Clinical Results of Hip Arthroscopy for Labral Tears: A Comparison Between Intraoperative Platelet-Rich Plasma and Bupivacaine Injection

被引:30
作者
Redmond, John M. [1 ]
Gupta, Asheesh [2 ]
Stake, Christine E. [2 ]
Hammarstedt, Jon E. [2 ]
Finch, Nathan A. [2 ]
Domb, Benjamin G. [2 ]
机构
[1] Mayo Clin Florida, Dept Orthoped Surg, Jacksonville, FL USA
[2] Amer Hip Inst, Westmont, IL USA
关键词
RANDOMIZED CONTROLLED-TRIAL; ROTATOR CUFF REPAIR; 2-YEAR FOLLOW-UP; GROWTH-FACTORS PRGF; DOUBLE-BLIND; FEMOROACETABULAR IMPINGEMENT; KNEE OSTEOARTHRITIS; FIBRIN; EPICONDYLITIS; REFIXATION;
D O I
10.1016/j.arthro.2014.08.034
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
Purpose: The purpose of this prospective comparative study was to evaluate the effect of intraoperative platelet-rich plasma (PRP) injection on the outcomes of patients undergoing hip arthroscopy for labral treatment. Methods: During the period from November 2010 through March 2012, all patients undergoing hip arthroscopy for labral tears were considered for this study. The study group received intra-articular PRP at the end of the operation, and the control group received an intra-articular injection of 0.25% bupivacaine. Selection for the study group was based on the day of the week on which the patient underwent surgery. The protocol included administration of 4 hip-specific patient-reported outcome tools. Patients also reported their pain score on a visual analog scale from 0 to 10. Scores were recorded at the preoperative visit and at 3 months and 2 years postoperatively. Results: A minimum of 2 years' follow-up was available for 306 patients. Thirteen patients (4.2%) underwent conversion to total hip arthroplasty and 24 patients (7.8%) underwent revision hip arthroscopy, which left 91 patients in the study group and 180 patients in the control group. The study group had slightly higher pain scores than the control group (3.4 v 2.5) 2 years after surgery (P = .005). No difference in pain scores was identified at 3 months postoperatively. The 2-year modified Harris Hip Score was slightly lower in the study group (78.6) than in the control group (82.6) (P = .049). No significant difference was observed for the Hip Outcome ScoreeActivities of Daily Living, Hip Outcome ScoreeSport-Specific Subscale, or Non-Arthritic Hip Score at any time point. There was no significant difference between groups for conversion to total hip arthroplasty or revision surgery. Conclusions: On the basis of the results of this study, intraoperative PRP injection does not appear to improve the clinical results of patients undergoing hip arthroscopy for labral treatment.
引用
收藏
页码:445 / 453
页数:9
相关论文
共 41 条
  • [1] Histological Study of the Influence of Plasma Rich in Growth Factors (PRGF) on the Healing of Divided Achilles Tendons in Sheep
    Andres Fernandez-Sarmiento, J.
    Dominguez, Juan M.
    Granados, Maria M.
    Morgaz, Juan
    Navarrete, Rocio
    Carrillo, Jose M.
    Gomez-Villamandos, Rafael J.
    Munoz-Rascon, Pilar
    Martin de las Mulas, Juana
    Millan, Yolanda
    Garcia-Balletbo, Montserrat
    Cugat, Ramon
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (03) : 246 - 255
  • [2] Antuña S, 2013, ACTA ORTHOP BELG, V79, P25
  • [3] Platelet-Rich Plasma in Tendon Models: A Systematic Review of Basic Science Literature
    Baksh, Nikolas
    Hannon, Charles P.
    Murawski, Christopher D.
    Smyth, Niall A.
    Kennedy, John G.
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2013, 29 (03) : 596 - 607
  • [4] Platelet-Rich Plasma: A Milieu of Bioactive Factors
    Boswell, Stacie G.
    Cole, Brian J.
    Sundman, Emily A.
    Karas, Vasili
    Fortier, Lisa A.
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2012, 28 (03) : 429 - 439
  • [5] The Effect of Platelet-Rich Plasma Formulations and Blood Products on Human Synoviocytes Implications for Intra-articular Injury and Therapy
    Braun, Hillary J.
    Kim, Hyeon Joo
    Chu, Constance R.
    Dragoo, Jason L.
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2014, 42 (05) : 1204 - 1210
  • [6] Hip Arthroscopy for Labral Pathology: Prospective Analysis With 10-Year Follow-up
    Byrd, J. W. Thomas
    Jones, Kay S.
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (04) : 365 - 368
  • [7] Prospective analysis of hip arthroscopy with 2-year follow-up
    Byrd, JWT
    Jones, KS
    [J]. ARTHROSCOPY, 2000, 16 (06): : 578 - 587
  • [8] Callaghan J., 2007, ADULT HIP, V1
  • [9] Platelet-Rich Plasma Augmentation for Arthroscopic Rotator Cuff Repair A Randomized Controlled Trial
    Castricini, Roberto
    Longo, Umile Giuseppe
    De Benedetto, Massimo
    Panfoli, Nicola
    Pirani, Piergiorgio
    Zini, Raul
    Maffulli, Nicola
    Denaro, Vincenzo
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2011, 39 (02) : 258 - 265
  • [10] The Role of Platelet-Rich Plasma in Arthroscopic Rotator Cuff Repair: A Systematic Review With Quantitative Synthesis
    Chahal, Jaskarndip
    Van Thiel, Geoffrey S.
    Mall, Nathan
    Heard, Wendell
    Bach, Bernard R.
    Cole, Brian J.
    Nicholson, Gregory P.
    Verma, Nikhil N.
    Whelan, Daniel B.
    Romeo, Anthony A.
    [J]. ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2012, 28 (11) : 1718 - 1727