Blunier, Raphael; Frommer, Marvin Lucas; Zumstein, Matthias; Schär, Michael (2021). Platelet concentrates for the treatment of rotator cuff tears. Obere Extremität, 16(2), pp. 94-107. Springer 10.1007/s11678-021-00646-9
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Background
Despite improving surgical techniques for rotator cuff repair, the retear rate is still high at 26%. That is the reason why nowadays we try to improve healing with biological augmentation, i.e., with platelet concentrates. Beside the easy production of those autologous concentrates, the regulator barriers are quite low. The timely use of those products immediately after the blood collection is a further advantage of platelet concentrates. The term platelet concentrates represents a large inhomogeneous group of different concentrates with various properties. Due to different manufacturing processes, not every platelet concentrate product has the same properties.
Objectives
Can the use of platelet concentrates in rotator cuff tears improve outcome? How different is the outcome between the different products?
Materials and methods
Through PubMed we assessed 26 studies from 2007–2020.
Results and conclusion
The evaluation of the studies which are currently available shows that only P‑PRP (leucocyte poor platelet rich plasma) can be suggested for the augmentation of rotator cuff repair. In some studies, significant lower retear rates for the P‑PRP group were reported. However, the results are heterogeneous. This puts the benefit of P‑PRP into perspective. Platelet concentrates did not improve healing or the clinical outcome after conservative therapies of partial ruptures and tendinopathies.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Zumstein, Matthias, Schär, Michael |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1862-6599 |
Publisher: |
Springer |
Language: |
German |
Submitter: |
Kathrin Aeschlimann |
Date Deposited: |
03 Feb 2022 13:37 |
Last Modified: |
05 Dec 2022 16:02 |
Publisher DOI: |
10.1007/s11678-021-00646-9 |
BORIS DOI: |
10.48350/164197 |
URI: |
https://boris.unibe.ch/id/eprint/164197 |
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