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Platelet-rich plasma did not improve early healing of medial collateral ligament in rats

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

The medial collateral ligament (MCL) is the most frequently injured ligament of the knee. Platelet-rich plasma (PRP) is a relatively new treatment option developed to enhance the healing response after injury to different tissue types. This study aimed at investigating whether the addition of PRP to MCL tears in rats would alter healing both biomechanically and histologically.

Methods

Bilateral full-thickness tears of the MCL were surgically induced in the knees of 32 rats. Right ligament was saturated with PRP (n = 32, study group), and the left ligament was saturated with saline (n = 32, control group). The animals were killed 3 weeks later and the surgical sites were evaluated by gross inspection, biomechanically and histologically.

Results

There was no gross difference in the mass of granulation tissue, load to failure, stiffness and displacement between the study and control groups. Histological examination by means of maturity score revealed no significant differences between the study and control groups.

Conclusion

The addition of PRP to a healing MCL did not improve any of the outcome measures in this model.

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References

  1. Swenson DM, Collins CL, Best TM, Flanigan DC, Fields SK, Comstock RD (2012) Epidemiology of knee injuries among us high school athletes, 2005/06–2010/11. Med Sci Sports Exerc. doi:10.1249/MSS.0b013e318277acca

    Google Scholar 

  2. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, Kington RS, Lane NE, Nevitt MC, Zhang Y, Sowers M, McAlindon T, Spector TD, Poole AR, Yanovski SZ, Ateshian G, Sharma L, Buckwalter JA, Brandt KD, Fries JF (2000) Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med 133(8):635–646. pii: 200010170-00016

  3. Bray RC, Leonard CA, Salo PT (2003) Correlation of healing capacity with vascular response in the anterior cruciate and medial collateral ligaments of the rabbit. J Orthop Res 21(6):1118–1123. doi:10.1016/S0736-0266(03)00078-0

    Article  PubMed  Google Scholar 

  4. Woo SL, Vogrin TM, Abramowitch SD (2000) Healing and repair of ligament injuries in the knee. J Am Acad Orthopaed Surg 8(6):364–372

    CAS  Google Scholar 

  5. Marx RE (2001) Platelet-rich plasma (PRP): what is PRP and what is not PRP? Implant Dent 10(4):225–228

    Article  CAS  PubMed  Google Scholar 

  6. Marx RE (2004) Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 62 (4):489–496. pii: S0278239103012722

  7. Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT (2004) Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost 91(1):4–15. doi:10.1267/THRO04010004

    CAS  PubMed  Google Scholar 

  8. Anitua E, Sanchez M, Nurden AT, Nurden P, Orive G, Andia I (2006) New insights into and novel applications for platelet-rich fibrin therapies. Trends Biotechnol 24(5):227–234. doi:10.1016/j.tibtech.2006.02.010

    Article  CAS  PubMed  Google Scholar 

  9. Baksh N, Hannon CP, Murawski CD, Smyth NA, Kennedy JG (2013) Platelet-rich plasma in tendon models: a systematic review of basic science literature. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am the Int Arthrosc Assoc 29(3):596–607. doi:10.1016/j.arthro.2012.10.025

    Article  Google Scholar 

  10. Dolkart O, Chechik O, Zarfati Y, Brosh T, Alhajajra F, Maman E (2014) A single dose of platelet-rich plasma improves the organization and strength of a surgically repaired rotator cuff tendon in rats. Arch Orthop Trauma Surg 134(9):1271–1277. doi:10.1007/s00402-014-2026-4

    Article  PubMed  Google Scholar 

  11. Chahal J, Van Thiel GS, Mall N, Heard W, Bach BR, Cole BJ, Nicholson GP, Verma NN, Whelan DB, Romeo AA (2012) The role of platelet-rich plasma in arthroscopic rotator cuff repair: a systematic review with quantitative synthesis. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am the Int Arthrosc Assoc 28(11):1718–1727. doi:10.1016/j.arthro.2012.03.007

    Article  Google Scholar 

  12. Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC (2013) Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database Syst Rev 12:CD010071. doi:10.1002/14651858.CD010071.pub2

    PubMed  Google Scholar 

  13. Mishra A, Woodall J Jr, Vieira A (2009) Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 28 (1):113–125. pii: S0278-5919(08)00069-0

  14. Kajikawa Y, Morihara T, Sakamoto H, Matsuda K, Oshima Y, Yoshida A, Nagae M, Arai Y, Kawata M, Kubo T (2008) Platelet-rich plasma enhances the initial mobilization of circulation-derived cells for tendon healing. J Cell Physiol 215(3):837–845. doi:10.1002/jcp.21368

    Article  CAS  PubMed  Google Scholar 

  15. Tei K, Matsumoto T, Mifune Y, Ishida K, Sasaki K, Shoji T, Kubo S, Kawamoto A, Asahara T, Kurosaka M, Kuroda R (2008) Administrations of peripheral blood CD34-positive cells contribute to medial collateral ligament healing via vasculogenesis. Stem Cells 26(3):819–830. doi:10.1634/stemcells.2007-0671

