scholarly journals Treatment of Muscle Injuries with Platelet-Rich Plasma: a Review of the Literature

2018 ◽  
Vol 11 (4) ◽  
pp. 635-642 ◽  
Author(s):  
Kian Setayesh ◽  
Arturo Villarreal ◽  
Andrew Gottschalk ◽  
John M. Tokish ◽  
W. Stephen Choate
2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Srinjoy Saha

Introduction: Tissue engineered reconstruction is a minimally invasive approach for healing major complex wounds successfully. It combines accurate, conservative debridement with a specially adapted suction method, platelet-rich plasma (PRP) injections, and biomaterial application to salvage injured tissues and grows new soft tissues over wounds. Case Report: A healthy young man in his early 30s presented to our emergency department with complex knee-thigh injuries following a high-velocity automobile accident. Degloved anterolateral thigh, severe thigh muscle injuries, and ruptured extensor patellar mechanism were observed. Accurate conservative (as opposed to radical) debridement and PRP injections salvaged the injured muscles and tendons. Specially carved reticulated foam wrapped around the injured ischemic muscles, followed by low negative, short intermittent, cyclical suction therapy. Wound exploration 4 days apart revealed progressive improvements with considerable vascularization of the injured soft tissues within 2 weeks. Thereafter, meticulous reconstruction of the salvaged muscles and tendons restored anatomical congruity. An absorbable synthetic biomaterial covered the sizeable open wound with vast areas of exposed tendons. Five weeks later, exuberant granulating tissue ingrowth within the biomaterial filled up the tissue defect. A split-skin graft covered the remaining raw areas, which “took” completely. Early rehabilitation enabled the patient to return to active work, play contact sports, and perform strenuous activities effortlessly. Conclusion: Minimally invasive tissue engineered reconstruction is a novel approach using a series of simple minimally invasive procedures. It lessens the duration of surgery and anesthesia, maximizes soft-tissue salvage, lowers morbidity, minimizes hospitalization, saves costs, and improves the patient’s quality of life significantly. Keywords: Mangled extremity, Limb salvage, Financial, Trauma, Modified negative pres


2018 ◽  
Vol 18 (4) ◽  
Author(s):  
Caforio Marco ◽  
Mantelli Patrizia ◽  
Bisogno Luigi

2018 ◽  
Vol 02 (03) ◽  
pp. 135-140
Author(s):  
Johannes Roedl ◽  
Adam Zoga ◽  
William Meyers ◽  
Alexander Poor

AbstractLower abdominal and groin injuries are among the most common causes of pain in athletes. Those that involve the skeletal muscles of the core, defined as the entire body from the chest to the midthigh, are called core muscle injuries. In this review, the authors will describe the anatomy and pathophysiology of core muscle injuries in detail, as well as the appropriate work-up and management. Special consideration is given to the important interrelationship between core muscle injuries and intrinsic hip pathology, such as femoroacetabular impingement, and to the drawbacks of treating these injuries with platelet-rich plasma.


2015 ◽  
pp. 2353-2358
Author(s):  
Robi Kelc ◽  
Matjaz Vogrin

2012 ◽  
Vol 24 (2) ◽  
pp. 70-78 ◽  
Author(s):  
Yong-Geun Park ◽  
Seung Beom Han ◽  
Sang Jun Song ◽  
Tae Jin Kim ◽  
Chul-Won Ha

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Mattia Loppini ◽  
Alessandra Berton ◽  
Filippo Spiezia ◽  
Nicola Maffulli ◽  
...  

Skeletal muscle injuries are common in athletes, occurring with direct and indirect mechanisms and marked residual effects, such as severe long-term pain and physical disability. Current therapy consists of conservative management including RICE protocol (rest, ice, compression, and elevation), nonsteroidal anti-inflammatory drugs, and intramuscular corticosteroids. However, current management of muscle injuries often does not provide optimal restoration to preinjury status. New biological therapies, such as injection of platelet-rich plasma and stem-cell-based therapy, are appealing. Although some studies support PRP application in muscle-injury management, reasons for concern persist, and further research is required for a standardized and safe use of PRP in clinical practice. The role of stem cells needs to be confirmed, as studies are still limited and inconsistent. Further research is needed to identify mechanisms involved in muscle regeneration and in survival, proliferation, and differentiation of stem cells.


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