Clinical effect of hyperbaric oxygen combined with platelet-rich plasma on anterior cruciate ligament injury reconstruction
10.3760/cma.j.issn.1009-6906.2020.01.017
- VernacularTitle:高压氧联合富血小板血浆应用于膝关节前交叉韧带重建术的疗效观察
- Author:
Yefeng ZANG
1
;
Xichun ZHAO
;
Liying WANG
;
Weijie ZHU
;
Jianjun WU
Author Information
1. 266300 山东省青岛，青岛市胶州中心医院关节创伤外科
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Platelet-rich plasma;
Anterior cruciate ligament injury reconstruction;
Effect
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2020;27(1):60-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of hyperbaric oxygen (HBO) combined with platelet-rich plasma (PRP) in the reconstruction of anterior cruciate ligament injury (ACLI).Methods:A total of 100 ACLI patients who were treated in the Department of Joint Trauma Surgery of Qingdao Jiaozhou Central Hospital from January 2018 to May 2019 were randomly divided into two groups according to the random number table: observation group and control group. Each group had 50 cases. The patients in the control group were only treated with PRP, while the patients in the observation group were treated with hyperbaric oxygen combined with PRP. Then the curative effect of the two groups, Lysholm, Tegner, and IDKC scores of knee joint, serum insulin-like growth factor-1 (IGF-1), bone gla protein (BGP), and matrix metalloproteinase-1 (MMP-1) were observed after 3 consecutive courses of treatment.Results:After 3 consecutive courses of treatment, the total effective rate of the observation group (90.0%) was significantly higher than that of the control group (68.0%) ( P<0.05); the difference was statistically significant. The scores of Lysholm, Tegner, and IDKC of the knee joint in the observation group and the control group were significantly higher than those before treatment, and the scores of Lysholm, Tegner, and IDKC of the knee joint in the observation group were significantly higher than those in the control group ( P<0.05). The contents of IGF-1, BGP, and MMP-1 in the two groups were significantly lower than those before treatment, and those contents of observation group were significantly lower than those of the control group ( P<0.05). Conclusion:HBO combined with platelet-rich plasma can effectively improve the therapeutic effect of ACLI reconstruction, improve the serum contents of IGF-1, BGP, and MMP-1. This treatment, therefore, is worthy of popularization and application in clinic.
