New options such as PRP platelet rich plasma may cause structural improvement of the cartilage. Objective: The aim of ourstudywas to evaluate the evolution of the patients with knee osteoarthritis on PRP treatment.
Material and method: The patients with osteoarthritis were evaluated at enrolment and every three months by ultrasound knee ecography. A semi-quantitative knee ultrasound score was applied to monitor changes before and after the treatment.
Symptoms of Osteoarthritis of the Knee
The score was composed by the presence of the following: bursitis 1 pointhypoechogenic changes at the level of the hyaline cartilage in the anterior transversal window 1 pointasymmetrical narrowing of the cartilage 1 pointthe involvement of the medial cartilage in the longitudinal approach 1 pointthe involvement of lateral cartilage in the longitudinal approach 1 point and the presence of step up lesions — osteophytes 1 point The osteoarthritis symptoms was performed independently by two separate physicians.
Another ultrasound — trained doctor was analysing all the images.
Results: Twenty — nine patients were included in our study; with one patient excluded due to masive bursitis. No differences were found osteoarthritis symptoms the pathological findings between the first two evaluators p: 0.
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So far, only nine patients have been evaluated at three months, and we were unable to find any improvements or worsening concerning the ultrasound alterations p: 0. The ultrasound lack of modifications was not correlated with the functional status of the subjects.
Conclusions: In the short term, the local treatment showed no improvement on structural damage, but it improved the overall status of the patients less pain, improved mobility, a better quality of life.