Role of autologous platelet-rich plasma in treatment of femoral neck fractures

Background: Few studies have investigated the outcome of the use of platelet-rich plasma (PRP) in the treatment of femoral neck fractures. The aim of this study was to evaluate the efficacy of PRP in management of femoral neck fractures. Materials and methods: This study included 64 cases in PRP group and 64 cases in control group. After clinical evaluation, patients in control group only underwent closed reduction and internal fixation and patients in PRP group received addition of PRP to internal fixation. Results: Mean length of hospital stay was 13.7 days in the PRP group and 18.1 days in the control group, which was found significant difference between the two groups (P = 0.042). Similarly, the PRP group obtained a shorter union time, compared to the control group (P = 0.005). No statistically significant differences were observed in functional outcomes regards HHS or VAS between the 2 groups (Table 2). There was no difference in the presence of complications (P > 0.05) using Fisher's exact test. Conclusions: Although no differences in functional outcomes were observed between the groups, PRP could obtain a decreased hospital stay and bone union time.