Ultrasound-guided platelet-rich plasma. Experience in patients with non-surgical meniscopathy

Abstract

Objective: To describe the usefulness of ultrasound-guided intrameniscal platelet-rich plasma in non-surgical meniscopathy. Method: In a prospective descriptive observational longitudinal cutting study, within 3 months, in a clinical field design. The sample consisting of 16 patients, diagnosed with non-surgical meniscospathy, determined by the clinical scale of Lysholm-Tegner with grades I and II, as well as by MRI study through the MOAKS score. These patients are given platelet-rich plasma activated with 10% calcium chloride, the first infiltration is echo-guided directly into the injured meniscus, and the next two infiltrations are placed intraarticular, at the rate of weekly infiltration. Clinical tests are performed at the beginning, at each infiltration, and within 3 months of the study, a survey is additionally applied to calculate the Lysholm scale to compare the results before and after treatment. Results: The 8 parameters of the Lysholm scale improve at the end of the study with plasma treatment. Conclusion: PRP is a useful and effective therapeutic for pain improvement and functionality in patients with degenerative pathology of meniscus in early stages.