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      혈소판 풍부 혈장의 주사치료

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      국문 초록 (Abstract)

      혈소판 풍부 혈장(platelet-rich plasma)은 자가혈액에서 혈소판을 추출한 농축액이며, 정상 혈액보다 많은 성장인자를 포함하여 손상된 조직 치유에 도움이 된다. 이러한 근거를 바탕으로 혈소판...

      혈소판 풍부 혈장(platelet-rich plasma)은 자가혈액에서 혈소판을 추출한 농축액이며, 정상 혈액보다 많은 성장인자를 포함하여 손상된 조직 치유에 도움이 된다. 이러한 근거를 바탕으로 혈소판 풍부 혈장은 다양한 근골격계 손상 및 질환에서 사용되는 치료 방법 중 하나이며 사용 시도가 증가하고 있지만 아직까지 과학적 근거제시가 부족한 상황이며 수준 높은 임상시험을 통한 결과보고가 적은 것이 현실이다. 또한 혈소판 풍부 혈장은 4Ds (Drug [platelet-rich plasma], Delivery [application method], Donor [patients], Disease [stage of disease])에 의한 연구 간 차이로 다양한 결과들이 나오게 되었으며, 혈소판 풍부 혈장의 주사치료에 대한 효용성에 성급한 결론을 내리는 것은 아직 이르다. 질환의 부위, 종류, 급성 또는 만성 질환 정도에 따라 최적의 적용 시기나 적용 방법이 달라야 하며, 이에 대한 혈소판 풍부 혈장의 제조상의 표준화를 이루고 각각의 분석 및 연구가 필요하다.

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      다국어 초록 (Multilingual Abstract)

      Platelet-rich plasma (PRP) supplies numerous growth factors from concentrated platelets required to promote the healing process of injured or degenerated tissue. PRP is already a popular option to treat a variety of musculoskeletal injuries and diseas...

      Platelet-rich plasma (PRP) supplies numerous growth factors from concentrated platelets required to promote the healing process of injured or degenerated tissue. PRP is already a popular option to treat a variety of musculoskeletal injuries and diseases, even though the precise mechanism of action is not completely understood. Varying outcomes, from favorable to poor, after PRP injection may arise from interstudy differences with respect to 4Ds (Drug [PRP], Delivery [application method], Donor [patients], and Disease [stage of rotator cuff disease]). In addition, there is no standard treatment regimen (injection location, number, interval, volume). Therefore, precise outcome measures as well as long-term follow-up are required to accurately evaluate the efficacy.

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      목차 (Table of Contents)

      • 서론
      • CLINICAL APPLICATION OF PLATELET-RICH PLASMA INJECTION
      • 결론
      • REFERENCES
      • 서론
      • CLINICAL APPLICATION OF PLATELET-RICH PLASMA INJECTION
      • 결론
      • REFERENCES
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      참고문헌 (Reference)

      1 Kaux JF, "Using platelet-rich plasma to treat jumper's knees: exploring the effect of a second closely-timed infiltration" 19 : 200-204, 2016

      2 Larsson ME, "Treatment of patellar tendinopathy: a systematic review of randomized controlled trials" 20 : 1632-1646, 2012

      3 Zengerink M, "Treatment of osteochondral lesions of the talus: a systematic review" 18 : 238-246, 2010

      4 Krogh TP, "Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial" 41 : 625-635, 2013

      5 Saltzman BM, "The therapeutic effect of intra-articular normal saline injections for knee osteoarthritis: a meta-analysis of evidence level 1 studies" 45 : 2647-2653, 2017

      6 Shen L, "The temporal effect of platelet-rich plasma on pain and physical function in the treatment of knee osteoarthritis: systematic review and meta-analysis of randomized controlled trials" 12 : 16-, 2017

      7 Molloy T, "The roles of growth factors in tendon and ligament healing" 33 : 381-394, 2003

      8 Chahal J, "The role of platelet-rich plasma in arthroscopic rotator cuff repair: a systematic review with quantitative synthesis" 28 : 1718-1727, 2012

