CLINICAL OUTCOME OF PLATELET–RICH PLASMA (PRP) INJECTIONS IN EARLY KNEE OSTEOARTHRITIS
Main Article Content
Keywords
Platelet rich Plasma (PRP), Intra-articular treatment, Knee osteoarthritis
Abstract
Background: Knee osteoarthritis is a common degenerative joint disease that significantly affects quality of life. In recent years, Platelet–Rich Plasma (PRP) has gained attention as a potential biological therapy for managing early stages of osteoarthritis.
Aim: The aim of this study was to evaluate the clinical outcomes of PRP intra-articular injections in patients with grade I and II knee osteoarthritis.
Methods: This retrospective study included patients diagnosed with early knee osteoarthritis who received three intra-articular PRP injections administered one month apart. Clinical evaluation was performed before treatment and subsequently at 3, 6, and 9 months of follow-up. Pain, stiffness, and functional outcomes were assessed using the Visual Analog Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores.
Results: Significant improvement was observed in both VAS and WOMAC scores at all follow-up intervals compared to baseline. Patients reported a reduction in pain and stiffness, along with improved functional mobility. The most notable improvements were seen within the first six months, with sustained benefits observed up to nine months. No major adverse effects related to PRP injections were reported during the follow-up period.
Conclusion: PRP intra-articular injections provide an effective short-term treatment for patients with grade I and II knee osteoarthritis. The therapy significantly alleviates pain, reduces stiffness, and enhances joint function, making it a safe and beneficial intervention for early-stage disease. However, further prospective studies with larger sample sizes and longer follow-up periods are warranted to validate long-term efficacy.
References
2. Jang SJ, Kim JD, Cha SS. Platelet- rich plasma (PRP) injections as an effective treatment for early osteoarthritis. European Journal of Orthopaedic Surgery & Traumatology. 2013 Jul 1;23(5):573-80.
3. Kellgren JH, Lawrence JS. Radiological assessment of osteo- arthrosis. Annals of the rheumatic diseases. 1957 Dec;16(4):494.
4. Huang PH, Wang CJ, Chou WY, Wang JW, Ko JY. Short-term clinical results of intra-articular PRP injections for early osteoarthritis of the knee. International Journal of Surgery. 2017 Jun 1;42:117-22.
5. McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): a review of its utility and measurement properties. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2001 Oct;45(5):453- 61.
6. Martini LI, Via AG, Fossati C, Randelli F, Randelli P, Cucchi D. Single platelet-rich plasma injection for early stage of osteoarthritis of the knee. Joints. 2017 Mar;5(1):2.
7. Dhillon MS, Patel S, John R. PRP in OA knee–update, current confusions and future options. Sicot-j. 2017;3.
8. Hassan AS, El-Shafey AM, Ahmed HS, Hamed MS. Effectiveness of the intra-articular injection of platelet rich plasma in the treatment of patients with primary knee osteoarthritis. The Egyptian Rheumatologist. 2015 Jul 1;37(3):119-24.
9. Waterfield J, Sim J. Clinical assessment of pain by the visual analogue scale. British Journal of Therapy and Rehabilitation. 1996 Feb;3(2):94-7
10. Emerging and New Treatment Options for Knee Osteoarthritis Curr Rheumatol Rev 2022;18(1):20-32. doi: 10.2174/157339711766621111 111738.
11. Comparison between intra-articular infiltrations of placebo, steroids, hyaluronic and PRP for knee osteoarthritis: a Bayesian network meta-analysis. Arch Orthop Trauma Surg 2021 Sep;141(9):1473-1490. doi: 10.1007/s00402-020-03551-y. Epub 2020 Jul 28.
12. The Effect of Platelet-Rich Plasma on the Intra-Articular Microenvironment in Knee Osteoarthritis Int J Mol Sci. 2021 May 23;22(11):5492. doi: 10.3390/ijms22115492.
13. Intra-Articular Injections in Knee Osteoarthritis: A Review of Literature J Funct Morphol Kinesiol. 2021 Feb 3;6(1):15. doi: 10.3390/jfmk6010015.
14. Injection-Based Management of Osteoarthritis of the Knee: A Systematic Review of Guidelines Front Pharmacol. 2021 Apr 20;12:661805. doi: 10.3389/fphar.2021.661805. eCollection 2021.
15. Improvising PRP for use in osteoarthritis knee- upcoming trends and futuristic view J Clin Orthop Trauma . 2019 Jan-Feb;10(1):32-35. doi: 10.1016/j.jcot.2018.10.005. Epub 2018 Oct 16.
16. The use of PRP injections in the management of knee osteoarthritis Cell Tissue Res. 2019 May;376(2):143-152. doi: 10.1007/s00441-019-02996-x. Epub 2019 Feb 13.