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The Efficacy of Platelet Rich Plasma Combined with Steroid Injection in the Treatment of Resistant Lateral Epicondylitis
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Original Article
VOLUME: 47 ISSUE: 3
P: 26-31
2014

The Efficacy of Platelet Rich Plasma Combined with Steroid Injection in the Treatment of Resistant Lateral Epicondylitis

Acta Haematol Oncol Turc 2014;47(3):26-31
DOI: 10.5505/aot.2014.18480
Erdem Aktaş
Barış Yılmaz
Baybars Ataoğlu
Murat Arıkan
Güray Toğral
Murat İlikmen
1. Dr. Abdurrahman Yurtaslan Ankara Oncolcogy Training And Research Hospital, Department Of Orthopedics, Ankara, Turkey
2. Fatih Sultan Mehmet Training And Research Hospital, Department Of Orthopedics, Istanbul,turkey
3. Gazi University School Of Medicine, Department Of Orthopedics, Ankara, Turkey
4. Başkent University School Of Medicine, Alanya Hospital, Department Of Orthopedics, Antalya, Turkey
5.
No information available.
No information available
Received Date: 2014-11-26T20:28:34
Accepted Date: 2015-02-27T10:04:20
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Abstract

OBJECTIVE

To evaluate the impact of autologous platelet rich plasma (PRP) combined with steroid injection on hand grip strenght, pain and patient satisfaction in the treatment of lateral epicondylitis.

METHODS

84 patients, mean age 42.6 (23-62) years, diagnosed with unilateral resistant lateral epicondylitis was evaluated retrospectively. Group1 consisted of patients treated with local steroid injection (0,5ml Bethametasone+0.25 ml Prilokain) and PRP within 1 week interval to extensor carpi radialis brevis origo while group 2 consisted of patients who were subjected to single dose local PRP injection to the same localisation. Pretreatment and posttreatment 15-30-60 day hand grip strenght and Verhaar functional score data were evaluated.

RESULTS

Mean pretreatment grip strenght of group1 patients were 0.42±0.17 (0.18-0.61) bar whereas posttreatment day 60 increased to 0.68±0.11(0.50-0.85). Group 2 mean pretreatment grip strenght was found to be 0.45±0.15 (0.19-0.84) bar, whereas posttreatment day 60 increased to 0.66±0.10 (0.44-082). Compared to group 2, the percentage of grip strenght increase in group 1 was significantly higher at days 15 and 30, whereas there was no difference at day 60 between groups. (p=0.277). Compared to group 2, Verhaar scores were found to be higher in group1 at days 15 and 30, whereas there was no difference between groups at day 60.

CONCLUSION

Compared to PRP alone, steroid injection 1 week prior PRP administration can be preferred as an effective and safe method in cases which early maintanance of decreased grip strenght is mandatory.