Display options
Cite
Malavolta EA, Gracitelli ME, Sunada EE, et al. PLATELET-RICH PLASMA IN ARTHROSCOPIC REPAIRS OF COMPLETE TEARS OF THE ROTATOR CUFF. Rev Bras Ortop. 2015;47(6):741-7doi: 10.1016/S2255-4971(15)30032-X.
Malavolta, E. A., Gracitelli, M. E., Sunada, E. E., Benegas, E., de Santis Prada, F., Neto, R. B., Rodrigues, M. B., Neto, A. A., & de Camargo, O. P. (2012). PLATELET-RICH PLASMA IN ARTHROSCOPIC REPAIRS OF COMPLETE TEARS OF THE ROTATOR CUFF. Revista brasileira de ortopedia, 47(6), 741-7. https://doi.org/10.1016/S2255-4971(15)30032-X
Malavolta, Eduardo Angeli, et al. "PLATELET-RICH PLASMA IN ARTHROSCOPIC REPAIRS OF COMPLETE TEARS OF THE ROTATOR CUFF." Revista brasileira de ortopedia vol. 47,6 (2012): 741-7. doi: https://doi.org/10.1016/S2255-4971(15)30032-X
Malavolta EA, Gracitelli ME, Sunada EE, Benegas E, de Santis Prada F, Neto RB, Rodrigues MB, Neto AA, de Camargo OP. PLATELET-RICH PLASMA IN ARTHROSCOPIC REPAIRS OF COMPLETE TEARS OF THE ROTATOR CUFF. Rev Bras Ortop. 2015 Nov 04;47(6):741-7. doi: 10.1016/S2255-4971(15)30032-X. eCollection 2012. PMID: 27047894; PMCID: PMC4799491.
Copy Download .nbib Format: NLM
Share it on

Rev Bras Ortop. 2015 Nov 04;47(6):741-7. doi: 10.1016/S2255-4971(15)30032-X. eCollection 2012.

PLATELET-RICH PLASMA IN ARTHROSCOPIC REPAIRS OF COMPLETE TEARS OF THE ROTATOR CUFF.

Revista brasileira de ortopedia

Eduardo Angeli Malavolta, Mauro Emilio Conforto Gracitelli, Edwin Eiji Sunada, Eduardo Benegas, Flavia de Santis Prada, Raul Bolliger Neto, Marcelo Bordalo Rodrigues, Arnaldo Amado Ferreira Neto, Olavo Pires de Camargo

Affiliations

  1. Assistant Physician, Shoulder and Elbow Group and Trauma Group, Institute of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.
  2. Collaborating Orthopedist, Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.
  3. Doctor's degree in Medicine; Assistant Physician, Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.
  4. Chief Physician, Department of Radiology, Institute of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.
  5. Doctor's degree in Medicine; Head, Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.
  6. Full Professor, Department of Orthopedics and Traumatology, USP School of Medicine, São Paulo, SP, Brazil.

PMID: 27047894 PMCID: PMC4799491 DOI: 10.1016/S2255-4971(15)30032-X

Abstract

OBJECTIVE: To evaluate shoulder functional results and the retear rate of arthroscopic repair of the rotator cuff augmented with platelet-rich plasma (PRP).

METHODS: Prospective case series with single-row arthroscopic repair of the rotator cuff augmented with PRP. Only cases of isolated supraspinatus tears with retraction of less than 3 cm were included in this series. The PRP used was obtained by apheresis. It was applied on liquid consistency in its activated form, with the addition of autologous thrombin. Patients were evaluated after 12 months of the surgical procedure. The Constant-Murley, UCLA and VAS scales were used, and the retear rate was assessed using magnetic resonance imaging (MRI).

RESULTS: Fourteen patients were evaluated (14 shoulders). The mean Constant-Murley score was 45.64 ± 12.29 before the operation and evolved to 80.78 ± 13.22 after the operation (p < 0.001). The UCLA score increased from 13.78 ± 5.66 to 31.43 ± 3.9 (p < 0.001). The patients' pain level decreased from a median of 7.5 (p25% = 6, p75% = 8) to 0.5 (p25% = 0, p75% = 3) (p = 0.0013) according to the VAS score. None of the patients presented complete retear. Three patients (21.4%) showed partial retear, without transfixation. Only one patient developed complications (adhesive capsulitis).

CONCLUSION: Patients submitted to arthroscopic rotator cuff repair augmented with PRP showed significant functional improvement and none of them had complete retearing.

Keywords: Plaletet-Rich Plasma, Arthroscopy; Rotator Cuff

References

  1. J Bone Joint Surg Am. 2007 Jul;89(7):1533-41 - PubMed
  2. Trends Biotechnol. 2009 Mar;27(3):158-67 - PubMed
  3. J Oral Maxillofac Surg. 1997 Nov;55(11):1294-9 - PubMed
  4. Vox Sang. 2008 Apr;94(3):202-8 - PubMed
  5. Am J Sports Med. 2011 Jan;39(1):38-47 - PubMed
  6. Am J Sports Med. 2009 Apr;37(4):674-82 - PubMed
  7. Implant Dent. 2001;10(4):225-8 - PubMed
  8. JAMA. 2010 Jan 13;303(2):144-9 - PubMed
  9. Disabil Rehabil. 2008;30(20-22):1584-9 - PubMed
  10. Am J Sports Med. 2011 Oct;39(10 ):2082-90 - PubMed
  11. Am J Sports Med. 2011 Feb;39(2):258-65 - PubMed
  12. Clin Oral Implants Res. 2003 Jun;14(3):357-62 - PubMed
  13. Clin Orthop Relat Res. 2010 Jun;468(6):1476-84 - PubMed
  14. J Shoulder Elbow Surg. 2010 Jan;19(1):116-20 - PubMed
  15. Am J Sports Med. 2012 Jun;40(6):1282-8 - PubMed
  16. Vox Sang. 2001 Oct;81(3):172-5 - PubMed
  17. J Bone Joint Surg Am. 2004 Feb;86-A(2):219-24 - PubMed
  18. J Shoulder Elbow Surg. 2007 Sep-Oct;16(5):579-85 - PubMed
  19. Am J Sports Med. 2010 Feb;38(2):255-62 - PubMed
  20. Am J Sports Med. 2008 Aug;36(8):1496-503 - PubMed
  21. Spine (Phila Pa 1976). 2005 May 1;30(9):E243-6; discussion E247 - PubMed
  22. J Oral Maxillofac Surg. 2000 Mar;58(3):297-300; discussion 300-1 - PubMed
  23. J Bone Joint Surg Am. 2009 Jun;91(6):1459-70 - PubMed
  24. J Am Acad Orthop Surg. 2011 Oct;19(10 ):583-9 - PubMed
  25. Acta Orthop. 2006 Dec;77(6):960-6 - PubMed
  26. J Am Acad Orthop Surg. 2011 Mar;19(3):134-42 - PubMed
  27. J Shoulder Elbow Surg. 2011 Jun;20(4):518-28 - PubMed
  28. Cartilage. 2010 Oct;1(4):320-7 - PubMed
  29. J Shoulder Elbow Surg. 2007 Sep-Oct;16(5 Suppl):S204-7 - PubMed
  30. Arthroscopy. 2011 Aug;27(8):1029-35 - PubMed
  31. Acta Biomed. 2008 Dec;79(3):223-6 - PubMed

Publication Types