Is platelet-rich plasma injection an effective choice in cases of non-union?

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dc.contributor.authorSay, Ferhat
dc.contributor.authorTürkeli, Erdinç
dc.contributor.authorBülbül, Murat
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:21Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:21Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractPURPOSE OF THE STUDY: By the expression of several growth factors from activated thrombocytes, the application of Platelet Rich Plasma (PRP) stimulates angiogenesis and regeneration thus stimulating recovery through cell differentiation. This study aimed to evaluate the effects of PRP injection on patients who had undergone surgery for fracture and in whom delayed union or nonunion had been determined.MATERIAL AND METHODS: The study comprised 20 patients (male 17, female 3; median age 33.5 range 15-77) who had undergone lower extremity fracture surgery and were diagnosed with aseptic delayed union (8 patients) or non-union (12 patients). Blood taken from the patients was centrifuged to separate PRP, which was then activated by calcium chloride. The prepared PRP was injected into the fracture line under fluoroscopy guidance for totally three times once a week. The application of PRP was made at median 6 (range 6-8) months after fracture surgery. All patients were followed-up with clinical examinations and radiographs over a median period of 11 (range 8-12) months.RESULTS: Fracture union was achieved in six patients at median 15 (range 8-24) weeks. There was non-union of the fracture in eleven patients during the follow-up period and these patients underwent revision surgery. Sufficient union was not determined radiologically and clinically in three patients. Fracture union was achieved in six of eight patients in the delayed union group. There was no patient in the non-union group with fracture union.CONCLUSIONS: Fracture healing is a process affected by many factors. Although PRP has been reported in literature to be a biological treatment which increases healing, adequate healing was not determined in the treatment of non-union with PRP injection. However, in selected patients determined with delayed union, PRP injection can be recommended in non-surgical treatment.
dc.identifier.citationSay, F., Türkeli, E. ve Bülbül, M. (2014). Is platelet-rich plasma injection an effective choice in cases of non-union? Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 81(5), 340-345.
dc.identifier.endpage345
dc.identifier.issn0001-5415
dc.identifier.issue5
dc.identifier.scopusqualityQ3
dc.identifier.startpage340
dc.identifier.urihttps://hdl.handle.net/20.500.12511/736
dc.identifier.volume81
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGalen s.r.o.
dc.relation.ispartofActa Chirurgiae Orthopaedicae et Traumatologiae Cechoslovacaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDelayed Union
dc.subjectGrowth Factors
dc.subjectNon-Union
dc.subjectPlatelet-Rich Plasma
dc.titleIs platelet-rich plasma injection an effective choice in cases of non-union?
dc.title.alternativeJe injekcní aplikace PRP úcinnou mozností lécby v prípadech pakloubu?
dc.typeArticle

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