Improving the healing rates for rotator cuff repair surgery has been an important goal in orthopedic surgery for years. Recently, platelet rich plasma has been proposed as a potential biologic adjuvant to rotator cuff repair. Several studies have been published on the topic with conflicting results. This data variability can be traced to the variety of PRP formulations being used and the types of tears being repair.
Recent, Brian Cole and his colleagues at Rush, released information about a systematic analysis of the PRP rotator cuff literature. "Their review revealed that the re-tear rate for small and medium tears treated at the time of surgery with PRP was 7.9 percent, compared to a re-tear rate of 26.8 percent when PRP was not used. The results will be published in the Journal of Arthroscopy this summer.
We are still at the beginning of understanding how to use PRP for rotator cuff repairs. This review, however, clearly suggest PRP may be of value for small or medium sized tears. Further details and analysis will be provided about publication of the paper.
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