Systematic review on the use of platelet-rich fibrin as a treatment for rotator cuff injuries
Revisão sistemática sobre uso de fibrina rica em plaquetas como tratamento para lesões no manguito rotador
Palavras-chave:
Arthroscopy, Partial and complete injuries, Fibrin.Resumo
This article discusses the use of platelet-rich fibrin as an alternative for the treatment of rotator cuff injuries. Recent studies show that the use of these products reduces lesion recurrence and improves clinical outcomes. The purpose of this study was to perform a systematic review of the use of platelet-rich fibrin in the treatment of partial and complete rotator cuff injuries. From an initial search of 703 articles on electronic platforms, seven articles were selected for full reading and inclusion. Simple arthroscopy was the most common type of surgical intervention used. The sample sizes of the studies ranged from a minimum of 20 to a maximum of 88 patients. The results indicate that the use of platelet-rich fibrin is effective in rotator cuff repair, with better clinical outcomes and lower recurrence rates when compared to traditional methods. Various methods, such as prospective randomized controlled trials, double-blind studies and clinical trials, have been used and have reported positive effects on rotator cuff healing.
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Referências
ABDUL-HADI, Omar et al. Nonsteroidal anti-inflammatory drugs in orthopaedics. JBJS, v. 91, n. 8, p. 2020-2027, 2009.
ANTUÑA, Samuel et al. Platelet-rich fibrin in arthroscopic repair of massive rotator cuff tears: a prospective randomized pilot clinical trial. Acta Orthop Belg, v. 79, n. 1, p. 25-30, 2013.
BERGESON, Adam G. et al. Effects of platelet-rich fibrin matrix on repair integrity of at-risk rotator cuff tears. The American journal of sports medicine, v. 40, n. 2, p. 286-293, 2012.
CASTRICINI, Roberto et al. Platelet-rich plasma augmentation for arthroscopic rotator cuff repair: a randomized controlled trial. The American journal of sports medicine, v. 39, n. 2, p. 258-265, 2011.
CHOUKROUN, Joseph et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, v. 101, n. 3, p. e56-e60, 2006.
DE ARAUJO PORTO, Gustavo Martins et al. Mecanismo de ação e as possíveis aplicações da Fibrina Rica em Plaquetas na prática clínica: uma revisão narrativa. Revista Eletrônica Acervo Médico, v. 11, p. e10379-e10379, 2022.
DOHAN, David M. et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part II: platelet-related biologic features. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, v. 101, n. 3, p. e45-e50, 2006.
FITZPATRICK, Jane; BULSARA, Max; ZHENG, Ming H. The effectiveness of platelet-rich plasma in the treatment of tendinopathy: a meta-analysis of randomized controlled clinical trials. The American journal of sports medicine, v. 45, n. 1, p. 226-233, 2017.
FU, Chun-Jiang et al. Evaluation of platelet-rich plasma and fibrin matrix to assist in healing and repair of rotator cuff injuries: a systematic review and meta-analysis. Clinical Rehabilitation, v. 31, n. 2, p. 158-172, 2017.
HURLEY, Eoghan T. et al. The efficacy of platelet-rich plasma and platelet-rich fibrin in arthroscopic rotator cuff repair: a meta-analysis of randomized controlled trials. The American Journal of Sports Medicine, v. 47, n. 3, p. 753-761, 2019.
KUHN, John E. et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. Journal of shoulder and elbow surgery, v. 22, n. 10, p. 1371-1379, 2013.
MALAVOLTA, Eduardo Angeli et al. Plasma rico em plaquetas no reparo artroscópico das roturas completas do manguito rotador. Revista Brasileira de Ortopedia, v. 47, p. 741-747, 2012.
MAO, Xiu-hua; ZHAN, Ye-jun. The efficacy and safety of platelet-rich fibrin for rotator cuff tears: a meta-analysis. Journal of Orthopaedic Surgery and Research, v. 13, p. 1-9, 2018.
MISHRA, Allan; PAVELKO, Terri. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. The American journal of sports medicine, v. 34, n. 11, p. 1774-1778, 2006.
RHA, Dong-Wook et al. Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial. Clinical rehabilitation, v. 27, n. 2, p. 113-122, 2013.
RODEO, Scott A. et al. The effect of platelet-rich fibrin matrix on rotator cuff tendon healing: a prospective, randomized clinical study. The American journal of sports medicine, v. 40, n. 6, p. 1234-1241, 2012.
RYAN, James et al. Platelet-rich product supplementation in rotator cuff repair reduces retear rates and improves clinical outcomes: a meta-analysis of randomized controlled trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery, v. 37, n. 8, p. 2608-2624, 2021.
SAMPSON, Steven; GERHARDT, Michael; MANDELBAUM, Bert. Platelet rich plasma injection grafts for musculoskeletal injuries: a review. Current reviews in musculoskeletal medicine, v. 1, n. 3-4, p. 165-174, 2008.
WEBER, Stephen C. et al. Platelet-rich fibrin matrix in the management of arthroscopic repair of the rotator cuff: a prospective, randomized, double-blinded study. The American journal of sports medicine, v. 41, n. 2, p. 263-270, 2013.
ZUMSTEIN, Matthias A.; BIELECKI, Tomasz; EHRENFEST, David M. Dohan. The future of platelet concentrates in sports medicine: platelet-rich plasma, platelet-rich fibrin, and the impact of scaffolds and cells on the long-term delivery of growth factors. Operative Techniques in Sports Medicine, v. 19, n. 3, p. 190-197, 2011.
ZUMSTEIN, Matthias A. et al. Increased vascularization during early healing after biologic augmentation in repair of chronic rotator cuff tears using autologous leukocyte-and platelet-rich fibrin (L-PRF): a prospective randomized controlled pilot trial. Journal of shoulder and elbow surgery, v. 23, n. 1, p. 3-12, 2014.
ZUMSTEIN, Matthias A. et al. SECEC research grant 2008 II: use of platelet-and leucocyte-rich fibrin (L-PRF) does not affect late rotator cuff tendon healing: a prospective randomized controlled study. Journal of shoulder and elbow surgery, v. 25, n. 1, p. 2-11, 2016.
ZUMSTEIN, M.-A. et al. The biology of rotator cuff healing. Orthopaedics & Traumatology: Surgery & Research, v. 103, n. 1, p. S1-S10, 2017.
