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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(05): 634-640
DOI: 10.1055/s-0041-1724075
Artigo de Atualização
Joelho

Comparação entre viscossuplementação e plasma rico em plaquetas em lesões condrais de joelhos de pacientes jovens[*]

Article in several languages: português | English
Marcus Vinicius Danieli 
1   Grupo de Cirurgia do Joelho, Uniorte Hospital de Ortopedia, Londrina, PR, Brasil
2   Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
João Paulo Fernandes Guerreiro 
1   Grupo de Cirurgia do Joelho, Uniorte Hospital de Ortopedia, Londrina, PR, Brasil
2   Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
Telvio Ataide Vimercati 
1   Grupo de Cirurgia do Joelho, Uniorte Hospital de Ortopedia, Londrina, PR, Brasil
,
Pedro Henrique Favaro Mendes 
2   Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
Paulo Raphael Tsutomu Katayama Miyazaki 
2   Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
Daniele Cristina Cataneo 
3   Departamento de Cirurgia, Universidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatu, Botucatu, SP, Brasil
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Resumo

Objetivo Comparar o resultado clínico e funcional da aplicação de ácido hialurônico (AH) ou plasma rico em plaquetas (PRP) no tratamento de pacientes jovens portadores de lesões condrais em joelhos, sem artrose.

Métodos Avaliação clínica e funcional prospectiva de 30 pacientes adultos jovens, com lesão condral no joelho, submetidos a tratamento conservador, com aplicação de AH ou PRP, com seguimento mínimo de 12 meses. Para avaliação, foi utilizado o Western Ontário and McMaster Universities Arthritis Index (WOMAC) e a escala visual analógica (EVA) da dor.

Resultados Avaliado pelo questionário de WOMAC, o grupo PRP mostrou melhora em todos os pontos de avaliação com significância estatística, já o grupo AH não mostrou melhora nos escores. Com relação à EVA, o PRP também mostrou melhora em todos os pontos de avaliação, e o grupo AH mostrou melhora com 6 e 12 meses. Quando comparados, o grupo PRP foi melhor que o grupo AH em todos os pontos de avaliação, de acordo com a escala de WOMAC, e até 6 meses nos resultados da EVA.

Conclusão O PRP obteve melhor resultado clínico e funcional quando aplicado em joelhos com lesões condrais de pacientes jovens, sem artrose, avaliado pelo questionário de WOMAC e pela EVA. Este resultado se manteve até 12 meses.

Nível de evidência Ensaio clínico randomizado (Tipo 2B)

Palavras-chave

ácido hialurônico - cartilagem articular - joelho - plasma rico em plaquetas - viscossuplementação

* Trabalho desenvolvido no Grupo de Cirurgia do Joelho, Uniorte Hospital de Ortopedia, Londrina, PR, Brasil.




Publication History

Received: 13 April 2020

Accepted: 17 September 2020

Article published online:
19 April 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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