International Journal of Research in Orthopaedics | May-June 2017 | Vol 3 | Issue 3 Page 436
International Journal of Research in Orthopaedics
Kadam R et al. Int J Res Orthop. 2017 May;3(3):436-439
http://www.ijoro.org
Original Research Article
To assess the effects of platelet rich plasma application on pain in
osteoarthritis knee
Rahul Kadam, Ankit Agrawal*, Abhay Chhallani, Santosh Pandhre,
Abhishek Gupta, Ritesh Sawant
INTRODUCTION
Platelet rich plasma (PRP) is one of the newer methods
used to biologically enhance healing. Platelet Rich
Plasma is highly concentrate platelets in plasma made
from patients own blood after centrifugation. It is known
to increase growth factor concentration three to five times
of normal plasma and helps to heal the injured tissue.
1,2
Platelet-rich plasma (PRP) is an autologous biologic
treatment including patients’ own plasma, containing
growth factors released from platelets.
3
The rationale for
the use of PRP is to stimulate the natural healing cascade
and tissue regeneration by a supra-physiologic release of
platelet-derived factors directly at the site of treatment.
4
PRP is a minimally invasive therapy approved by the US
Food and Drug Administration (FDA) that is used to
enhance healing and tissue regeneration.
5
Osteoarthritis knee is a progressive joint disease
characterized by joint inflammation and a reparative bone
response. Osteoarthritis is characterized by a repetitive
inflammatory response of the articular cartilage due to
focal loss or erosion of the articular cartilage and a
hypertrophy of osteoblastic activity or a reparative bone
response known as osteophytosis.
6
The complains in OA
knee, such as pain, stiffness of the joints and muscle
weakness, are risk factors for mobility limitation leading
to impaired quality of life for the affected population.
7
ABSTRACT
Background: Platelet rich plasma (PRP) is a concentrate extract of platelets from autologous blood. It is known to
increase growth factor of plasma and helps to heal the injured tissue. Platelet-rich plasma (PRP) is an autologous
biologic treatment including patients own plasma, containing growth factors released from platelets. The rationale for
the use of PRP is to stimulate the natural healing cascade and tissue regeneration by an increase release of platelet-
derived factors directly at the site of treatment. This study is done to assess the effects of platelet rich plasma
application on pain in osteoarthritis knee.
Methods: Total of 40 cases was included in this study (18 male and 22 females) with mean age of 57.3 (Range 35-
75). All patients received intra-articular PRP injection. This study was conducted on the patients coming to
orthopaedic department at MGM medical college and hospital, Navi Mumbai.
Results: In this study it was found that there is decrease in pain on vas pain score, with increasing time. We followed
up the patients for period of 3 months. We found that average mean VAS score was decreased from 6.0 to 4.13 after
follow up of 3 months after a single dose of intra-articular PRP injection.
Conclusions: PRP is an effective treatment for pain in OA knee. It is one of the new approaches in the field of
orthopaedics to solve the issues of pain management.
Keywords: PRP, Osteoarthritis knee, Intra-articular injection
Department of Orthopaedics, MGM Medical College, Navi Mumbai, India
Received: 28 February 2017
Revised: 05 March 2017
Accepted: 10 March 2017
*Correspondence:
Dr. Ankit Agrawal,
E-mail: akki9456@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20171005