Hamstrings anterior cruciate ligament reconstruction with and without platelet rich fibrin matrix

Verfasser / Beitragende:
[M. Del Torto, D. Enea, N. Panfoli, G. Filardo, N. Pace, M. Chiusaroli]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3614-3622
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3260-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3260-6 
245 0 0 |a Hamstrings anterior cruciate ligament reconstruction with and without platelet rich fibrin matrix  |h [Elektronische Daten]  |c [M. Del Torto, D. Enea, N. Panfoli, G. Filardo, N. Pace, M. Chiusaroli] 
520 3 |a Purpose: Anterior cruciate ligament (ACL) rupture is the most common complete ligamentous injury in the knee. Many studies explored ACL graft integration and maturation, but only a few assessed the application of platelet rich fibrin matrix (PRFM) as augmentation for ACL reconstruction. The main aim of this study was to test the PRFM augmentation in terms of graft-bone integration and knee stability. The secondary aim was to investigate patient-reported functional status. Methods: Prospective evaluation has been done in two consecutive series of patients who underwent ACL reconstruction with semitendinosus and gracilis (STG) grafts: 14 patients were operated with PRFM augmentation and 14 patients without PRFM augmentation. Objective clinical evaluation (Rolimeter) and MRI evaluation were performed at 1year from surgery. Subjective evaluation (IKDC) was performed pre-operatively and at 6months, 1 and 2years from surgery. Results: A statistically significant difference was not detected between the two groups in terms of MRI and objective clinical evaluation, although PRFM-augmented patients showed a statistically significant higher clinical improvement. Conclusions: The procedure described for PRFM augmentation in ACL STG reconstruction does not improve radiologic graft integration and knee stability after 1year and should not be used by clinicians to this purpose. However, it may result in a short-term improvement of patient-reported knee function, and future research should focus on further developing PRP treatment to optimize ACL clinical outcome. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a PRFM  |2 nationallicence 
690 7 |a ACL  |2 nationallicence 
690 7 |a Semitendinosus-gracilis  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
690 7 |a Platelet-derived growth factors  |2 nationallicence 
700 1 |a Del Torto  |D M.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
700 1 |a Enea  |D D.  |u Department of Orthopaedics, Polytechnic University of Marche, Ancona, Italy  |4 aut 
700 1 |a Panfoli  |D N.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
700 1 |a Filardo  |D G.  |u II Clinic - Biomechanics Laboratory, Rizzoli Orthopaedic Institute, Bologna, Italy  |4 aut 
700 1 |a Pace  |D N.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
700 1 |a Chiusaroli  |D M.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3614-3622  |x 0942-2056  |q 23:12<3614  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3260-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3260-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Del Torto  |D M.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Enea  |D D.  |u Department of Orthopaedics, Polytechnic University of Marche, Ancona, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Panfoli  |D N.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Filardo  |D G.  |u II Clinic - Biomechanics Laboratory, Rizzoli Orthopaedic Institute, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pace  |D N.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chiusaroli  |D M.  |u Department of Orthopaedics and Traumatology, Jesi Civil Hospital, Viale Della Vittoria, 76, Jesi, AN, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3614-3622  |x 0942-2056  |q 23:12<3614  |1 2015  |2 23  |o 167