Pain in donor site after BTB-ACL reconstruction with PRGF: a randomized trial

被引：25
作者：
Seijas, Roberto [1 ]
Cusco, Xavier [1 ]
Sallent, Andrea [2 ]
Serra, Ivan [3 ]
Ares, Oscar [1 ,4 ]
Cugat, Ramon [1 ]
机构：
[1] Univ Int Catalunya Pza, Hosp Quiron Barcelona, Fdn Garcia Cugat, Orthopaed Surg,Artroscopia GC, Alfonso Comin 5-7, Barcelona 08023, Spain
[2] Hosp Valle De Hebron, Barcelona, Spain
[3] Univ Valencia, Veterinarian Surg, Valencia, Spain
[4] Hosp Clin Barcelona, Barcelona, Spain
来源：
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2016年 / 136卷 / 06期
关键词：
BTB-ACL reconstruction; Anterior knee pain; Plasma rich in growth factors; Patellar graft; ANTERIOR CRUCIATE LIGAMENT; AUTOLOGOUS PREPARATION RICH; PATELLAR TENDON AUTOGRAFT; GROWTH-FACTORS; PLASMA RICH; IMAGING EVALUATION; KNEE PAIN; GRAFT; MORBIDITY; COMPLAINTS;
D O I：
10.1007/s00402-016-2458-0
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：
Anterior cruciate ligament (ACL) tears are highly incident injuries in young athletes within our work area. The use of the patellar graft, despite being the treatment of choice, presents post-operative problems such as anterior knee pain, which limits its use and leads to preference being taken for alternative grafts. Our aim was to evaluate if the application of PRGF reduces anterior knee pain in donor site in BTB-ACL reconstruction. 43 patients were included in the double-blinded and randomized clinical trial comparing two patient groups who underwent ACL reconstruction using patellar tendon graft, comparing anterior knee pain with and without the application of PRGF at the donor site after harvesting the graft. Results: The PRGF group showed decreased donor site pain in comparison to the control group, with significant differences in the first two months of follow-up. The application of PRGF decreased donor site pain compared to the control group.
引用
收藏
页码：829 / 835
页数：7
相关论文
共 40 条
[1]   Histological Study of the Influence of Plasma Rich in Growth Factors (PRGF) on the Healing of Divided Achilles Tendons in Sheep [J].
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 .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (03) :246-255
[2]  
Anitua E, 1999, INT J ORAL MAX IMPL, V14, P529
[3]   Consideration of growth factors and bio-scaffolds for treatment of combined grade II MCL and ACL injury [J].
Anoka, Natasha ;
Nyland, John ;
McGinnis, Mark ;
Lee, Dave ;
Doral, Mahmut Nedim ;
Caborn, David N. M. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2012, 20 (05) :878-888
[4]   Mini-invasive technique for bone patellar tendon bone harvesting: Its superiority in reducing anterior knee pain following ACL reconstruction [J].
Beaufils P. ;
Gaudot F. ;
Drain O. ;
Boisrenoult P. ;
Pujol N. .
Current Reviews in Musculoskeletal Medicine, 2011, 4 (2) :45-51
[5]   Patellar Tendon Versus Hamstring Tendon Autografts for Reconstructing the Anterior Cruciate Ligament A Meta-Analysis Based on Individual Patient Data [J].
Biau, David Jean ;
Katsahian, Sandrine ;
Kartus, Juri ;
Harilainen, Arsi ;
Feller, Julian A. ;
Sajovic, Matjaz ;
Ejerhed, Lars ;
Zaffagnini, Stefano ;
Roepke, Martin ;
Nizard, Remy .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2009, 37 (12) :2470-2478
[6]   Refilling of removal defects:: Impact on extensor mechanism complaints after use of a bone-tendon-bone graft for anterior cruciate ligament reconstruction [J].
Boszotta, H ;
Prünner, K .
ARTHROSCOPY, 2000, 16 (02) :160-164
[7]   Autologous platelet-rich plasma gel to reduce donor-site morbidity after patellar tendon graft harvesting for anterior cruciate ligament reconstruction: a randomized, controlled clinical study [J].
Cervellin, M. ;
de Girolamo, L. ;
Bait, C. ;
Denti, M. ;
Volpi, P. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2012, 20 (01) :114-120
[8]   Anterior cruciate ligament reconstruction: Allograft versus autograft [J].
Chang, SKY ;
Egami, DK ;
Shaieb, MD ;
Kan, DM ;
Richardson, AB .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2003, 19 (05) :453-462
[9]   Arthroscopic reconstruction of the anterior cruciate ligament - A comparison of patellar tendon autograft and four-strand hamstring tendon autograft [J].
Corry, IS ;
Webb, JM ;
Clingeleffer, AJ ;
Pinczewski, LA .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1999, 27 (04) :444-454
[10]   Patellar Tendon Healing With Platelet-Rich Plasma A Prospective Randomized Controlled Trial [J].
de Almeida, Adriano Marques ;
Demange, Marco Kawamura ;
Sobrado, Marcel Faraco ;
Rodrigues, Marcelo Bordalo ;
Pedrinelli, Andre ;
Hernandez, Arnaldo Jose .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2012, 40 (06) :1282-1288
1234