Platelet-rich therapy in rotator cuff tears: an evidence based review.
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2016-06-16
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Jaén: Universidad de Jaén
Resumen
[ES]Objetivos. Identificar la evidencia disponible sobre los efectos funcionales y estructurales que produce la utilización de la terapia rica en plaquetas en pacientes con desgarro del maguito rotador. Métodos. Se realizó una búsqueda en PEDro, PubMed y Cochrane para identificar los estudios elegibles. Se seleccionaron los estudios incluidos, se evaluó la calidad metodológica y se extrajeron los datos. Resultados. Diez estudios de alta calidad metodológica evaluados mediante la escala “Jadad” y la “herramienta de Cochrane para el riego de sesgos” cumplieron los criterios de inclusión. El análisis reveló que aunque no había diferencias significativas en los resultados funcionales, en los resultados estructurales sí (tasa de repetición del desgarro y área de sección transversal del supraespinoso). Conclusión. No hay suficiente evidencia para probar la efectividad de la terapia rica plaquetas, en comparación con el uso de placebo. Sin embargo, parece que los resultados estructurales mejoran tras la aplicación de PRP.
[EN] Objectives. To identify the evidence available about the functional and structural effects of platelet-rich therapies in patients with rotator cuff tears. Methods. A research was conducted in PEDro, PubMed and Cochrane for identifying eligible studies. The author selected some studies for inclusion, assessed the methodological quality and extracted data. Jadad Scale and “Cochrane risk of bias” tool. Results. Ten studies, which held a high methodological quality by using Jadad Scale and “Cochrane risk of bias” tool, met the inclusion criteria. The analysis reveals that although there were not significant differences in functional outcomes, structural outcomes showed differences regarding to the re-tear rate and the cross-sectional area of supraspinatus muscle. Conclusion. There is a lack of evidence to prove the effectiveness of platelet-rich therapy in comparison with placebo regarding to functional outcomes in patients with rotator cuff tears. However, it seems that structural outcomes get better before the PRP application
[EN] Objectives. To identify the evidence available about the functional and structural effects of platelet-rich therapies in patients with rotator cuff tears. Methods. A research was conducted in PEDro, PubMed and Cochrane for identifying eligible studies. The author selected some studies for inclusion, assessed the methodological quality and extracted data. Jadad Scale and “Cochrane risk of bias” tool. Results. Ten studies, which held a high methodological quality by using Jadad Scale and “Cochrane risk of bias” tool, met the inclusion criteria. The analysis reveals that although there were not significant differences in functional outcomes, structural outcomes showed differences regarding to the re-tear rate and the cross-sectional area of supraspinatus muscle. Conclusion. There is a lack of evidence to prove the effectiveness of platelet-rich therapy in comparison with placebo regarding to functional outcomes in patients with rotator cuff tears. However, it seems that structural outcomes get better before the PRP application