Comparison between Platelet-Rich Plasma and Autologous Iliac Grafts for Tibial Osteotomy

被引:9
作者
D'Elia, Caio Oliveira [1 ]
de Rezende, Marcia Uchoa [1 ]
Bitar, Alexandre Carneiro [2 ]
Tatsui, Nelson [1 ]
Pecora, Jose Ricardo [1 ]
Hernandez, Arnaldo Jose [1 ]
Camanho, Gilberto Luis [1 ]
机构
[1] Univ Sao Paulo, Sch Med, Hosp Clin, Sao Paulo, Brazil
[2] Inst Vita, Sao Paulo, Brazil
关键词
platelet-rich plasma; bone marrow; bone substitutes; knee; osteotomy;
D O I
10.1177/1947603510376820
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: Platelet-rich plasma (PRP) has the capacity to improve the bone-healing process. The aim of this pilot study was to investigate the occurrence of bone healing and the time taken to achieve this in patients submitted to medial opening wedge high tibial osteotomy (MOWHTO), comparing platelet-rich plasma with bone marrow aspirate to autologous iliac graft. Design: Twenty-five patients who underwent tibial osteotomy were randomly divided into 2 groups: a control group, which received autologous iliac grafts (14 patients), and a study group, which received a compound of PRP and bone marrow aspirate (11 patients). Results: The bone-healing rates achieved were 100% in the control group and 91% in the study group. There was no difference in the time taken to achieve bone healing between the groups. Conclusions: The use of a combination of PRP and bone marrow aspirate, as a bone substitute, did not demonstrate any advantage over the use of an autologous iliac graft in MOWHTO.
引用
收藏
页码:320 / 327
页数:8
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