PRP Treatment in Orthopedic Diseases
What is PRP and How Is It Obtained?
PRP (Platelet Rich Plasma), also known as Platelet Rich Plasma, is a method prepared from one’s own blood and used to stimulate and regulate healing in many areas of medicine. With the help of dozens of PRP preparation kits in use, 10-60 ml of blood is taken from the patient, this blood is separated with disposable special filters and centrifuge devices and the unwanted parts are removed. The separated 2-6 ml portion contains platelet-rich plasma and has found application in many musculoskeletal injuries.
What is the Effect Mechanism?
The main task of platelets is to form the clot that stops the bleeding that occurs as soon as an injury occurs. In addition, they contain dozens of growth factors that contribute to the repair and healing of tissue. When these growth factors are given to the environment, they help repair damaged tissues by supporting the body’s own healing mechanisms.
Advantages of Prp
- Since the procedure is performed with the person’s own blood, problems due to allergic causes are not seen.
- The duration of treatment is an average of 30 minutes.
- Since it is a form of treatment by injection, the patient returns to his daily life immediately.
In which orthopedic diseases is PRP effective?
1. Chronic tendinopathies: Successful results have been obtained with PRP applications in tennis elbow. The application is better than the results obtained with cortisone application, and the disadvantages of cortisone application are avoided with this method.
Similarly, approximately 80% successful results have been reported with PRP applications in Achilles tendon diseases, chronic patellar tendon injuries and plantar fascitis disease. It is suitable for use in tennis and golfer’s elbow, heel spur, shoulder rotator cuff problems and biceps tendinitis.
2. Knee ligament injuries:There are studies showing that PRP injections result in faster recovery and return to sports in a shorter period of time after collateral ligament injuries, which are common in athletes.
3. Muscle injuries:Again, faster return to sports has been reported with PRP injections in muscle pulling or intramuscular bleeding seen in athletes.
4. Osteoarthritis (Calcification): It has been reported that PRP injections in the early stages of osteoarthritis in the knee joint reduce the pain and improve the functions of the patients. However, PRP treatment does not change the natural course of the disease and cannot reverse the existing wear and tear.
5. Support for Cartilage Repair: Treatment of cartilage injuries in young patients is still an important problem. This is the most studied area of PRP today.
6. As an aid during surgery:In various studies, the jelly form of PRP has been used in knee replacement, repair of shoulder muscle ruptures and anterior cruciate ligament repairs.
Needs to be applied by experienced people
The important thing in PRP treatment is to select the part of the blood fluid that is rich in “platelet” and inject it to the patient at the most appropriate rate. Although PRP treatment is applied in many centers today, there may be cases where the plasma to be injected cannot be standardized in the same richness or the application dose cannot be adjusted correctly. These differences may also affect the chances of success of the treatment. For this, the content and ratio of blood fluid must be determined correctly. PRP is applied in Orthopedic Diseases in our hospital.
orthopedics and Traumatology specialist