Effect of platelet-rich plasma and platelet-rich fibrin matrix on healing of vertical meniscal tears in a rabbit model   
Yazarlar (2)
Recep Kurnaz
T.C. Sağlık Bakanlığı, Türkiye
Doç. Dr. Orhan BALTA Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Acta Orthopaedica et Traumatologica Turcica
Dergi ISSN 1017-995X Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 03-2020
Cilt No 54
Sayı 2
Sayfalar 186 / 195
DOI Numarası 10.5152/j.aott.2020.02.20
Makale Linki http://dx.doi.org/10.5152/j.aott.2020.02.20
Özet
Objective: This study aimed to investigate the effect of platelet-rich plasma (PRP) and platelet-rich fibrin matrix (PRFM) on thehealing of vertical medial meniscal tears in a rabbit model.Methods: The study was conducted on 72 New Zealand mature rabbits aged more than 6 months. Rabbits were randomly assignedto six groups: control (C) group, meniscal repair (MR) group, PRP group, PRFM group, MR+PRP group, and MR+PRFM group,with 12 rabbits in each group. A 5-mm full-thickness vertical tear was created in the avascular zone of the medial meniscus corpusin the right knee of all rabbits. The respective treatment for each group was given to the meniscal tear in each rabbit. Histologicalevaluation of healing was performed 6 and 12 weeks after surgery.Results: Defect filling and collagen formation remained low in the C group. However, in all other groups, there was no significantdifference in the $6^{th}$ week. In the $12^{th}$ week, similar results as those obtained in the $6^{th}$ week were obtained. In the C group, there wasa difference in defect filling and cell type. This difference was that the defect filling and collagen formation remained low in the $12^{th}$week. No significant difference was observed between MR, MR + PRP and MR + PRFM groups. The MR group significantly differedfrom the other groups in the defect-filling rate and cell type; however, the use of PRP and PRFM did not provide an obvious benefit.Conclusion: The contradictory results obtained in previous studies emphasize the need for further research on the use of PRP inmeniscal recovery and repair. We believe that if surgery is indicated, repair is absolutely necessary to improve the healing of thetissue in meniscal tears. Studies using human meniscal tissue for meniscal injury and those that evaluate clinical applications ofPRP are warranted.
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