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PLATELET-RICH PLASMA INJECTION IN NON-OPERATIVE TREATMENT OF PARTIAL-THICKNESS ROTATOR CUFF TEARS: A SYSTEMATIC REVIEW AND META-ANALYSIS

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单位: [1]Wuhan Fourth Hosp, Dept Cardiol, Wuhan, Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Orthoped,Wuhan,Peoples R China [3]Zibo Sixth Hosp, Zibo Prevent & Treatment Hosp Occupat Dis, Zibo, Peoples R China [4]Wuhan Fourth Hosp, Dept Rehabil, Wuhan, Peoples R China
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关键词: partial-thickness rotator cuff tear platelet-rich plasma shoulder function shoulder pain

摘要:
Objective: Partial-thickness rotator cuff tears have a high prevalence in older people. Treatment for such tears remains controversial. Platelet-rich plasma has recently attracted attention for treating partial-thickness rotator cuff tears, due to its regenerative characteristics. However, the results of application of platelet-rich plasma in non-operative treatments are unclear. The aim of this review is to evaluate the effects on shoulder function improvement and pain relief of platelet-rich plasma injection in partial-thickness rotator cuff tears, at different fol-low-up times (3-6 weeks, 8-12 weeks, and more than 24 weeks after treatment) compared with pla-cebo or corticosteroids. Design: A systematic review and meta-analysis. Methods: Several databases, including PubMed, EM -BASE, and Cochrane, were searched. Eleven studies met the inclusion criteria for the meta-analysis. The quality of research was evaluated using the Cochra-ne risk-of-bias tool. The effectiveness of platelet-rich plasma was calculated as the difference bet-ween baseline measurements and post-injection outcomes. The standardized mean difference was used to compare different outcome scales or ques-tionnaire measurements. Statistical analysis was performed using Stata 15.0. Results: The analysis included 11 studies, with a to-tal of 641 patients (318 treated with platelet-rich plasma and 323 controls). Compared with placebo, platelet-rich plasma exhibited significantly bet -ter effects on shoulder function improvement and pain relief at all 3 follow-up times. Compared with other conservative treatments, platelet-rich plasma exhibited significantly better effects on shoulder function and pain relief at 8-12 weeks and at more than 24 weeks after treatment. Conclusion: This review showed positive effects on shoulder function improvement and pain relief of the use of platelet-rich plasma in treating parti-al-thickness rotator cuff tears, especially in relati-vely late stages of follow-up (more than 8 weeks) after treatment.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 康复医学 3 区 运动科学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 康复医学 4 区 运动科学
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出版当年[2020]版:
Q2 REHABILITATION Q2 SPORT SCIENCES
最新[2023]版:
Q1 REHABILITATION Q2 SPORT SCIENCES

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第一作者单位: [1]Wuhan Fourth Hosp, Dept Cardiol, Wuhan, Peoples R China
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