Efficacy of intra-articular methylprednisolone along with platelet rich plasma vs. platelet rich plasma in early osteoarthritis: a retrospective study
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20214115Keywords:
PRP, Methylprednisolone, Intra-articular, Early osteoarthritisAbstract
Background: Increased prevalence as well as burden affecting osteoarthritis of knee joint has led to increase in concerns regarding safety of various pharmacological methods. Hence, there is an increase in demand for newer and effective strategies for treatment and management. Thus, a novel alternate for treatment is required that might repair damage to cartilage rather than simply reduce related symptoms. The aim of this study was to study the efficacy of intra-articular methylprednisolone along with platelet rich plasma versus platelet rich plasma in early knee osteoarthritis.
Methods: This retrospective study was conducted on 60 patients diagnosed with initial stages of osteoarthritis of knee according to Kellgren-Lawrence classification. Patients age range was between 40 to 80 years who were divided into 2 groups; group I: It contained 30 subjects treated with intra-articular injections of Platelet Rich Plasma in combination with methylprednisolone and group II: comprised of 30 patients treated with intra-articular injection of Platelet rich Plasma alone. Clinical data pertaining to medical history, VAS and KOOS scores were collected. Statistical analysis was performed using the student’s t test.
Results: Statistically significant improvements in VAS and KOOS score values were observed on assessment of scores at baseline, 1, 3 and 6 months intervals, respectively.
Conclusions: It can be concluded from the study that a combination therapy of intra-articular injection of combination of PRP with methylprednisolone yields superior results when compared to use of PRP injections alone.
Metrics
References
Felson DT. Clinical practice. Osteoarthritis of the knee. N Engl J Med. 2006;354:841-8.
Handl M, Amler E, Bräun K, Holzheu J, Trc T, Imhoff AB, et al. Positive effect of oral supplementation with glycosaminoglycans and antioxidants on the regeneration of osteochondral defects in the knee joint. Physiol Res. 2007;56:243-9.
Fortier LA, Barker JU, Strauss EJ, McCarrel TM, Cole BJ. The role of growth factors in cartilage repair. Clin Orthop Relat Res. 2011;469:2706-15.
van Buul GM, Koevoet WL, Kops N, Bos PK, Verhaar JA, Weinans H, et al. Platelet-rich plasma release inhibits inflammatory processes in osteoarthritic chondrocytes. Am J Sports Med. 2011; 39:2362-70.
Cook JL, Anderson CC, Kreeger JM, Tomlinson JL. Effects of human recombinant interleukin-1beta on canine articular chondrocytes in three-dimensional culture. Am J Vet Res. 2000;61:766-70.
Kang YH, Jeon SH, Park JY, Chung JH, Choung YH, Choung HW, et al. Platelet rich fibrin is a Bioscaffold and reservoir of growth factors for tissue regeneration. Tissue Eng. 2011;17:349-59.
Marx RE. Platelet-rich plasma (PRP): what is PRP and what is not PRP?. Implant Dent. 2001;10:225-8.
de Mos M, van der Windt AE, Jahr H, van Schie HT, Weinans H, Verhaar JA, et al. Can platelet-rich plasma enhance tendon repair? A cell culture study. Am J Sports Med. 2008;36:1171-8.
Forogh B, Mianehsaz E, Shoaee S, Ahadi T, Raissi GR, Sajadi S. Effect of single injection of platelet-rich plasma in comparison with corticosteroid on knee osteoarthritis: a double-blind randomized clinical trial. J Sports Med Phys Fitness. 2016;56: 901-8.
Richmond J, Hunter D, Irrgang J. Treatment of osteoarthritis of the knee (non arthroplasty). J Am Acad Orthop Surg. 2009;17:591-600.
Navani A, Li G, Chrystal J. Platelet rich plasma in musculoskeletal pathology: A necessary rescue or lost cause? Pain Physician. 2017;20:E345-56.
Tavassoli M, Janmohammadi N, Hosseini A, Khafri S, Esmaeilnejad-Ganji SM. Single- and double-dose of platelet-rich plasma versus hyaluronic acid for treatment of knee osteoarthritis: A randomized controlled trial. World J Orthop. 2019;10(9:310-26.
Kurapati K, Tapadia S, Rao M, Anbarasu K, Verma VK, Beevi SS. Efficacy of Intra-articular Injection of Platelet Rich Plasma and Hyaluronic Acid in Early Knee Osteoarthritis – Case Series. Eur J Mol Clin Med. 2018;5(1):30-6.
Ismaiel AH. Comparison between the effect of intra‑articular injections of platelet‑rich plasma and corticosteroids in advanced knee osteoarthritis. J Med Sci Res. 2018;1:278-84.
Forogh B, Mianehsaz E, Shoaee S, Ahadi T, Raissi GR, Sajadi S. Effect of single injection of platelet-rich plasma in comparison with corticosteroid on knee osteoarthritis: a double-blind randomized clinical trial. J Sports Med Phys Fitness. 2016;56(7-8):901-8.
Calis HT, Sutbeyaz ST, Guler E, Halici C, Sayan H, Koc A, et al. Efficacy of intra-articular platelet rich application in knee osteoarthritis. Arch Rheumatol. 2015;30(3):198-205.
Halpern B, Chaudhury S, Rodeo SA, et al. Clinical and MRI outcomes after platelet-rich plasma treatment for knee osteoarthritis. Clin J Sport Med. 2013;23(03):238-9.
Gobbi A, Karnatzikos G, Mahajan V, Malchira S. Platelet-rich plasma treatment in symptomatic patients with knee osteoarthritis: preliminary results in a group of active patients. Sports Health. 2012; 4(02):162-72.