2017 ISAKOS Biennial Congress ePoster #2244

 

Effectiveness Of Ultrasound-Guided Platelet-Rich Plasma Injection In Conservative Treatment Of Symptomatic Partial Supraspinatus Tear : A Randomized Controlled Trial.

Leonardo Osti, MD, Modena ITALY
Raffaella Osti, MD, Ferrara ITALY
Angelo Del Buono, MD, Modena ITALY
Leo Massari, Prof., Ferrara ITALY
Nicola Maffulli, MD, PhD, MS, FRCS(Orth), London UNITED KINGDOM

hesperia Hospital , Modena, ITALY

FDA Status Cleared

Summary

PRP treatment can be effective in selected partial supraspinatus tear in addition to conservative treatment

Abstract

Objective

The role of PRP has been investigated in both surgical and conservative treatent of rotaotr cuff

Purpose

of this study is to investigate the efficay of PRP in connservative treament of symptomatica partial supaspinatus tear

Material and methos
44 patients presenting symptomatic partial intrasubtanttial tear of the supraspinatus ( cm) less than 1.0 were included in this study
All the patients underwent the same rehabilitation program including assisted physical therapy treatment Group A 21 patiens underwent a 3 consecutive ultrasound guided PRP ijections with ACP system, in group B 23 patients had no PRP treatment as a control gropu. Active sports participation or heavy work was restricted in both groups for a 6 months period
The Shoulder Pain and Disability Index, passive range of motion of the shoulder, a physician global rating scale at 3 and 6 six-month follow-up, monitoring possible adverse effects treatment related .MRI control exam was achieved at fopllow-upo only in the PRP group

Results

The clinical effect of the platelet-rich plasma injection was superior to conservative treatment alone at 6 months period six months after initial injection (P < 0.05). At six months the mean Shoulder Pain and Disability Index was an average value of 18.9 in the platelet-rich plasma group versus 27.8 in no PRP treatment group (P < 0.05). No adverse effects were observed in either PRP and control group.MRI showed emprovement of the tissue signal or reduction of the lesion gap in 19/21 patients

Conclusions

Additional Autologous platelet-rich plasma injections in conservative treatment of partial supraspinatus lead to a achieve better outcomes in term of reduction in the pain and disability when compared to conservative treatment alone with effectivess mantained at 6 months follow-up