Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis

Objective The objective of this study was to compare intra-articular injections (IAIs) of platelet-rich plasma (PRP) and corticosteroid injections in reducing pain and studying which has a more effective and lasting functional improvement. Patients and methods A total of 60 patients with chronic kne...

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Main Author: Abeer H Ismaiel
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2018-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=278;epage=284;aulast=Ismaiel
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author Abeer H Ismaiel
author_facet Abeer H Ismaiel
author_sort Abeer H Ismaiel
collection DOAJ
description Objective The objective of this study was to compare intra-articular injections (IAIs) of platelet-rich plasma (PRP) and corticosteroid injections in reducing pain and studying which has a more effective and lasting functional improvement. Patients and methods A total of 60 patients with chronic knee osteoarthritis (Kellgren–Lawrence grades 3 and 4) were enrolled in this study. Patients were randomized to treatment either with a single leukocyte-rich PRP or corticosteroid IAIs. Patients were assessed by visual analog scale, and Knee injury and Osteoarthritis Outcome Score at 1, 3, and 6 months after treatment. Results Our results showed improvement in all variables in both groups. Statistical differences between groups were found for the majority of the outcome variables, and the degree of improvement was more in the PRP group. Conclusion IAI of PRP is effective for relieving pain and improving activities of daily living and quality of life in old patients with late-stage knee osteoarthritis. IAI of one shot of corticosteroid has similar results but for a short term and with more side effects.
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spelling doaj.art-3b823d1d0066484484caf00b6fc4d57c2024-04-03T00:33:15ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282018-01-011427828410.4103/JMISR.JMISR_66_18Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritisAbeer H IsmaielObjective The objective of this study was to compare intra-articular injections (IAIs) of platelet-rich plasma (PRP) and corticosteroid injections in reducing pain and studying which has a more effective and lasting functional improvement. Patients and methods A total of 60 patients with chronic knee osteoarthritis (Kellgren–Lawrence grades 3 and 4) were enrolled in this study. Patients were randomized to treatment either with a single leukocyte-rich PRP or corticosteroid IAIs. Patients were assessed by visual analog scale, and Knee injury and Osteoarthritis Outcome Score at 1, 3, and 6 months after treatment. Results Our results showed improvement in all variables in both groups. Statistical differences between groups were found for the majority of the outcome variables, and the degree of improvement was more in the PRP group. Conclusion IAI of PRP is effective for relieving pain and improving activities of daily living and quality of life in old patients with late-stage knee osteoarthritis. IAI of one shot of corticosteroid has similar results but for a short term and with more side effects.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=278;epage=284;aulast=Ismaielintra-articular injectionskneeosteoarthritisplatelet-rich plasma
spellingShingle Abeer H Ismaiel
Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
Journal of Medicine in Scientific Research
intra-articular injections
knee
osteoarthritis
platelet-rich plasma
title Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
title_full Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
title_fullStr Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
title_full_unstemmed Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
title_short Comparison between the effect of intra-articular injections of platelet-rich plasma and corticosteroids in advanced knee osteoarthritis
title_sort comparison between the effect of intra articular injections of platelet rich plasma and corticosteroids in advanced knee osteoarthritis
topic intra-articular injections
knee
osteoarthritis
platelet-rich plasma
url http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=278;epage=284;aulast=Ismaiel
work_keys_str_mv AT abeerhismaiel comparisonbetweentheeffectofintraarticularinjectionsofplateletrichplasmaandcorticosteroidsinadvancedkneeosteoarthritis