This study aims to evaluate the effect of platelet-rich plasma (PRP) on meniscus injury by comparing the imaging and clinical outcomes between patients receiving PRP with meniscus repair surgery and those receiving meniscus repair surgery only.
Damage to meniscal tissue is challenging for orthopedic surgeons because of the absence of healing at the avascular zone. Additionally, the accelerated degeneration of articular cartilage and increased rate of knee osteoarthritis that can occur following a meniscal injury. Platelet-rich plasma (PRP) is a fraction of plasma that contains platelets and multiple growth factors concentrated at high level. Because activated platelets have the potential to release growth factors, PRP has been clinically used to accelerate wound healing and tissue regeneration in orthopedic and oral surgery. Several in vivo and in vitro studies have reported favorable outcomes of PRP on meniscal repair; however, the clinical results varied between studies.This clinical trial will investigate the effect of PRP on on meniscus injury. Eligible patients will be randomly assigned to receive PRP with meniscus repair surgery or to receive meniscus repair surgery only. The postoperative imaging and clinical outcomes will be compared and analyzed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Autologous platelet-rich plasma gel applied during meniscus repair surgery
Meniscus repair surgery only
Show Chwan Memorial Hospital
Changhua, Changhua, Taiwan
3-month postoperative knee function evaluated by IKDC
Knee function is evaluated using International Knee Documentation Committee (IKDC) score.
Time frame: 3-month postoperative
6-month postoperative knee function evaluated by IKDC
Knee function is evaluated using International Knee Documentation Committee (IKDC) score.
Time frame: 6-month postoperative
12-month postoperative knee function evaluated by IKDC
Knee function is evaluated using International Knee Documentation Committee (IKDC) score.
Time frame: 12-month postoperative
3-month postoperative knee pain evaluated by VAS
Pain level is evaluated using visual analogue scale (VAS).
Time frame: 3-month postoperative
6-month postoperative knee pain evaluated by VAS
Pain level is evaluated using visual analogue scale (VAS).
Time frame: 6-month postoperative
12-month postoperative knee pain evaluated by VAS
Pain level is evaluated using visual analogue scale (VAS).
Time frame: 12-month postoperative
Percentage of patients with healed meniscus 6-month postoperative
Healing of meniscus is evaluated by MRI
Time frame: 6-month postoperative
Percentage of patients with healed meniscus 12-month postoperative
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Healing of meniscus is evaluated by MRI
Time frame: 12-month postoperative