use of prp and activated prp in orthopedics and traumatology 6eyPzrqZ |

Use of PRP and Activated PRP in Orthopedics and Traumatology

Many tissue damage due to injury or aging in humans heals when a suitable environment is provided. The most active cells in beautification are platelets, which are the small components of the blood. After damage, platelets start and accelerate the beautification events by releasing many different growth factors in the vesicles they contain to the injured area. The use of platelets in different treatments as an accelerator of tissue beautification began in the 1970s. In orthopedics and traumatology, PRP (Platelet Rich Plasma, platelet-rich plasma) is used with successful results in the treatment of complaints due to new and old injuries, as well as degenerative joint deterioration. Studies in different disciplines have shown that it provides similar or superior efficacy to many other treatments in cartilage damage in large joints, most commonly in the knee, in muscle and/or tendon injuries and insufficient healing, in long-term and severe painful skeletal system disorders. The diagnoses in which PRP treatment is most frequently used in orthopedics and traumatology are: knee-ankle-elbow and shoulder osteoarthritis, cartilage injuries, Achilles tendon problems (partial tears, tendinosis and tendinitis), heel spur (plantar fasciitis), medial and lateral epicondylitis (golfer’s elbow) and tennis elbow), shoulder tendonitis and tendon tears, patellar tendonitis and ankle ligament tears.

In recent years, PRP application is increasingly taking place in treatments with natural healers, which are used more and more frequently. It can be used alone as well as with other treatments and increases the chance of success. Since the person’s own blood cells are used, there are fewer undesirable effects compared to many other treatments when prepared and applied by experts in a suitable environment. In practice, the blood taken from the vein in sterile form with easy formulas is subjected to a series of processes of approximately 15 minutes. The cellular and liquid parts of the blood are separated from each other after the rotation process. The part that is rich in platelets is taken into the application injector and after the treatment area is prepared sterile, it is given to the area. It has been shown that activated PRP obtained with chemical or physical systems to enable the growth factors contained in platelets to emerge more easily and heavily, is more successful especially in sports injuries and tendon issues. Physical methods may be preferred since they do not require chemical considerations to make PRP more active. For this, 16-24 hours of waiting at a certain temperature or light of certain wavelengths can be used. With the advantage of one-to-one application, the activation process with light, which requires an additional time of 4-6 minutes, is preferred by many patients and practitioners.

PRP treatment should be applied after careful evaluation in patients with bleeding disorders and those using blood thinners and anticoagulants. Having an infection in the area where it will be applied is rough on PRP treatment. The treatment itself can rarely cause inflammation that lasts for a day or two. For this reason, it would be appropriate to rest the area for at least a few days after PRP and activated PRP injection.

In many diseases and injuries, PRP applications alone or in combination with other treatments reduce the amount of drug use, shorten the time to return to work and daily life, advance or eliminate the expected surgeries. Rarely more than one application is required. However, it should be kept in mind that there may be situations where a natural improvement is not expected or delaying the most appropriate treatments may be inconvenient, and that PRP application may not be the only test for every disease and patient. The most appropriate treatment decision should be made together by the patient and the physician, with possible profits.

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