2021 Annual Meeting Shoulder Access Pass-Platelet Rich Plasma in Arthroscopic Rotator Cuff Repair: Clinical and Radiological Results of a Prospective RCT Study at 10-year Follow-up

Platelet Rich Plasma in Arthroscopic Rotator Cuff Repair: Clinical and Radiological Results of a Prospective RCT Study at 10-year Follow-up

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Video Summary

In this video, the presenter discusses a study on the efficacy of platelet-rich plasma (PRP) in rotator cuff repair. The study analyzed 10 years of follow-up data and found that while good clinical outcomes were reported after rotator cuff repair, new tendon lesions were found in many patients. The quality of the tendon at final follow-up was found to be related to the initial tear, with worse outcomes in bigger lesions. However, this did not significantly affect minor constant score outcomes. The authors concluded that excellent surgical repair could lead to better outcomes and reduced osteoarthritic progression. A new study was promoted to investigate if autologous PRP improves tendon healing after rotator cuff repair. The study enrolled 53 patients, with half receiving PRP and half serving as the control group. The PRP group demonstrated reduced pain in the early postoperative period, but no significant differences were found at 10 years of follow-up. The study found no significant differences in the clinical and radiological results of PRP in rotator cuff repair. The presenter acknowledges limitations such as a high dropout rate and operator-dependent ultrasound evaluation. The presenter concludes that while PRP may offer temporary pain relief, it may not justify routine use in rotator cuff repair, and further research is needed to improve long-lasting tendon repair.

Asset Caption

Dr. Riccardo Compagnoni

Keywords

platelet-rich plasma

rotator cuff repair

tendon lesions

clinical outcomes

osteoarthritic progression