Local Therapy of Gonarthrosis Using Autologous Platelet-enriched Plasma
The aim of the investigation is to assess clinical effect of local (intra-articular) application of autologous platelet-enriched plasma (PEP) in treating gonarthrosis.
Materials and Methods. Clinical observation of 83 women with gonarthrosis was performed within 3 months. Within 3 weeks the patients were receiving PEP intra-articular injections of 5 ml twice a week.
Results. In intra-articular PEP administration in patients with gonarthrosis, the change of knee joint functional state occurs depending on the severity of osteoarthrosis, the most significant change — in the early stage and almost absent change in severe diseases (complicated by synovitis). In typical gonarthrosis of II–III radiological stages, the positive effect is short-term and observed in early one-month observation period.
- Alekseeva L.I., Vertkin A.L., Ivanov V.S. et al. Ross Med Z 2008; 16(7): 51–54.
- Nasonova V.A. Consilium medicum 2009; 2: 5–8.
- Erdes Sh.F., Folomeeva O.M. Naucno-prakt revmatol 2009; 2: 2–10.
- Kuptniratsaikul V., Kuptniratsaikul S. Intra-articular injection of deproteinized hemodialysate in osteoarthritis of the knee: a case-series. J Med Ass Thailand 2004; 87(1): 100–105.
- Marx R.E., Carlson E.R., Eichstaedt R.M. et al. Platelet-rich plasma: Growth factor enhancement for bone grafts. J Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 638–646.
- Filardo G. Use of platelet-rich plasma for the treatment of refractory jumper’s knee. J Int Orthop 2010; 34(6): 909–915.
- Benevolenskaya L.I. Tezisy dokladov I-go s”ezda revmatologov Rossii [Abstracts of reports of the I congress of Russian of Rheumatologists]. Orenburg; 1993; p. 191–192.
- Kellgren J.A., Lawrence J.S. Radiologic assessment of osteoarthrosis. J Ann Rheum Dis 1958; 17: 388–397.
- Nasonov E.L. Klinicheskie rekomendatsii. Revmatologiya [Clinical recommendations. Rheumatology]. Moscow: GEOTAR-Media; 2008.
- Krasivina I.G., Noskova A.S., Dolgova L.N. Sposob kolichestvennogo opredeleniya myshechnoy slabosti kolennykh sustavov [Method of quantitative measurement of muscle weakness of knee joints]. A.s. №2289296; 2006.
- Bellamy N., Buchanan W., Goldsmith C. et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988; 15: 1833–1840.
- Noskov S.M., Dybin S.D., Shirokova L.Yu. et al. Sposob lokal’noy terapii proizvodnymi autologichnoy krovi patsientov revmatologicheskogo profilya [Method of local therapy using derivatives of rheumatic patients’ autologous blood]. Razreshenie na primenenie novoy meditsinskoy tekhnologii, reg. ud. FS №2010/327; 2010.