Indian Journal of Orthopaedics

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 53  |  Issue : 1  |  Page : 77--81

Does intraoperative platelet-rich plasma improve clinical and structural outcomes after arthroscopic repair of isolated tears of the supraspinatus tendon?


Daniela Martinelli1, Paolo Fornara2, Alessandro Stecco2, Federico Alberto Grassi3 
1 Department of Health Sciences, University of East Piedmont, Novara, Italy
2 Hospital “Maggiore della Carità”, Novara, Italy
3 Department of Health Sciences, University of East Piedmont; Hospital “Maggiore della Carità”, Novara, Italy

Correspondence Address:
Dr. Federico Alberto Grassi
A.O.U. “Maggiore Della Carità”, Corso Mazzini 18, 28100 Novara
Italy

Background: Arthroscopic cuff repair is a highly successful technique, but postoperative rehabilitation is complex and the rate of tear recurrence is not negligible. Biological augmentations have been proposed to overcome these drawbacks. The platelet-rich plasma (PRP) is a platelet-rich blood fraction that is applied on the repair site to enhance tendon healing. This study evaluates the effectiveness of PRP application in arthroscopic cuff repair. Materials and Methods: A prospective nonrandomized study was carried out on 22 patients undergoing arthroscopic rotator cuff repair. Only patients with isolated and repairable supraspinatus tears were included and divided into two groups: 11 patients (Group A) received intraoperative PRP and 11 patients (Group B) did not. All patients had the same rehabilitation and followup protocol. Clinical–functional parameters (visual analog score, active range of motion, University of California at Los Angeles - UCLA, Constant) were recorded at predefined intervals, and magnetic resonance imaging (MRI) was performed 1 year postoperative. Results: Only one patient of Group B did not complete the study protocol. No intraoperative or postoperative complications were observed. No differences were found in the clinical–functional parameters during the entire study. At 1 year, MRI showed 1 retear in Group A and 2 retears in Group B, but the difference was not significant. Conclusions: The role of PRP as an adjuvant for surgical repair of rotator cuff tears is controversial. In this study, we could not demonstrate significant advantages of PRP for arthroscopic repair of isolated supraspinatus tears. The potential improvement in the structural outcome should be evaluated in the long term to justify the additional costs related to PRP application.


How to cite this article:
Martinelli D, Fornara P, Stecco A, Grassi FA. Does intraoperative platelet-rich plasma improve clinical and structural outcomes after arthroscopic repair of isolated tears of the supraspinatus tendon?.Indian J Orthop 2019;53:77-81


How to cite this URL:
Martinelli D, Fornara P, Stecco A, Grassi FA. Does intraoperative platelet-rich plasma improve clinical and structural outcomes after arthroscopic repair of isolated tears of the supraspinatus tendon?. Indian J Orthop [serial online] 2019 [cited 2019 Sep 16 ];53:77-81
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2019;volume=53;issue=1;spage=77;epage=81;aulast=Martinelli;type=0