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Endoscopic debridement for non-insertional Achilles tendinopathy with and without platelet-rich plasma

Journal of Sport and Health Science 2023年第2期12卷 275-280页

作者： Hajo Thermann Ralph Fischer Nikolaos Gougoulias lucio cipollaro Nicola Maffulli HKF-International Center for Hip Foot and Knee SurgeryBismarckstrae 9-1569115 HeidelbergGermany Footsurgery Clinic 54631 ThessalonikiGreece Department of Musculoskeletal Disorders Faculty of Medicine and SurgeryUniversity of SalernoSalerno 89100Italy Department of Medicine Surgery and DentistryUniversity of SalernoVia S.Allende84081 Baronissi(SA)Italy Centre for Sports and Exercise Medicine Barts and The London School of Medicine and DentistryMile End Hospital275 Bancroft RoadLondon E14DGQueen Mary University of LondonLondonUK School of Pharmacy and Bioengineering Keele University Faculty of MedicineThornburrow DriveStoke on TrentST47QBUK

Background:When non-operative management fails to improve symptoms in patients with non-insertional Achilles tendinopathy,surgery may be *** open and endoscopic techniques have been proposed,and platelet-rich plasma(PRP)injections have been proposed as an adjunct to aid tendon ***:Thirty-six patients with mid-portion Achilles tendinopathy were randomized to undergo endoscopic debridement alone(n=19)or in combination with intraoperative PRP application(n=17).Clinical outcome measures included the Visual Analogue Scale for pain,function,and satisfaction and the Victorian Institute of Sports Assessment-Achilles(VISA-A)*** were followed-up at 6 weeks,3months,6 months,and 12 months after *** MRI examination at 3 and 12 months was used to assess signal alterations within the ***:Both groups showed significant clinical improvement(p<0.05)after surgery,with no difference between the 2 *** diameter increased at 3 months and decreased at 12 *** tendinopathy area increased at 3 months and decreased at 12 months below baseline level in both *** was no significant difference between the groups regarding the MRI *** thickening and MRIdetected signal alteration persisted after surgery,with no association between imaging and clinical *** minor complications were reported:2 in the PRP group and 3 in the control ***:Endoscopic debridement of the Achilles tendon improved clinical outcomes in patients with mid-portion *** addition of PRP did not improve outcomes compared to debridement *** parameters showed no association with clinical outcomes.

关键词： Achilles tendon Endoscopic Non-insertional PRP Tendinopathy

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