Hyaluronic Acid Versus Platelet-Rich Plasma: A Prospective, Double-Blind Randomized Controlled Trial Comparing Clinical Outcomes and Effects on Intra-articular Biology for the Treatment of Knee Osteoarthritis:

作者: Brian J. Cole , Vasili Karas , Kristen Hussey , David B. Merkow , Kyle Pilz

DOI: 10.1177/0363546516665809

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摘要: Background:The use of platelet-rich plasma (PRP) for the treatment osteoarthritis (OA) has demonstrated mixed clinical outcomes in randomized controlled trials when compared with hyaluronic acid (HA), an accepted nonsurgical symptomatic OA. Biological analysis PRP anti-inflammatory effect on intra-articular environment.Purpose:To compare and biological effects injection those HA patients mild to moderate knee OA.Study Design:Randomized trial; Level evidence, 1.Methods:A total 111 unilateral OA received a series either leukocyte-poor or injections under ultrasound guidance. Clinical data were collected before at 4 time points across 1-year period. Synovial fluid was also proinflammatory markers 12 24 weeks after treatment. Seve...

参考文章(26)
Rosemarie Hirsch, Charles F Dillon, Qiuping Gu, Elizabeth K Rasch, Prevalence of knee osteoarthritis in the United States : Arthritis data from the third national health and nutrition examination survey 1991-94 The Journal of Rheumatology. ,vol. 33, pp. 2271- 2279 ,(2006)
C.R. Scanzello, E. Umoh, F. Pessler, C. Diaz-Torne, T. Miles, E. DiCarlo, H.G. Potter, L. Mandl, R. Marx, S. Rodeo, S.R. Goldring, M.K. Crow, Local cytokine profiles in knee osteoarthritis: elevated synovial fluid interleukin-15 differentiates early from end-stage disease Osteoarthritis and Cartilage. ,vol. 17, pp. 1040- 1048 ,(2009) , 10.1016/J.JOCA.2009.02.011
Jonathan C. Riboh, Bryan M. Saltzman, Adam B. Yanke, Lisa Fortier, Brian J. Cole, Effect of Leukocyte Concentration on the Efficacy of Platelet-Rich Plasma in the Treatment of Knee Osteoarthritis American Journal of Sports Medicine. ,vol. 44, pp. 792- 800 ,(2016) , 10.1177/0363546515580787
Stacie G. Boswell, Brian J. Cole, Emily A. Sundman, Vasili Karas, Lisa A. Fortier, Platelet-Rich Plasma: A Milieu of Bioactive Factors Arthroscopy: The Journal of Arthroscopic & Related Surgery. ,vol. 28, pp. 429- 439 ,(2012) , 10.1016/J.ARTHRO.2011.10.018
Elizaveta Kon, Roberto Buda, Giuseppe Filardo, Alessandro Di Martino, Antonio Timoncini, Annarita Cenacchi, Pier Maria Fornasari, Sandro Giannini, Maurilio Marcacci, Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 18, pp. 472- 479 ,(2010) , 10.1007/S00167-009-0940-8
Giuseppe Filardo, Elizaveta Kon, Alessandro Di Martino, Berardo Di Matteo, Maria Letizia Merli, Annarita Cenacchi, Pier Maria Fornasari, Maurilio Marcacci, Platelet-rich plasma vs hyaluronic acid to treat knee degenerative pathology: study design and preliminary results of a randomized controlled trial BMC Musculoskeletal Disorders. ,vol. 13, pp. 229- 229 ,(2012) , 10.1186/1471-2474-13-229
Anita Brandl, Peter Angele, Christina Roll, Lucas Prantl, Richard Kujat, Bernd Kinner, Influence of the Growth Factors PDGF-BB, TGF-β1 and bFGF on the Replicative Aging of Human Articular Chondrocytes during In Vitro Expansion Journal of Orthopaedic Research. ,vol. 28, pp. 354- 360 ,(2010) , 10.1002/JOR.21007
Mohit Kapoor, Johanne Martel-Pelletier, Daniel Lajeunesse, Jean-Pierre Pelletier, Hassan Fahmi, Role of proinflammatory cytokines in the pathophysiology of osteoarthritis Nature Reviews Rheumatology. ,vol. 7, pp. 33- 42 ,(2011) , 10.1038/NRRHEUM.2010.196
Robert E. Marx, Platelet-rich plasma (PRP): what is PRP and what is not PRP? Implant Dentistry. ,vol. 10, pp. 225- 228 ,(2001) , 10.1097/00008505-200110000-00002