Although most major guidelines do not include or recommend an intra-articular injection of platelet-rich plasma (PRP), a biologic product prepared from autologous blood, this optional treatment has become a desirable choice of non-surgical treatment for knee OA. Studies regarding PRP applied in knee OA, with various protocols of preparation and injection, showed that it improved patient clinical outcomes by releasing several growth factors and cytokines, promoting reparation and minimization of
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Selection criteria included knee OA according to the American College of Rheumatology (ACR), 45-85 years of age, grade 1 to 4 of radiographic knee OA according to the Kellgren-Lawrence system, body mass index (BMI) < 30, > 90-degree arc of motion, < 10-degree anatomical knee deformity in the coronal plane, and no skin lesion around the affected knee.
Exclusion criteria
Exclusion criteria: Exclusion criteria included inflammatory arthritis, previous knee surgery, knee pain with an antalgic gait, and thrombocytopenia. In addition, all recruited patients had a 2-week washing-out period for any pain killers or non-steroidal anti-inflammatory drugs (NSAIDs) and joint supplements.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| synovial biomakers at 6 weeks after the intervention level of 12 cytokines from the molecular study | — |
Secondary
| Measure | Time frame |
|---|---|
| clinical outcomes within one year after end of the intervention VAS, PROMs (WOMAC and SF-12), and PBMs (TUG, 5*SST, and 3-min WT) | — |
Countries
Thailand
Contacts
Chulalongkorn University