Eight athletes considering surgical intervention for chronic patellar tendinosis that was recalcitrant to conservative physical therapy and a variety of non-operative treatments were recruited into the study. Following pre-injection MRI imaging and VISA score assessment, patients received a single injection of PRP (Platelet-Rich Plasma). Patients were given individualized rehabilitation protocols and followed until a final assessment at 120 days post-injection. Seven of the eight patients were assessed at the final follow-up, with all of them demonstrating an improvement on the VISA score. One patient elected to have surgical intervention prior to the final follow-up and was not included in the analysis. The average VISA score at the final assessment was 75.0 compared to a pre-injection average of 39.25. This represented a 91% of average improvement in the VISA score (p<0.001). MRI images at the final follow-up demonstrated a noticeable reduction in irregularity of the affected tendon compared to pre-injection images for 80% of the treated tendons. Treatment of chronic patellar tendinosis in a series of athletes resulted in a statistically significant improvement in VISA score for seven of the eight patients treated. Pre and post-injection MRI demonstrated reduced irregularity in eighty percent of the injected tendons. Further evaluation of this treatment is warranted

Treatment of chronic patellar tendinosis with buffered platelet rich plasma : a preliminary study / P. Volpi, L. Marinoni, C. Bait, L. de Girolamo, H. Schoenhuber. - In: MEDICINA DELLO SPORT. - ISSN 0025-7826. - 60:4(2007), pp. 595-603.

Treatment of chronic patellar tendinosis with buffered platelet rich plasma : a preliminary study

L. de Girolamo;
2007

Abstract

Eight athletes considering surgical intervention for chronic patellar tendinosis that was recalcitrant to conservative physical therapy and a variety of non-operative treatments were recruited into the study. Following pre-injection MRI imaging and VISA score assessment, patients received a single injection of PRP (Platelet-Rich Plasma). Patients were given individualized rehabilitation protocols and followed until a final assessment at 120 days post-injection. Seven of the eight patients were assessed at the final follow-up, with all of them demonstrating an improvement on the VISA score. One patient elected to have surgical intervention prior to the final follow-up and was not included in the analysis. The average VISA score at the final assessment was 75.0 compared to a pre-injection average of 39.25. This represented a 91% of average improvement in the VISA score (p<0.001). MRI images at the final follow-up demonstrated a noticeable reduction in irregularity of the affected tendon compared to pre-injection images for 80% of the treated tendons. Treatment of chronic patellar tendinosis in a series of athletes resulted in a statistically significant improvement in VISA score for seven of the eight patients treated. Pre and post-injection MRI demonstrated reduced irregularity in eighty percent of the injected tendons. Further evaluation of this treatment is warranted
Patellar tendon; Platelet-rich plasma; Tendinosis; Tendonitis
2007
http://www.minervamedica.it/index2.t
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/50000
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