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CASE REPORT
Chirurgia 2023 February;36(1):47-51
DOI: 10.23736/S0394-9508.22.05423-7
Copyright © 2022 EDIZIONI MINERVA MEDICA
language: English
USG guided-intra-articular platelet-rich plasma injection of knee-osteoarthritis patient
Erfan EFENDI 1, Sugiyanta SUGIYANTA 1, Zahrah FEBIANTI 1, Hairrudin HAIRRUDIN 1, Winie S. DWICAHYANDARI 2, Dimas ZABIRURROHMAN 2, Ika R. SUTEJO 1 ✉
1 Department of Biochemistry, Faculty of Medicine, University of Jember, Jember, Indonesia; 2 Faculty of Medicine, University of Jember, Jember, Indonesia
Osteoarthritis is a degenerative joint disease with multiple risk factors. Knee osteoarthritis causes morning stiffness, movement restriction, and chronic-progressive pain of the knee joint. Osteoarthritis management aims to slow down disease progression and relieve pain and joint stiffness. Its management includes non-pharmacological, pharmacological, and operative treatment. One therapeutic modality for osteoarthritis is intra-articular platelet-rich plasma (PRP) injection with an ultrasonography (USG) guide. In this case, PRP was made from the patient’s blood by centrifugation to obtain a highly concentrated sample of platelets. Platelets play a role in the healing process of osteoarthritis because they contain broad-spectrum growth factors. This scientific narrative report aims to prove the effectiveness of PRP management in patients with grade III knee-osteoarthritis. A 56 years old woman was diagnosed with 3rd-grade bilateral genu osteoarthritis. The patient underwent intra-articular PRP injection guided by Ultrasonography (USG). The procedure was performed on the right knee. A total of 2 procedures in 3 weeks. The patient came back 3 months later because of a relapse but with a lower pain score (VAS 4-5). The same procedure was carried out and evaluated a month later. The patient explained there were no pain experiences after the procedure even though no medicines were consumed during this period.
KEY WORDS: Osteoarthritis, knee; Platelet-rich plasma; Ultrasonography, interventional