Clinical Results of Hip Arthroscopy for Labral Tears: A Comparison Between Intraoperative Platelet-Rich Plasma and Bupivacaine Injection

Redmond, John M.; Gupta, Alka; Stake, Christine E.; Hammarstedt, Jon E.; Finch, Nathan A.; Domb, Benjamin G.

doi:10.1016/j.arthro.2014.08.034

Cited by 39 publications

(77 citation statements)

References 38 publications

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“…Athletes who have an underlying structural abnormality such as FAI typically elect to have a definitive solution in the form of arthroscopic surgery during the offseason, using PRP to enable continued play during the season. Redmond et al 46 recently performed a prospective cohort study to compare outcomes of intraoperative PRP versus bupivacaine injection for patients undergoing hip arthroscopy for labral tears. Patients receiving intraoperative PRP injections were found to have significantly higher (i.e.…”

Section: Hip Osteoarthritis Acute Inflammation and Labral Tearsmentioning

confidence: 99%

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders

Kraeutler

Garabekyan

Mei-Dan³

2016

MLTJ

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Section: Hip Osteoarthritis Acute Inflammation and Labral Tearsmentioning

confidence: 99%

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders

Kraeutler

Garabekyan

Mei-Dan³

2016

MLTJ

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“…A small number of studies have been published on the use of platelet rich plasma (PRP) in hip conservation surgery [ 20 , 38–40 , 45 ]. Only one comparative study was found assessing the effect of injecting PRP into the hip joint following arthroscopic surgery for labral tears [ 20 ]. After a follow-up period of 2 years the pain level in the PRP-treated patients was higher than the control group; however, there were no differences in hip function scores or rate of revision surgery ( Table III ).…”

Section: Resultsmentioning

confidence: 99%

The role of orthobiologics in hip preservation surgery

Alshameeri

McCaskie

2015

J Hip Preserv Surg

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The potential regenerative role of different orthobiologics is becoming more recognized for the treatment of chronic and degenerative musculoskeletal conditions. Over the last few years there has been an increasing number of publications on cell therapy and other orthobiologics for the treatment of avascular necrosis of the femoral head and other hip conditions with promising short–term clinical results. In this article, we have used a systematic search of the literature to identify potentially relevant topics on orthobiologics and then selected those most applicable to hip preservation surgery. We identified several innovative strategies and present a summary of the currently available evidence on their potential role in hip preservation surgery. For many of these treatment strategies there was a lack of clinical evidence and therefore we suggest that there is a need for comparative studies in this field.

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“…Redmond et al . [ 79 ] evaluated the effect of intraoperative PRP injection on the outcomes of patients undergoing hip arthroscopy for labral treatment. Ninety-one patients received PRP and 180 patients received 0.25% bupivacaine.…”

Section: Prp Intra-articular Hip Injectionsmentioning

confidence: 99%

Symposium: evidence for the use of intra-articular cortisone or hyaluronic acid injection in the hip

et al. 2015

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The primary purpose of this review article is to discuss the role of diagnostic, corticosteroid, hyaluronic acid (HA) and platelet rich plasma (PRP) in the treatment of osteoarthritis (OA) and femoroacetabular impingement (FIA). These treatments play an important biological role in the non-operative management of these conditions. Two independent reviewers performed an search of PubMed for articles that contained at least one of the following search terms pertaining to intra-articular hip injection—local anaesthetic, diagnostic, ultrasound, fluoroscopic, image guided, corticosteroid, HA, PRP, OA, labral tears and FAI. Seventy-two full text articles were suitable for inclusion. There were 18 articles addressing the efficacy of diagnostic intra-articular hip injections. With respect to efficacy in OA there were 25 articles pertaining to efficacy of corticosteroid, 22 of HA and 4 of PRP. There were three articles addressing the efficacy of biologics in FAI. Diagnostic intra-articular hip injections are sensitive and specific for differentiating between intra-articular, extra-articular and spinal causes of hip symptoms. Ultrasound and fluoroscopy improves the precision of intra-articular positioning of diagnostic injections. Corticosteroids are more effective than HA and PRP in alleviating pain from hip OA. A higher dose of corticosteroids produces a longer benefit but volume of injection has no significant effect. Intra-articular corticosteroids do not increase infection rates of subsequent arthroplasty. There is currently limited evidence to warrant the routine use of therapeutic injections in the management of labral tears and FIA.

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Clinical Results of Hip Arthroscopy for Labral Tears: A Comparison Between Intraoperative Platelet-Rich Plasma and Bupivacaine Injection

Cited by 39 publications

References 38 publications

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders

The use of platelet-rich plasma to augment conservative and surgical treatment of hip and pelvic disorders

The role of orthobiologics in hip preservation surgery

Symposium: evidence for the use of intra-articular cortisone or hyaluronic acid injection in the hip

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