    Article  CAS  PubMed  Google Scholar 

  16. Watanabe N, Woo SL, Papageorgiou C, Celechovsky C, Takai S (2002) Fate of donor bone marrow cells in medial collateral ligament after simulated autologous transplantation. Microsc Res Tech 58(1):39–44. doi:10.1002/jemt.10115

    Article  PubMed  Google Scholar 

  17. Nishimori M, Matsumoto T, Ota S, Kopf S, Mifune Y, Harner C, Ochi M, Fu FH, Huard J (2012) Role of angiogenesis after muscle derived stem cell transplantation in injured medial collateral ligament. J Orthop Res 30(4):627–633. doi:10.1002/jor.21551

    Article  CAS  PubMed  Google Scholar 

  18. Maffulli N, Longo UG, Franceschi F, Rabitti C, Denaro V (2008) Movin and Bonar scores assess the same characteristics of tendon histology. Clin Orthop Relat Res 466(7):1605–1611. doi:10.1007/s11999-008-0261-0

    Article  PubMed Central  PubMed  Google Scholar 

  19. International CRL (2008) Clinical laboratory parameters for Crl:Wi(Han) rats

  20. Eirale C, Mauri E, Hamilton B (2013) Use of platelet rich plasma in an isolated complete medial collateral ligament lesion in a professional football (soccer) player: a case report. Asian J Sports Med 4(2):158–162

    PubMed Central  PubMed  Google Scholar 

  21. Matsunaga D, Akizuki S, Takizawa T, Omae S, Kato H (2013) Compact platelet-rich fibrin scaffold to improve healing of patellar tendon defects and for medial collateral ligament reconstruction. Knee 20(6):545–550. doi:10.1016/j.knee.2013.04.018

    Article  PubMed  Google Scholar 

  22. Yoshioka T, Kanamori A, Washio T, Aoto K, Uemura K, Sakane M, Ochiai N (2013) The effects of plasma rich in growth factors (PRGF-Endoret) on healing of medial collateral ligament of the knee. Knee Surg Sports Traumatol Arthrosc 21(8):1763–1769. doi:10.1007/s00167-012-2002-x

    Article  PubMed  Google Scholar 

  23. Zhang J, Wang JH (2014) PRP treatment effects on degenerative tendinopathy—an in vitro model study. Muscles Ligaments Tendons J 4(1):10–17

    PubMed Central  PubMed  Google Scholar 

  24. Murray MM, Spindler KP, Abreu E, Muller JA, Nedder A, Kelly M, Frino J, Zurakowski D, Valenza M, Snyder BD, Connolly SA (2007) Collagen-platelet rich plasma hydrogel enhances primary repair of the porcine anterior cruciate ligament. J Orthop Res 25(1):81–91. doi:10.1002/jor.20282

    Article  PubMed  Google Scholar 

  25. Virchenko O, Aspenberg P (2006) How can one platelet injection after tendon injury lead to a stronger tendon after 4 weeks? Interplay between early regeneration and mechanical stimulation. Acta Orthop 77(5):806–812. doi:10.1080/17453670610013033

    Article  PubMed  Google Scholar 

  26. Beck J, Evans D, Tonino PM, Yong S, Callaci JJ (2012) The biomechanical and histologic effects of platelet-rich plasma on rat rotator cuff repairs. Am J Sports Med 40(9):2037–2044. doi:10.1177/0363546512453300

    Article  PubMed Central  PubMed  Google Scholar 

  27. Rodeo SA, Delos D, Williams RJ, Adler RS, Pearle A, Warren RF (2012) The effect of platelet-rich fibrin matrix on rotator cuff tendon healing: a prospective, randomized clinical study. Am J Sports Med 40(6):1234–1241. doi:10.1177/0363546512442924

    Article  PubMed  Google Scholar 

  28. Malavolta EA, Gracitelli ME, Ferreira Neto AA, Assuncao JH, Bordalo-Rodrigues M, de Camargo OP (2014) Platelet-rich plasma in rotator cuff repair: a prospective randomized study. Am J Sports Med 42(10):2446–2454. doi:10.1177/0363546514541777

    Article  PubMed  Google Scholar 

  29. Mazzocca AD, McCarthy MB, Chowaniec DM, Cote MP, Romeo AA, Bradley JP, Arciero RA, Beitzel K (2012) Platelet-rich plasma differs according to preparation method and human variability. J Bone Joint Surg Am 94(4):308–316. doi:10.2106/JBJS.K.00430

    Article  PubMed  Google Scholar 

  30. Mazzocca AD, McCarthy MB, Chowaniec DM, Dugdale EM, Hansen D, Cote MP, Bradley JP, Romeo AA, Arciero RA, Beitzel K (2012) The positive effects of different platelet-rich plasma methods on human muscle, bone, and tendon cells. Am J Sports Med 40(8):1742–1749. doi:10.1177/0363546512452713

    Article  PubMed  Google Scholar 

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Correspondence to Oleg Dolkart.

Additional information

E. Amar and N. Snir contributed equally to this work.

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Amar, E., Snir, N., Sher, O. et al. Platelet-rich plasma did not improve early healing of medial collateral ligament in rats. Arch Orthop Trauma Surg 135, 1571–1577 (2015). https://doi.org/10.1007/s00402-015-2306-7

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  • DOI: https://doi.org/10.1007/s00402-015-2306-7

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