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Biologic Enhancement for Meniscal Repair (Platelet-Rich Plasma) Rhode Island *

Historical Perspective: Arthroscopic treatment of meniscal tears is one of the most common procedures performed by orthopaedic surgeons worldwide. The advent of newer technologies (suture materials, fixation devices, and biologic substances) has increased the potential for clinical success when attempting to repair the torn meniscus.

Indications and Contraindications:
Classically, only peripheral meniscal tears were indicated for potential repair, and most tears were simply debrided. We know that preservation of the meniscus is critical to the continued healthy function of the injured knee. These newer technologies have made it possible for the clinician to consider repairing more meniscal tears than ever before.

Preoperative Planning:
A thorough history and physical examination remains essential for preoperative planning before meniscal repair surgery. Standard radiographs and magnetic resonance imaging are also critical in determining tear location, morphology, and repairability.

Technique: Various surgical techniques (all-inside, inside-out, outside-in, and open) have all been discussed in the literature. Sutures and fixation devices can be augmented by a biologic adjuvant therapy, platelet-rich plasma (PRP).

Results:
Clinical results using PRP to augment meniscal repairs has shown early clinical promise.

Complications: Reported complications related to the use of PRP have been minimal to nonexistent.

Postoperative Management: Routine meniscal repair rehabilitation protocols are followed when PRP is used to augment a meniscal repair.

* Legal Disclaimer: Chelation and Hyperbaric Therapy, Stem Cell Therapy, and other treatments and modalities mentioned or referred to in this web site are medical techniques that may or may not be considered “mainstream”. As with any medical treatment, results will vary among individuals, and there is no implication or guarantee that you will heal or achieve the same outcome as patients herein.

As with any procedure, there could be pain or other substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.

THE INFORMATION IN THIS WEBSITE IS OFFERED FOR GENERAL EDUCATIONAL PURPOSES ONLY AND DOES NOT IMPLY OR GIVE MEDICAL ADVICE. No Doctor/Patient relationship shall be deemed to have arisen simply by reading the information contained on these pages, and you should consult with your personal physician/care giver regarding your medical treatment before undergoing any sort of treatment or therapy.

Published on 05-27-2009
Authors: DeBerardino, Thomas M. MD
Source: Techniques in Knee Surgery: September 2007 - Volume 6 - Issue 3 - pp 168-171