Muscle Injuries
Conditions
Keywords
muscle, injuries, platelet-rich plasma, autologous, haematoma
Brief summary
This is a multicenter, simple blind, masking of outcomes assessors, parallel, randomised clinical trial in patient with muscle rupture and with hematoma production. The main hypothesis is that infiltration in the area of muscle injury in autologous platelet-rich plasma (PRP)improves muscle regeneration and repair by shortening the time to complete recovery. The main objective is to evaluate the PRP for healing muscular lesions 'tennis leg' type or distal rectus femoral. The secondary objectives are: to evaluate the risk of lesion recurrence; to evaluate the quality of lesion recovery process and evaluate intervention's safety. Experimental treatment will be the administration of PRP autologous (4-8 cc in a unique dose) by muscular infiltration en the empty space generated after the hematoma evacuation. Control treatment will be hematoma evacuation. Both treatment groups will use compressive bandage and they will recommend rest, extremity elevation, local ice and lately physiotherapy. Size sample: 76 patients (38 in each group)
Interventions
4-8cc, a single dose
Evacuation of the haematoma, a single procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults over 18 years * Lesion with haematoma at the Gastrocnemius muscle or the lower portion of the rectus femoral muscle * Acceptance to participate at the clinical trial * Not indicated the surgical treatment of the muscle injury
Exclusion criteria
* Patients who do not meet the inclusion criteria * History of bleeding disorders * Inability to follow-up the patient * The use of corticosteroids, acetylsalicylic acid(Aspirin ®) and nonsteroidal antiinflammatory drugs during the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to complete recover of muscular lesions | weekely assessment during 8 weeks | The complete recovering will be when the patient does his habitual activity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of muscular lesion recurrence. | During all study (one year of follow-up) | Percentage of patients with muscular lesion recurrence. Muscular lesion recurrence will be considered if there are symptoms and a lesion gap by ultra sound scan. |
| Percentage of healing | 8 weeks | Percentage of patients with the healed lesion |
| Quality of the regenerated area | at 8 week | By ultrasonography, the characteristics of the wound will be quantified (size, fibrosis) |
| Pain | 12 months | The pain will be measured by a VAS each week, the first 8 weeks of the study and, at 6 and 12 month. |
| Adverse effects to treatments | 12 months | Adverse effects will be assessed each week, the first 8 weeks of the study and, at 6 and 12 month. |
Countries
Spain