| Treatment of Refractory Lateral Epicondylitis with Platelet-Rich Plasma |
| Sang Hoon Ko, Chae Chil Lee, Byeong Seong Kang, Ki Jae Lee, Seon Ho Lee |
1Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. everest@naver.com
2Department of Laboratory Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
3Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. |
| 불응성 주관절 외상과염에 대한 혈소판 풍부 혈장 주입 치료의 임상적 결과 |
| 고상훈·이채칠·강병성2)·이기재·이선호1) |
울산대학교 의과대학 울산대학교병원 정형외과학교실, 진단검사의학교실1
영상의학교실 |
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| Abstract |
PURPOSE
To evaluate clinical results of a single percutaneous injection of platelet-rich plasma in patients with refractory lateral epicondylitis.
MATERIALS AND METHODS: Between Jan and Dec 2009, fifteen patients (5 male, 10 female) received a diagnosis of lateral epicondylitis of the elbow and were evaluated in this study. Their average age was 43.5 years. All patients were initially given a variety of non-surgical treatments for more than 1year. All patients were considering surgery. These patients were given a single percutaneous injection of 3cc of platelet-rich plasma. To assess pain, we used a visual analogue scale (VAS) at rest and during work & the Patient-Rated Tennis Elbow Evaluation (PRTEE) score. We compared the score before treatment with scores 4 and 12 weeks after treatment.
RESULTS
Average VAS scores at rest improved from 4.6 before treatment to 2.5 at week 4, and 1.8 at week 12. The average VAS score while working also improved from 7.8 before treatment to 6.2 at week 4, and 4.25 at week 12. The average PRTEE score improved from 60.13 before treatment to 46.12 at week 4 and 24.6 at week 12.
CONCLUSION
Treatment using a single percutaneous injection of platelet-rich plasma in patients with refractory lateral epicondylitis appears to be an effective treatment modality. Platelet-rich plasma should be considered before surgical intervention. |
| Key Words:
Elbow; Lateral epicondylitis; Platelet-rich plasma (PRP) |
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