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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 551-556
DOI: 10.1016/j.rbo.2018.01.001
Artigo Original
Joelho

Comparative Effect between Infiltration of Platelet-rich Plasma and the Use of Corticosteroids in the Treatment of Knee Osteoarthritis: A Prospective and Randomized Clinical Trial[*]

Article in several languages: português | English
Marianna Ribeiro de Menezes Freire 
1   Faculty of Medicine, Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil
,
Philippe Mota Coutinho da Silva
1   Faculty of Medicine, Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil
,
Arthur Rangel Azevedo
2   Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo (Iamspe), São Paulo, SP, Brazil
,
Denison Santos Silva
3   Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil
,
Ronald Bispo Barreto da Silva
3   Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil
,
Juliana Cordeiro Cardoso
3   Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil
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Abstract

Objectives This study aimed to analyze the efficacy of platelet-rich plasma obtained from the peripheral, autologous blood of the patients in pain complaints reduction and functional improvement of knee osteoarthritis compared with the standard treatment with injectable corticosteroid, such as triamcinolone.

Methods The patients were followed-up clinically at the preinfiltrative visit, with quantitative evaluation using the Knee Society Score (KSS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and the Kellgren and Lawrence scales. In addition, they were reevaluated with the same scales after 1 month and 6 months of intervention with 2.5 mL of triamcinolone acetate or 5 mL of platelet-rich plasma. The study was performed on 50 patients with knee osteoarthritis treated at the Medical Specialty Center and randomly divided into equivalent samples for each therapy.

Results The present study verified the reduction of pain scores, such as the WOMAC score, and elevations of functional scales, such as the KSS, evidenced in 180 days when using platelet-rich plasma, a therapy that uses the autologous blood of the patient and has fewer side effects.

Conclusion Although both platelet-rich plasma and corticosteroid therapies have been shown to be effective in the reduction pain complaints and functional recovery, there was a statistically significant difference between them at 180 days. According to the results obtained, platelet-rich plasma presented longer-lasting effects within 180 days in the treatment of knee osteoarthritis.

Keywords

osteoarthritis - corticosteroids - platelet-rich plasma

* Work performed at the Medical Specialty Center from Universidade Tiradentes (Unitmed), Aracaju, SE, Brazil Originally Published by Elsevier Editora Ltda.




Publication History

Received: 20 October 2017

Accepted: 04 January 2018

Article published online:
03 February 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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