Background:Platelet rich plasma (PRP) extract has shown to be a general stimulation for repair and currently used widely in various sports injury. A prospective observational study was done to assess the efficacy of autologous PRP injection in lateral epicondylitis of elbow, and compare the result with low level laser therapy.Materials and Methods:The trial was conducted at a tertiary care center for a period of 2 years. Eighty-one patients with chronic lateral epicondylitis were divided into two groups. PRP group (n = 39) and laser therapy group (n = 42). The primary analysis included Nirschl pain score, local tenderness, pain on wrist extension, grip strength, elbow swelling were clinically assessed at different interval of followup (minimum followup: 52 weeks) and; clinical and functional outcome evaluated at final followup. The statistical analysis were done.Results:The mean Nirschl pain score decreased significantly from baseline in PRP when compared with low level laser therapy (P ≤ 0.05).Conclusions:Treatment of patients with chronic lateral epicondylitis with PRP extract reduced pain and significantly increased function, exceeding the effect of low level laser therapy on long term followup. Low-level laser therapy is better in the short term period, but on long term followup injection PRP therapy is better than laser therapy in lateral epicondylitis.

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BACKGROUND: Fractures of distal end radius are the most common fractures of the upper extremity, encountered in orthopaedic practice. The goal of treatment has always been to restore the anatomy of the radius i.e. length, tilt, inclination and joint surface. Fixation of these fractures by volar plating provides restoration of distal radial anatomy and most consistent correction of displacement. The purpose of this study was to evaluate the functional outcome of patients with distal end radius fractures managed operatively by volar plating. METHODS: Between August 2007 and March 2012, eighty patients with distal end radius fractures were treated with volar fixed-angle locking plate. Fractures were classified according to the AO/ASIF classification system as type A(n = 16), B(n = 12) and C(n = 52). Anatomical evaluation was done by Sarmiento's modification of Lind Storm criteria while clinical and functional outcome was done by demerit point system of Gartland and Werley with Sarmiento et al's modification. RESULTS: The average follow up of patients was 62.5 weeks. On anatomical evaluation at final follow up we found that 68 patients (85%) had excellent restoration of anatomy, 8 (10%) had good and 4 (5%) had fair restoration of anatomy. Functionally 60 patients (75%) had excellent, 12 (15%) had good and 8 (10%) had fair results. Poor function correlated with residual displacement and poor patient compliance. 9 patients had joint stiffness and 3 had paresthesia in median nerve distribution and 2 had reflex sympathetic dystrophy. CONCLUSION: The treatment of intra and extra-articular fractures of the distal radius with a volar plating system have an excellent to good anatomical restoration of anatomy and excellent functional outcomes. This treatment is associated with a very small and statistically insignificant loss of volar tilt, radial inclination and radial length upon comparison of immediate postoperative alignment with that seen after more than 1 year follow-up. These results suggest that stabilizing the fracture with volar plating is a very effective method.

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