Platelet Rich Plasma in Orthopedic Surgical Medicine.

There is a global interest in optimizing post-surgical tissue repair strategies, leading to better patient outcomes and fewer complications, most ideally with reduced overall cost. In this regard, in recent years, the interest in autologous biological treatments in orthopedic surgery and sports medi...

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Main Authors: Peter A. Everts, Albert van Erp, Alfred DeSimone, Dan S. Cohen, Ronald D. Gardner
Format: Article
Language:English
Published: Taylor & Francis Group 2021-02-01
Series:Platelets
Subjects:
Online Access:http://dx.doi.org/10.1080/09537104.2020.1869717
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author Peter A. Everts
Albert van Erp
Alfred DeSimone
Dan S. Cohen
Ronald D. Gardner
author_facet Peter A. Everts
Albert van Erp
Alfred DeSimone
Dan S. Cohen
Ronald D. Gardner
author_sort Peter A. Everts
collection DOAJ
description There is a global interest in optimizing post-surgical tissue repair strategies, leading to better patient outcomes and fewer complications, most ideally with reduced overall cost. In this regard, in recent years, the interest in autologous biological treatments in orthopedic surgery and sports medicine has increased greatly, and the addition of platelet-rich plasma (PRP) to the surgical armamentarium is of particular note. Unfortunately, the number of PRP preparation devices has also grown immensely over the recent decades, raising meaningful concern for the considerable variation in the qualities of currently available PRP preparations. The lack of consensus on the standardization of PRP preparation and of agreement on condition specific PRP formulations is largely responsible for the sometimes contradictory outcomes in the literature. Furthermore, the full potential of PRP technology, the concept of individualized treatment protocols based on bioformulation options, and platelet dosing, angiogenesis, and antimicrobial and painkilling effects of PRP relevant to orthopedic surgery have rarely been addressed. In this review, we will discuss recent developments regarding PRP preparations and potential therapeutic effects. Additionally, we present a synopsis of several published data regarding PRP applications in orthopedic surgery for treating tendon injuries, inducing bone repair, strengthening spinal fusion outcomes, and supporting major joint replacements.
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spelling doaj.art-4da63f65f89d4dcb9f1f6077ea5362812023-09-15T10:38:09ZengTaylor & Francis GroupPlatelets0953-71041369-16352021-02-0132216317410.1080/09537104.2020.18697171869717Platelet Rich Plasma in Orthopedic Surgical Medicine.Peter A. Everts0Albert van Erp1Alfred DeSimone2Dan S. Cohen3Ronald D. Gardner4Gulf Coast BiologicsOrthopedic PartnershipOrthopedic-Sports Medicine CenterMt. Sinai Medical CenterGardner OrthopedicsThere is a global interest in optimizing post-surgical tissue repair strategies, leading to better patient outcomes and fewer complications, most ideally with reduced overall cost. In this regard, in recent years, the interest in autologous biological treatments in orthopedic surgery and sports medicine has increased greatly, and the addition of platelet-rich plasma (PRP) to the surgical armamentarium is of particular note. Unfortunately, the number of PRP preparation devices has also grown immensely over the recent decades, raising meaningful concern for the considerable variation in the qualities of currently available PRP preparations. The lack of consensus on the standardization of PRP preparation and of agreement on condition specific PRP formulations is largely responsible for the sometimes contradictory outcomes in the literature. Furthermore, the full potential of PRP technology, the concept of individualized treatment protocols based on bioformulation options, and platelet dosing, angiogenesis, and antimicrobial and painkilling effects of PRP relevant to orthopedic surgery have rarely been addressed. In this review, we will discuss recent developments regarding PRP preparations and potential therapeutic effects. Additionally, we present a synopsis of several published data regarding PRP applications in orthopedic surgery for treating tendon injuries, inducing bone repair, strengthening spinal fusion outcomes, and supporting major joint replacements.http://dx.doi.org/10.1080/09537104.2020.1869717angiogenesisantimicrobialbioformulationbone repairleukocyte poorleukocyte richoorthopedic surgerypainkillingplatelet doseplatelet-rich plasmaspinal bone-fusiontendon reconstruction
spellingShingle Peter A. Everts
Albert van Erp
Alfred DeSimone
Dan S. Cohen
Ronald D. Gardner
Platelet Rich Plasma in Orthopedic Surgical Medicine.
Platelets
angiogenesis
antimicrobial
bioformulation
bone repair
leukocyte poor
leukocyte rich
o
orthopedic surgery
painkilling
platelet dose
platelet-rich plasma
spinal bone-fusion
tendon reconstruction
title Platelet Rich Plasma in Orthopedic Surgical Medicine.
title_full Platelet Rich Plasma in Orthopedic Surgical Medicine.
title_fullStr Platelet Rich Plasma in Orthopedic Surgical Medicine.
title_full_unstemmed Platelet Rich Plasma in Orthopedic Surgical Medicine.
title_short Platelet Rich Plasma in Orthopedic Surgical Medicine.
title_sort platelet rich plasma in orthopedic surgical medicine
topic angiogenesis
antimicrobial
bioformulation
bone repair
leukocyte poor
leukocyte rich
o
orthopedic surgery
painkilling
platelet dose
platelet-rich plasma
spinal bone-fusion
tendon reconstruction
url http://dx.doi.org/10.1080/09537104.2020.1869717
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AT albertvanerp plateletrichplasmainorthopedicsurgicalmedicine
AT alfreddesimone plateletrichplasmainorthopedicsurgicalmedicine
AT danscohen plateletrichplasmainorthopedicsurgicalmedicine
AT ronalddgardner plateletrichplasmainorthopedicsurgicalmedicine