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Platelet-rich plasma in chronic Achilles tendinopathy

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Abstract

Introduction

Achilles tendinopathy [AT] is a functional problem characterised by swelling and pain above the Achilles tendon insertion region. In individuals with AT, PRP or platelet-rich plasma can be used as an alternative modality of treatment with an aim to lessen the discomfort and enhance functional recovery. We assessed the available data supporting the effectiveness of PRP in treating chronic AT.

Materials and methods

We did a literature search for randomised controlled trials [RCTs] that contrasted the effectiveness of PRP with that of eccentric exercise and placebo injections as treatment for AT in databases such as the Cochrane Library, Web of Science, PubMed, and EMBASE. The Visual analogue scale [VAS] score, Victorian Institute of Sports Assessment-Achilles [VISA-A] score, and Achilles tendon thickness were used to measure the results. We used the RevMan 5.3.5 software for statistical analysis.

Results

We included five RCTs in this meta-analysis. There was no significant difference in the VISA-A between the PRP and placebo groups at 12 weeks, 24 weeks and 1 year after treatment. However, at 6 weeks after treatment, PRP exhibited better efficacy than the placebo treatment. Two studies in our meta-analysis included VAS scores and tendon thickness. There was no significant difference in VAS scores at 6 weeks and 24 weeks after treatment. However, VAS scores at 12 weeks and tendon thickness were significantly different.

Conclusion

PRP injection is an effective treatment for chronic AT. It has a unique potential for increasing function and reducing discomfort in AT patients.

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This published article contains all the data generated or analysed during this study.

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Funding

No funding was received for the study.

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Authors and Affiliations

  1. Saanvi Orthopaedics, 2003, Sorrento High Street, Hiranandani Gardens, Powai, Mumbai, Maharashtra, 400076, India

    Clevio Desouza & Vijay Shetty

  2. DR. L.H. Hiranandani Hospital, Powai, Mumbai, Maharashtra, India

    Clevio Desouza, Rishabh Dubey & Vijay Shetty

Authors
  1. Clevio Desouza
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  2. Rishabh Dubey
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  3. Vijay Shetty
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All authors have contributed equally to the preparation of the manuscript.

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Correspondence to Clevio Desouza.

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Desouza, C., Dubey, R. & Shetty, V. Platelet-rich plasma in chronic Achilles tendinopathy. Eur J Orthop Surg Traumatol 33, 3255–3265 (2023). https://doi.org/10.1007/s00590-023-03570-6

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  • DOI: https://doi.org/10.1007/s00590-023-03570-6

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