Mikel Sánchez1,2, Cristina Jorquera2, Pello Sánchez2, Maider Beitia2, Beatriz García-Cano1, Jorge Guadilla1, Diego Delgado3,4. 1. Arthroscopic Surgery Unit, Hospital Vithas San José, Beato Tomás de Zumarraga 10, 01008, Vitoria-Gasteiz, Spain. 2. Advanced Biological Therapy Unit, Hospital Vithas San José, Vitoria-Gasteiz, Spain. 3. Arthroscopic Surgery Unit, Hospital Vithas San José, Beato Tomás de Zumarraga 10, 01008, Vitoria-Gasteiz, Spain. diego.delgado@ucatrauma.com. 4. Advanced Biological Therapy Unit, Hospital Vithas San José, Vitoria-Gasteiz, Spain. diego.delgado@ucatrauma.com.
Abstract
PURPOSE: The biological action of platelet-rich plasma (PRP) could slow down the osteoarthritis progression, resulting in a delay of joint replacement. This work aims to evaluate the ability of PRP to postpone and even avoid knee replacement in patients with knee osteoarthritis (KOA) analyzing, on the one hand, the time of delay and on the other hand the percentage of patients without undergoing total knee arthroplasty (TKA). METHODS: A retrospective analysis and a survival analysis were conducted. KOA patients who underwent knee replacement between 2014 and 2019 and previously received PRP infiltrations were included in the retrospective analysis. Regarding survival analysis, KOA patients who received PRP treatment during 2014 and with follow-up until 2019 were included. The dates of PRP treatment and TKA, KOA severity, age of the patients, number of PRP cycles, and administration route were analyzed. RESULTS: This work included 1084 patients of which 667 met the inclusion criteria. 74.1% of the patients in the retrospective study achieved a delay in the TKA of more than 1.5 years, with a median delay of 5.3 years. The survival analysis showed that 85.7% of the patients did not undergo TKA during the five year follow-up. The severity degree, age, PRP cycles, and administration route had a statistically significant influence on the efficacy of PRP in delaying surgery. CONCLUSION: These data suggest that the application of PRP in KOA patients is a treatment that could delay TKA, although further studies are needed to understand and improve this therapy.
PURPOSE: The biological action of platelet-rich plasma (PRP) could slow down the osteoarthritis progression, resulting in a delay of joint replacement. This work aims to evaluate the ability of PRP to postpone and even avoid knee replacement in patients with knee osteoarthritis (KOA) analyzing, on the one hand, the time of delay and on the other hand the percentage of patients without undergoing total knee arthroplasty (TKA). METHODS: A retrospective analysis and a survival analysis were conducted. KOA patients who underwent knee replacement between 2014 and 2019 and previously received PRP infiltrations were included in the retrospective analysis. Regarding survival analysis, KOA patients who received PRP treatment during 2014 and with follow-up until 2019 were included. The dates of PRP treatment and TKA, KOA severity, age of the patients, number of PRP cycles, and administration route were analyzed. RESULTS: This work included 1084 patients of which 667 met the inclusion criteria. 74.1% of the patients in the retrospective study achieved a delay in the TKA of more than 1.5 years, with a median delay of 5.3 years. The survival analysis showed that 85.7% of the patients did not undergo TKA during the five year follow-up. The severity degree, age, PRP cycles, and administration route had a statistically significant influence on the efficacy of PRP in delaying surgery. CONCLUSION: These data suggest that the application of PRP in KOA patients is a treatment that could delay TKA, although further studies are needed to understand and improve this therapy.
Authors: Roy Altman; Michael Fredericson; Samir K Bhattacharyya; Brad Bisson; Thomas Abbott; Sashidhar Yadalam; Myoung Kim Journal: J Knee Surg Date: 2015-12-07 Impact factor: 2.757
Authors: Félix Vilchez-Cavazos; Juan Manuel Millán-Alanís; Jaime Blázquez-Saldaña; Neri Álvarez-Villalobos; Víctor Manuel Peña-Martínez; Carlos Alberto Acosta-Olivo; Mario Simental-Mendía Journal: Orthop J Sports Med Date: 2019-12-16
Authors: Angelo Boffa; Luca Andriolo; Marco Franceschini; Alessandro Di Martino; Emanuela Asunis; Alberto Grassi; Stefano Zaffagnini; Giuseppe Filardo Journal: Orthop J Sports Med Date: 2021-10-05