      9 Fitzpatrick J, "The effectiveness of platelet-rich plasma in the treatment of tendinopathy: a meta-analysis of randomized controlled clinical trials" 45 : 226-233, 2017

      10 Kawasumi M, "The effect of the platelet concentration in platelet-rich plasma gel on the regeneration of bone" 90 : 966-972, 2008

      1 Kaux JF, "Using platelet-rich plasma to treat jumper's knees: exploring the effect of a second closely-timed infiltration" 19 : 200-204, 2016

      2 Larsson ME, "Treatment of patellar tendinopathy: a systematic review of randomized controlled trials" 20 : 1632-1646, 2012

      3 Zengerink M, "Treatment of osteochondral lesions of the talus: a systematic review" 18 : 238-246, 2010

      4 Krogh TP, "Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial" 41 : 625-635, 2013

      5 Saltzman BM, "The therapeutic effect of intra-articular normal saline injections for knee osteoarthritis: a meta-analysis of evidence level 1 studies" 45 : 2647-2653, 2017

      6 Shen L, "The temporal effect of platelet-rich plasma on pain and physical function in the treatment of knee osteoarthritis: systematic review and meta-analysis of randomized controlled trials" 12 : 16-, 2017

      7 Molloy T, "The roles of growth factors in tendon and ligament healing" 33 : 381-394, 2003

      8 Chahal J, "The role of platelet-rich plasma in arthroscopic rotator cuff repair: a systematic review with quantitative synthesis" 28 : 1718-1727, 2012

      9 Fitzpatrick J, "The effectiveness of platelet-rich plasma in the treatment of tendinopathy: a meta-analysis of randomized controlled clinical trials" 45 : 226-233, 2017

      10 Kawasumi M, "The effect of the platelet concentration in platelet-rich plasma gel on the regeneration of bone" 90 : 966-972, 2008

      11 von Wehren L, "The effect of subacromial injections of autologous conditioned plasma versus cortisone for the treatment of symptomatic partial rotator cuff tears" 24 : 3787-3792, 2016

      12 Brkljac M, "The effect of platelet-rich plasma injection on lateral epicondylitis following failed conservative management" 12 : S166-S170, 2015

      13 Sharma P, "Tendon injury and tendinopathy: healing and repair" 87 : 187-202, 2005

      14 Gonshor A, "Technique for producing platelet-rich plasma and platelet concentrate: background and process" 22 : 547-557, 2002

      15 Shams A, "Subacromial injection of autologous platelet-rich plasma versus corticosteroid for the treatment of symptomatic partial rotator cuff tears" 26 : 837-842, 2016

      16 Mongkhon JM, "Sorbitol-modified hyaluronic acid reduces oxidative stress, apoptosis and mediators of inflammation and catabolism in human osteoarthritic chondrocytes" 63 : 691-701, 2014

      17 Kanchanatawan W, "Short-term outcomes of platelet-rich plasma injection for treatment of osteoarthritis of the knee" 24 : 1665-1677, 2016

      18 Fukawa T, "Safety and efficacy of intra-articular injection of platelet-rich plasma in patients with ankle osteoarthritis" 38 : 596-604, 2017

      19 Yokoya S, "Rotator cuff regeneration using a bioabsorbable material with bone marrow-derived mesenchymal stem cells in a rabbit model" 40 : 1259-1268, 2012

      20 Muehleman C, "Prevalence of degenerative morphological changes in the joints of the lower extremity" 5 : 23-37, 1997

      21 Mladenovic Z, "Potential role of hyaluronic acid on bone in osteoarthritis: matrix metalloproteinases, aggrecanases, and RANKL expression are partially prevented by hyaluronic acid in interleukin 1-stimulated osteoblasts" 41 : 945-954, 2014

      22 Peerbooms JC, "Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up" 38 : 255-262, 2010

      23 Leanne Dupley, "Platelet­-Rich Plasma Injections as a Treatment for Refractory Patellar Tendinosis: A Meta­Analysis of Randomised Trials" 대한슬관절학회 29 (29): 165-171, 2017

