic injuries in the paediatric emergency department.1,2 The distal radius is considered as most common fracture site in th...

Management of fracture of distal radius by external fixator using the principle of ligamentotaxis a prospective study

Background and objectives: Fracture of distal end of radius continues to be one of the most common skeletal injuries since the description by Poteau in 1783 and by Colle’s in 1814. Management of these fractures is still...

Outcome of surgical management of late presenting developmental dysplasia of hip with pelvic and femoral osteotomies

Introduction: Patients with Developmental dysplasia of hip many a times present later in the age due to missed or delayed diagnosis. The treatment of DDH is mainly dependent upon the age of the child at the time of prese...

Functional and radiological outcomes of instrumentation and decompression in thoracolumbar fractures

Introduction: Thoracolumbar fracture can be stabilized adequately by utilizing posterior decompression by performing pedicle screw fixation. The neurological progress of such patients was analyzed by using the American S...

Missed orthopaedic injuries in trauma patients at a rural tertiary trauma centre

Missed injuries is defined as an injury found after the initial complete patient assessment and diagnostic studies that was directly related to the traumatic event and was identified after first 24 hours following admiss...

Download PDF file
  • EP ID EP476607
  • DOI 10.18231/2395-1362.2018.0036
  • Views 91
  • Downloads 0

How To Cite

K. Deepak, Hameed Reza, G. Jagadesh, Akash, Pavan Kumar (2018). A Randomised control study on effects of autologous platelet rich plasma injection in early osteoarthritis knee by single dose versus double dose regimen. Indian Journal of Orthopaedics Surgery, 4(2), 173-177. https://europub.co.uk/articles/-A-476607