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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 4, July-Aug 2020, Pages 969-976
 

Original Article

Effect of Platelet Rich Plasma in Knee Osteoarthritis

Apurva Agarwal1, Satyendra Tripathi2, Manoj Chaurasia3, Saurabh Agarwal4, Ashok Kumar Verma5

1Professor, 2Junior Resident, Department of Anesthesiology, Critical Care and Pain Management, Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, 3Assistant Professor, Department of Anesthesiology, King’s George Medical University, Lucknow, 4,Associate Professor, Department of Medicine, 5Assistant Professor, Department of Radiology, Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, Uttar Pradesh, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7420.18

Abstract

Back ground and Aims: This study aims to evaluate the effectiveness of intra-articular injection of platelet rich plasma (PRP)in reducing pain and improving physical function, in osteoarthritis. Method: Prospective longitudinal study comprising of 100 patient& divided into 3groups according to Kallgren & Lawrence grading of osteoarthritis of knee and followed up for period of 1 year (january18 to October 19). All patients were treated with intraarticular PRP injection (C-arm guided) in affected knee at 4weeks apart. VAS (Visual analog scale), KOOS (knee injury osteoarthritis outcome score) used for clinical evaluation. Data analyzed using SPSS software 22.0. Result: Outcome were almost similar for grade 1&2 though intensity of pain showed significant improvement
even in grade3(p<0.05). on the basis of VAS SCORE Highly significant improvement in pain in Grade1 and Grade2 osteoarthritis having p value<0.0001 and significant improvement in Grade3 osteoarthritis having p value=0.003(<0.05). On the basis of KOOS SCORE all the parameter like pain symptom, functional daily activity, sport & recreational activity and quality of life highly significant improve in Grade1&2 pvalue<0.0001 and for Grade3 significant improvement in all parameter having p value<0.05. Conclusion: PRP injection is a cost effective, reliable, minimal invasive, no side effect, good efficacy & used
in less equipped setting. And showed clinical as well as functional improvement in VAS score and KOOS score. It is highly significant for grade 1 and 2 and significant for grade 3 osteoarthritis.

 


Keywords : Platelet rich plasma (PRP); Knee injury & osteoarthritis outcome score (KOOS); Visual analogue scale.
Corresponding Author : Satyendra Tripathi