Platelet-Rich Plasma Infiltrations as an Alternative Treatment in Musculoskeletal Conditions

Authors

Keywords:

infiltration, platelet rich plasma, musculoskeletal conditions.

Abstract

Platelet-rich plasma is obtained by centrifuging a quantity of the patient's blood and extracting the active platelet-rich fraction, which is applied to the injured tissue. Joint infiltration has been introduced to treat a growing number of musculoskeletal diseases. The aim of the article is to feature a review on the use of platelet-rich plasma injections as an alternative treatment in musculoskeletal disorders. To achieve this purpose, electronic and library searches of national and foreign medical journals indexed in SciELO, Imbiomed and Pubmed were carried out over a 10-year horizon. On this subject, thesis on completion of studies and textbooks with information in Spanish and English were consulted. It was concluded that the use of platelet-rich plasma is a useful alternative in the treatment of musculoskeletal conditions.

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Author Biographies

Tahuser Martínez Lara, Complejo Científico Ortopédico Internacional “Frank País”.

Médico especialista en Medicina Física y Rehabilitación

Zakkan Martínez Lara, CUBAZALUD “Jr. Daniel Hernández 786”.

Médico especialista en Medicina General Integral

Pavel Yosvany Suárez Guevara, Policlínico Docente "Elpidio Berovides"

Médico especialista en Medicina General Integral

References

1. Díaz Zapata S. Plasma rico en plaquetas, PRP: tratamiento para el alivio del dolor y regeneración del sistema músculo-esquelético. 2017.

2. Say F, Gülder D, Inkaya E, Bülbül M. Comparison of platelet-rich plasma and steroid injection in the treatment of plantar fasciitis. Acta Orthop Turc. 2014;48(6):667-72.

3. Fernández Delgado ND, Hernández Ramírez P. Aplicación de las plaquetas con fines regenerativos en Cuba. Rev Cubana Hematol Inmunol Hemoter. 2017;33(1):1-10.

4. Plasma rico en plaquetas: ¿un nuevo tratamiento para el reumatólogo? 2013 [acceso 13/07/2020];9(3)166-71.

5. Laver L, Marom N, Dnyanesh L. PRP for Degenerative Cartilage Disease: A Systematic Review of Clinical Studies. Cartilage. 2017;8(4):341-64. DOI: http://doi.org/10.1177/1947603516670709

6. Lin KY, Yang CC, Hsu CJ. Intra-articular Injection of Platelet-Rich Plasma Is Superior to Hyaluronic Acid or Saline Solution in the Treatment of Mild to Moderate Knee Osteoarthritis: A Randomized, Double-Blind, Triple-Parallel, Placebo-Controlled Clinical Trial. Arthroscopy. 2019. DOI: http://doi.org/10.1016/j.arthro.2018.06.035

7. Tormo Collado FD. Mifsut Miedes. Infiltración de PRP autólogo como tratamiento de las tendinopatías crónicas del tendón de Aquiles. Revista Española de Cirugía Osteoarticular. 2017;269(52).

8. Meheux CJ, McCulloch PC, Lintner DM. Efficacy of Intra-articular Platelet-Rich Plasma Injections in Knee Osteoarthritis: A Systematic Review. Arthroscopy. 2016;32(3):495-505. DOI: https://doi.org/10.1016/j.arthro.2015.08.005

9. Kennedy MI, Whitney K, Evans T, LaPrade RF. Platelet-Rich Plasma and C-artilage Repair. Curr Rev Musculoskelet Med. 2018;11(Suppl 1):1-10.

10. Yu S. Investigational approaches to the management of osteoarthritis. This topic last updated. 2019.

11. Laudy AB, Bakker EW, Rekers M, Moen MH. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: a systematic review and meta-analysis. Br J Sports Med. 2015;49(10):657-72. DOI:

http://doi.org/10.1136/bjsports-2014-094036

12. Delanois RE, Etcheson JI, Sodhi N. Biologic Therapies for the Treatment of Knee Osteoarthritis. J Arthroplasty. 2019;34(4):801-13.

13. National Institute for Health and Clinical Excellence (NICE). NICE Interventional Procedures Guidance 637. Platelet-rich plasma injections for knee osteoarthritis. 2019 [acceso 14/06/2020]. Disponible en:

http://www.nice.org.uk/guidance/ipg637

14. Pérez C, Echemendía AL, Muñoz C. Las plaquetas con fines terapéuticos en lesiones del Sistema osteomioarticular. Rev Cubana Ortop Traumatol. 2015;29(1):87-93.

15. Dai WL, Zhou AG, Zhang H. Efficacy of platelet-rich plasma in the treatment of knee osteoarthritis: A meta-analysis of randomized controlled trials. Arthroscopy 2017 [acceso 14/06/2020];33(3):659-70. DOI:

https://doi.org/10.1016/j.arthro.2016.09.024

16. Wu YT, Hsu KC, Li TY y otros. Effects of Platelet-Rich Plasma on Pain and Muscle Strength in Patients with Knee Osteoarthritis. Am J Phys Med Rehabil. 2018;97(4):248-54.

17. Rienzi A, Miller A, Cuevas I. Plasma rico en plaquetas. Indicaciones en lesiones deportivas. Tendencias en Medicina. 2016;48:145-51.

18. Sánchez M, Anitua E, Azofra J. Comparison of surgically repaired achilles tendon tears using platelet-rich fibrin matrices. AJSM 2007;35:245-51.

19. Banco de Preguntas Preevid. Infiltraciones de plasma rico en plaquetas en la artrosis de rodilla. Murcia salud, 2019 [acceso 14/06/2020]. Disponible en: http://www.murciasalud.es/preevid/23016

20. Mautner K, Colberg RE, Malanga G, y cols. Outcomes after ultrasound-guided platelet-rich plasma injections for chronic tendinopathy: a multicenter, retrospective review. PM R 2013;5(3):169-75.

21. Ferrero G, Fabbro E, Orlandi D. Ultrasound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy. J Ultrasound 2012 [acceso 14/06/2020];4:260-6. Disponible en:

http://www.ncbi.nlm.nih.gov

22. Filardo G, Di Matteo B, Kon E Platelet-rich plasma in tendon- related disorders: results and indications. Knee Surgery, Sports Traumatology, Arthroscopy. 2016;4:344-56.

23. Mena-Pérez R, Fernández-Delgado N, Dinza-Zamora L. Uso del lisado plaquetario en artrosis de rodilla. Rev Habanera Ciencias Médicas. 2013;12(3):374-86.

24. Piloto T, Blanco G, Soler Q. Lisado plaquetario autólogo en el tratamiento de la epicondilitis. Rev Cubana Hematol Inmunol Hemoter. 2016;32(2):282-4.

Published

2021-07-23

How to Cite

1.
Martínez Lara T, Martínez Lara Z, Suárez Guevara PY. Platelet-Rich Plasma Infiltrations as an Alternative Treatment in Musculoskeletal Conditions. RCMFR [Internet]. 2021 Jul. 23 [cited 2025 May 13];13(3):47-56. Available from: https://revrehabilitacion.sld.cu/index.php/reh/article/view/603

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Section

Artículo de revisión