Arthroscopic knotless tape bridging with autologous platelet-rich fibrin gel augmentation: functional and structural results

Dukan, Ruben; Bommier, Aude; Rousseau, Marc-Antoine; Boyer, Patrick

doi:10.1080/00913847.2019.1623994

Cited by 7 publications

(10 citation statements)

References 29 publications

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“…Concerning the trials reviewed in this article, in nine of them, the single-row technique was utilized, and in twelve, the double-row technique was used. Concerning the trials presenting double-row repairs, in four trials, three of which were published by Jo et al [ 30 , 31 , 32 ], the suture bridge technique was presented, while in another, the knotless tape bridging technique was chosen [ 25 ]. Lastly, in four trials, either various techniques were used, or the specific technique preferred was undefined [ 19 , 21 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, it was decided to assign any patients with MRI imaging of Sugaya grade I–III to the “healed” patient group, whereas any patients with Sugaya grade IV–V were assigned to the “retear” patient groups during the statistical analysis. Only the article by Dukan et al [ 25 ] characterized Sugaya grade III–V as retears but did not specify the exact grade for the patients in the study. Out of the 25 studies that compared imaging results of PRP and control groups, 7 showed a statistically significant decrease of the retear rates, while only 1 study showed a significant increase of the retear rate for the PRP group.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining articles were screened by the authors after evaluating the titles and abstract texts available. Based on the above-mentioned criteria, 39 articles were chosen for a full-text assessment, and 28 articles referring to 26 different clinical trials [ 5 , 10 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] were identified. In addition, through references in the articles chosen, two more published clinical trials were identified [ 45 , 46 ], adding to a total of 30 articles referring to 28 different clinical trials.…”

Section: Methodsmentioning

confidence: 99%

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The Effect of PRP Augmentation of Arthroscopic Repairs of Shoulder Rotator Cuff Tears on Postoperative Clinical Scores and Retear Rates: A Systematic Review and Meta-Analysis

Trantos

Vasiliadis

Giannoulis

et al. 2023

JCM

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The aim of this review and meta-analysis is to assess recent clinical trials concerning the combination of operative treatment of rotator cuff tears and the administration of PRP and its effect on clinical scores and postoperative retear rates. The trials were used to compare the combination of PRP treatment and arthroscopic rotator cuff repair to arthroscopy alone. Twenty-five clinical trials were reviewed. A risk-of-bias assessment was made for all randomized clinical trials included, using the Cochrane collaboration’s tool as well as a quality assessment for all non-randomized studies utilizing the Newcastle–Ottawa scale. The PRP-treated patients showed statistically significant improvement postoperatively compared to control groups concerning the Constant–Murley (mean difference 2.46, 95% CI 1.4–3.52, p < 0.00001), SST (mean difference 0.32, 95% CI 0.02–0.63, p = 0.04), and UCLA (mean difference 0.82, 95% CI 0.23–1.43, p = 0.07) scores. A statistically significant decrease of retear rates in the PRP-treated patients, with a risk ratio of 0.78 (95% CI 0.65–0.94, p = 0.01), was found. We believe that the results presented have positive aspects, especially concerning the retear risk, but are yet inconclusive concerning clinical results such as shoulder pain and function.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Effect of PRP Augmentation of Arthroscopic Repairs of Shoulder Rotator Cuff Tears on Postoperative Clinical Scores and Retear Rates: A Systematic Review and Meta-Analysis

Trantos

Vasiliadis

Giannoulis

et al. 2023

JCM

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“…Data obtained from in vivo studies appear to indicate that the application of PRP may have a therapeutic effect on rotator cuff tears [14]. Furthermore, some clinical trial studies also reported positive outcome of therapeutic usage of PRP in patients with rotator cuff tears in short-term [15][16][17][18]. So that, re-tear rate, pain, and shoulder function in patient were among the symptoms that were improved by using PRP in patients with rotator cuff tears [19].…”

Section: Use Of Platelet-rich Plasma In Rotator Cuff Injury Treatmentmentioning

confidence: 96%

“…Thus, high-quality evidence and data associated with the therapeutic use of PRP for rotator cuff tear treatment is insufficient and remains limited, and small clinical trial just also demonstrates hopeful result of PRP use in rotator cuff tendinopathy cure; however, more clinical trials are needed to increase the number of findings and improve understanding of the function of PRP for the treatment of rotator cuff injury [24]. Some clinical studies using PRP for the treatment of rotator cuff injury are listed in Table 1 [15,16,[25][26][27][28][29][30][31][32][33].…”