      24 Moraes VY, "Platelet-rich therapies for musculoskeletal soft tissue injuries" 4 : 2014

      25 Marx RE, "Platelet-rich plasma: growth factor enhancement for bone grafts" 85 : 638-646, 1998

      26 Marx RE, "Platelet-rich plasma: evidence to support its use" 62 : 489-496, 2004

      27 Say F, "Platelet-rich plasma versus steroid injection for subacromial impingement syndrome" 24 : 62-66, 2016

      28 Vetrano M, "Platelet-rich plasma versus focused shock waves in the treatment of jumper's knee in athletes" 41 : 795-803, 2013

      29 Ilhanli I, "Platelet-rich plasma treatment with physical therapy in chronic partial supraspinatus tears" 17 : e23732-, 2015

      30 van Buul GM, "Platelet-rich plasma releasate inhibits inflammatory processes in osteoarthritic chondrocytes" 39 : 2362-2370, 2011

      31 Mei-Dan O, "Platelet-rich plasma or hyaluronate in the management of osteochondral lesions of the talus" 40 : 534-541, 2012

      32 Filardo G, "Platelet-rich plasma intra-articular knee injections show no superiority versus viscosupplementation: a randomized controlled trial" 43 : 1575-1582, 2015

      33 Kon E, "Platelet-rich plasma intra-articular injection versus hyaluronic acid viscosupplementation as treatments for cartilage pathology: from early degeneration to osteoarthritis" 27 : 1490-1501, 2011

      34 Kesikburun S, "Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up" 41 : 2609-2616, 2013

      35 Reurink G, "Platelet-rich plasma injections in acute muscle injury" 370 : 2546-2547, 2014

      36 A Hamid MS, "Platelet-rich plasma injections for the treatment of hamstring injuries: a randomized controlled trial" 42 : 2410-2418, 2014

      37 Carr AJ, "Platelet-rich plasma injection with arthroscopic acromioplasty for chronic rotator cuff tendinopathy: a randomized controlled trial" 43 : 2891-2897, 2015

      38 de Vos RJ, "Platelet-rich plasma injection for chronic achilles tendinopathy: a randomized controlled trial" 303 : 144-149, 2010

      39 Filardo G, "Platelet-rich plasma in tendon-related disorders: results and indications" 26 : 1984-1999, 2018

      40 Baksh N, "Platelet-rich plasma in tendon models: a systematic review of basic science literature" 29 : 596-607, 2013

      41 Zhao JG, "Platelet-rich plasma in arthroscopic rotator cuff repair: a meta-analysis of randomized controlled trials" 31 : 125-135, 2015

      42 Barber FA, "Platelet-rich plasma for rotator cuff repair" 21 : 199-205, 2013

      43 Rodik T, "Platelet-rich plasma compared with other common injection therapies in the treatment of chronic lateral epicondylitis" 25 : 77-82, 2016

      44 Dragoo JL, "Platelet-rich plasma as a treatment for patellar tendinopathy: a double-blind, randomized controlled trial" 42 : 610-618, 2014

      45 Zayni R, "Platelet-rich plasma as a treatment for chronic patellar tendinopathy: comparison of a single versus two consecutive injections" 5 : 92-98, 2015

      46 Marx RE, "Platelet-rich plasma (PRP): what is PRP and what is not PRP?" 10 : 225-228, 2001

      47 Mlynarek RA, "Platelet-rich plasma (PRP) in orthopedic sports medicine" 45 : 290-326, 2016

      48 Visser LC, "Platelet-rich fibrin constructs elute higher concentrations of transforming growth factor-${\beta}1$ and increase tendon cell proliferation over time when compared to blood clots: a comparative in vitro analysis" 39 : 811-817, 2010

      49 Hamilton BH, "Platelet-enriched plasma and muscle strain injuries: challenges imposed by the burden of proof" 21 : 31-36, 2011

      50 Mi B, "Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials" 45 : 97-104, 2017

      51 Tsai WC, "Platelet rich plasma promotes skeletal muscle cell migration in association with up-regulation of FAK, paxillin, and F-Actin formation" 35 : 2506-2512, 2017

      52 Randelli P, "Platelet rich plasma in arthroscopic rotator cuff repair: a prospective RCT study, 2-year follow-up" 20 : 518-528, 2011

