Outcome of Treatment of Osteoarthritis with Arthroscopic Debridement and Autologous Conditioned Plasma
- Author:
King CKK
;
Yung A
- Publication Type:Journal Article
- Keywords:
osteoarthritis;
autologous conditioned plasma;
arthroscopy;
debridement
- MeSH:
Osteoarthritis
- From:Malaysian Orthopaedic Journal
2017;11(1):23-27
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Worldwide estimates are that 9.6% of men
and 18.0% of women aged over 60 years have symptomatic
osteoarthritis. The current treatment options vary from
conservative to joint replacement. Recently, debridement of
the joint has become an option for symptomatic relief. We
evaluated the outcome of arthroscopic debridement with
autologous conditioned plasma. The latter helps to promote
cellular repair. We have evaluated our results over a two year
period.
Materials and Methods: We retrospectively analyzed a
cohort of 52 patients who underwent arthroscopic knee
debridement with autologous conditioned plasma in 2011.
The patients were followed up in clinic till discharge. The
case notes were reviewed and baseline demographic data
obtained. This included age, medical history, occupation,
range of movement, BMI measurements, duration of
operation and radiographic scores. We analyzed the
outcomes against those factors.
Results: Of the 52 patients in our study, 16 were female and
36 were male. The mean follow-up period in the clinic was
6.5 months. The Kellgren-Lawrence score was 21.2% Grade
1, 13.5% Grade 2, 51.9% Grade 3 and 13.5% Grade 4.
Improvement in range of movement was seen in 32.7% of
patients.
Conclusions: This study shows that arthroscopic
debridement with autologous conditioned plasma (ACP) has
a role to play in the treatment of osteoarthritis. In view of
these findings, we recommend that surgeons should consider
arthroscopic debridement with autologous conditioned
plasma as part of their treatment armamentarium.
- Full text:P020170413473673845143.pdf
