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Original Research ArticleInternational Journal of Research in Orthopaedics

Publication:
Intra-articular autologous conditioned plasma reduces pain in early osteoarthritis and improves stiffness in advanced osteoarthritis knee: a prospective observation

Int J Res Orthop. 2024;10(2):299-305.DOI10.18203/issn.2455-4510.IntJResOrthop20240408

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Abstract

Background In this study, we aimed to investigate the effects of single-dose intra-articular autologous conditioned plasma injection as the treatment for early and advanced osteoarthritis knee.

Methods A single centre-based prospective observational analysis was conducted among patients who opt for conservative management by intra-articular autologous conditioned plasma Injection between July 2022 to June 2023. Total 46 patients were included and analysed in study on 1, 3, and 6 months’ follow-up after ACP injection. The WOMAC score and its sub scores were analysed and compared pre-procedure and on subsequent follow ups.

Results A total of 46 patients were analysed in the study, with male predominance of 56.5% with mean BMI of 27.37±5.35. On KL grading, 34.8% patients had KL grade II Osteoarthritis, 52.2% had grade III and 13.0% had grade IV. On comparison of WOMAC score and its sub-scales, all the values were found to be statically significant while comparing before injection (p value <0.0001) and one month follow up and before injection and six months’ follow-up (p value <0.0001).

Conclusions Six months following intra-articular autologous conditioned plasma injection, there was a noteworthy decrease in pain in early stages of osteoarthritis and improvement in knee stiffness in advanced stages of osteoarthritis as compared to the pre-treatment state.

Keywords

Affiliations

  1. Department of Orthopaedics, Manipal College of Medical Science, Fulbari, Pokhara, Gandaki, Nepal
  2. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  3. Department of Orthopaedics, Gandaki Medical College, Pokhara, Nayabazar, Gandaki, Nepal
  4. Department of Orthopaedics, Fishtail Hospital and Research Centre, Pokhara, Gairapatan, Gandaki, Nepal

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