Section: Use Of Platelet-rich Plasma In Rotator Cuff Injury Treatmentmentioning

confidence: 99%

Effect of Platelet-rich Plasma and Mesenchymal Stem Cells as Two Biological Alternatives in Rotator Cuff Injury Treatment: A Mini-review

et al. 2019

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The rotator cuff injury introduces as significant damage of trauma and others factors, and currently recognized as a prevalent orthopedic problem. Thus, many clinical procedures have been demonstrated to reduce the complication of rotator cuff injury with varying degrees of success. Platelet-Rich Plasma (PRP) is being enchantingly agreed as one of the most effectiveness strategies for the symptomatic treatment of rotator cuff injury. Many confusing parameters can influence the result of PRP including size of rotator cuff injury, patient age, PRP producing strategy, and number and timing of PRP injections. However, there is some evidences which support beneficial effect PRP in term relieving pain and restoring function, along with minimal adverse effect, in compared with corticosteroids, and other nonsurgical methods. Besides platelet-rich plasma, Mesenchymal Stem Cells (MSCs) are another biological alternative that can be used to treat rotator cuff injuries. Due to lack of large clinical trials applicability, these biological cells have challenges fairly similar to PRP. In conclusion, there is a need for further research to understand the potential application of both of these alternatives as a safe and effective therapeutic option for rotator cuff injuries.

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Efficacy of platelet‐rich plasma and platelet‐rich fibrin in arthroscopic rotator cuff repair: A systematic review and meta‐analysis

Peng

Li²,

Yang

et al. 2023

PM&R

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ObjectiveBasic scientific studies have demonstrated positive effects of platelet‐rich therapies, such as platelet‐rich plasma (PRP) and platelet‐rich fibrin (PRF), on tendon repair. However, clinical evidence indicating improved prognosis is controversial. In this study, we aimed to determine whether augmentation of arthroscopic rotator cuff repair with PRP and PRF improves outcomes compared to arthroscopic repair alone.Literature SurveyPubMed, Embase and Cochrane library databases were comprehensively searched for randomized controlled trials (RCTs) published until June 2022 according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guidelines. No language restriction was applied.MethodologyThe primary outcomes were the rate of repeat tears after arthroscopic rotator cuff repair (retear rate) and clinical function scores (Constant‐Murley score, University of California, Los Angeles score), and the extracted data were assessed for quality. Statistical analyses were performed using Review manager 5.3, and P < 0.05 was considered statistically significant.SynthesisTen RCTs with 628 patients were included. The results showed that augmenting surgery with PRP reduces retear rates compared to surgery alone (risk ratio [RR] = 0.40, 95% confidence interval [CI] [0.23, 0.69], P = 0.001), whereas PRF has no effect on retear rates (P = 0.92). Regarding clinical function, PRP improves constant scores (mean difference [MD] = 2.03, 95% CI [0.13, 3.93], P = 0.04) and University of California, Los Angeles scores (MD = 1.30, 95% CI [0.36, 2.24], P = 0.007), whereas PRF only improves constant scores (MD = 3.93, 95% CI [1.50, 6.36], P = 0.002). However, these differences were small and below the minimum clinically important difference threshold.ConclusionsThis study showed that compared to arthroscopic rotator cuff repair alone, the application of PRP in arthroscopic rotator cuff repair reduces retear rate and improves clinical function scores, whereas the application of PRF has no clinically meaningful benefit. The small number and heterogeneity of studies as well as methodological limitations and risk of bias limit confidence in the true effect.This article is protected by copyright. All rights reserved.

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Arthroscopic knotless tape bridging with autologous platelet-rich fibrin gel augmentation: functional and structural results

Cited by 7 publications

References 29 publications

The Effect of PRP Augmentation of Arthroscopic Repairs of Shoulder Rotator Cuff Tears on Postoperative Clinical Scores and Retear Rates: A Systematic Review and Meta-Analysis

The Effect of PRP Augmentation of Arthroscopic Repairs of Shoulder Rotator Cuff Tears on Postoperative Clinical Scores and Retear Rates: A Systematic Review and Meta-Analysis

Effect of Platelet-rich Plasma and Mesenchymal Stem Cells as Two Biological Alternatives in Rotator Cuff Injury Treatment: A Mini-review

Efficacy of platelet‐rich plasma and platelet‐rich fibrin in arthroscopic rotator cuff repair: A systematic review and meta‐analysis

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