CLINICAL EFFECTS OF LOCAL INFILTRATION OF AUTOLOGUS PLATELET SUPERNATANT IN SUPRASPINATUS TENDINOPATHIES

Dr Nandan Kumar Mishra; Dr Roshan Wade

Volume : VI, Issue : XII, December - 2017

CLINICAL EFFECTS OF LOCAL INFILTRATION OF AUTOLOGUS PLATELET SUPERNATANT IN SUPRASPINATUS TENDINOPATHIES

Dr Nandan Kumar Mishra, Dr Roshan Wade

Abstract :

Tendon injuries are a common presentation to the orthopaedic OPD. Supraspinatus tendinopathy is a common occurrence and commonly occurs at the �critical area� located between 1.25 - 2.5 cms proximal to site of insertion¹. There is increasing interest in the use of autologous platelet concentrate or platelet rich plasma⁴. PRP is exogenously applied to soft tissues to promote wound healing and tissue sealing (^4,5).

Materials and Methods

The study was a prospective study conducted at tertiary care hospital catering to both urban and rural population. The freshly prepared PRP was taken in syringe with needle no. 24 and around 2-3ml of PRP was injected at the site of tendon. At baseline, 1 month, 3months and 6 months the patients were assessed for pain and movement on the affected side with the help of Constant Murley score.

Result

Grade wise 63.3% cases had poor and 36.6% had fair shoulder function as baseline. This gradually improved at 1 month with 63.3% patients having fair function and 3.34% patients having good function at affected shoulder. At 3 months there was further improvement and 33.33% patients had good function, and 56.67% patients with fair function of shoulder. At 6 months. 9.09% had poor function whereas percentage of those with fair function increased marginally (59.09%) compared to 3 months.

Conclusion

We found significant improvement in shoulder function as the Constant-Murley score reduced significantly at 1 month (P<0.0001) and at 3 months (P<0.0001) from the baseline.