Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12188/6400
Title: THE EFFECT OF PLASMA PREPARATION RICH IN GROWTH FACTORS ON PATELLAR STABILITY AFTER MEDIAL PATELLOFEMORAL LIGAMENT REEFING
Authors: Andonovski Alan
Nancheva, Jasminka 
Andonovska, Biljana 
Petrovska-Cvetkovska, Dragana 
Nanceva Andrea
Alabakovska Sonja 
Keywords: patellar instability,
medial patellofemoral ligament reefing,
plasma preparation rich in growth factors,
clinical results
Issue Date: 2016
Publisher: Association of medical doctors "Sanamed" Novi Pazar
Journal: SANAMED
Abstract: Introduction: Although more than 100 operative procedures have been described for the treatment of patellar instability, there is no single universally successful procedure. For the most patients with lateral patellar instability medial patellofemoral ligament (MPFL) reefing is recommended. When we perform MPFL reefing we are not aware of the quality and strength of the MPFL tissue. In the presence of recurrent patellar instability,the quality and strength of MPFL tissue is often compromised and it disturbs patellar stability after MPFL reefing. Biomedicine development,recognizing the ligament healing process show us that autologous blood products, particularly PRP can enhance healing in soft tissue injuries. Purpose: The purpose of this study was to determine the potential effect of Plasma preparation rich in growth factorson patellar stability after MPFL reefing. Material and methods: Plasma preparationrich in growth factors was produced from a unit of autologous whole blood using Arthrex ACP double syringe system.Platelet gel was prepared by adding bovine thrombin and 10% solution of calcium chloride.The platelet gel was applied locally into the place where suturing of the MPFL was performed. In this prospective, randomized and double blindstudy12 patients were included:6 patients in the PG group who received platelet gel and 6 patients in the control group who were not treated with platelet gel. Patellar stability was evaluated before surgery and 3 months after surgery with Axial stress radiographs. Results: The calculated 3 month improvement was 12.67 2.51 in the control group and 17.33 1.52 in the PG group, (p=0.064).Although there was greater improvement in patellar stability in PG group comparing to the control group, the difference was not statistically significant (p>0.05).The main reason for this was probably the small number of patients included in the study. Conclusion: Results showed that growth factors from the plasma preparation rich in growth factorshave positive effect on patellar stability after MPFL reefing.We believe that they stimulate and accelerate physiological healing and reparative tissue processes in ligament healing. More studies should be made, including more patients, if we want to get more relevant results.
URI: http://hdl.handle.net/20.500.12188/6400
ISSN: 2217-8171
DOI: 10.24125/SANAMED.V11I2.126
Appears in Collections:Faculty of Medicine: Journal Articles

Show full item record

Page view(s)

52
checked on Feb 23, 2021

Download(s)

10
checked on Feb 23, 2021

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.