      53 Eppley BL, "Platelet quantification and growth factor analysis from platelet-rich plasma: implications for wound healing" 114 : 1502-1508, 2004

      54 Anitua E, "Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants" 14 : 529-535, 1999

      55 Warden SJ, "Patellar tendinopathy" 22 : 743-759, 2003

      56 Saridakis P, "Outcomes of single-row and double-row arthroscopic rotator cuff repair: a systematic review" 92 : 732-742, 2010

      57 Gosens T, "Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up" 39 : 1200-1208, 2011

      58 Walker-Bone K, "Occupation and epicondylitis: a population-based study" 51 : 305-310, 2012

      59 Zhang W, "OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines" 16 : 137-162, 2008

      60 Cianforlini M, "New strategies for muscular repair and regeneration;Muscle and tendon injuries: evaluation and management" Springer 145-156, 2017

      61 Jarvinen TA, "Muscle injuries: biology and treatment" 33 : 745-764, 2005

      62 Gormeli G, "Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis: a randomized, double-blind, placebo-controlled trial" 25 : 958-965, 2017

      63 Jarvinen M, "Lower leg overuse injuries in athletes" 1 : 126-130, 1993

      64 Raeissadat SA, "Knee osteoarthritis injection choices: platelet-rich plasma (PRP) versus hyaluronic acid (a one-year randomized clinical trial)" 8 : 1-8, 2015

      65 Boswell SG, "Increasing platelet concentrations in leukocyte-reduced platelet-rich plasma decrease collagen gene synthesis in tendons" 42 : 42-49, 2014

      66 Engebretsen L, "IOC consensus paper on the use of platelet-rich plasma in sports medicine" 44 : 1072-1081, 2010

      67 Cole BJ, "Hyaluronic acid versus platelet-rich plasma: a prospective, double-blind randomized controlled trial comparing clinical outcomes and effects on intra-articular biology for the treatment of knee osteoarthritis" 45 : 339-346, 2017

      68 Furia JP, "High-energy extracorporeal shock wave therapy as a treatment for insertional achilles tendinopathy" 34 : 733-740, 2006

      69 Weibrich G, "Growth factor levels in platelet-rich plasma and correlations with donor age, sex, and platelet count" 30 : 97-102, 2002

      70 Clegg DO, "Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis" 354 : 795-808, 2006

      71 Taylor J, "Extracorporeal shockwave therapy (ESWT) for refractory achilles tendinopathy: a prospective audit with 2-year follow up" 26 : 23-29, 2016

      72 Visco V, "Experimental studies on the biological effects of extracorporeal shock wave therapy on tendon models. A review of the literature" 4 : 357-361, 2014

      73 Everts PA, "Exogenous application of platelet-leukocyte gel during open subacromial decompression contributes to improved patient outcome. A prospective randomized double-blind study" 40 : 203-210, 2008

      74 Fu CJ, "Evaluation of platelet-rich plasma and fibrin matrix to assist in healing and repair of rotator cuff injuries: a systematic review and meta-analysis" 31 : 158-172, 2017

      75 Ekstrand J, "Epidemiology of muscle injuries in professional football (soccer)" 39 : 1226-1232, 2011

      76 Mishra AK, "Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients" 42 : 463-471, 2014

      77 Dai WL, "Efficacy of Platelet-rich plasma in the treatment of knee osteoarthritis: a meta-analysis of randomized controlled trials" 33 : 659-670, 2017

      78 Coombes BK, "Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials" 376 : 1751-1767, 2010

      79 Jo CH, "Effects of platelet-rich plasma with concomitant use of a corticosteroid on tenocytes from degenerative rotator cuff tears in interleukin $1{\beta}$-induced tendinopathic conditions" 45 : 1141-1150, 2017

      80 Scarpone M, "Effectiveness of platelet-rich plasma injection for rotator cuff tendinopathy: a prospective open-label study" 2 : 26-31, 2013

      81 Manduca ML, "Effectiveness of PRP injection in reducing recovery time of acute hamstring injury: a critically appraised topic" 2017

      82 Sadoghi P, "Effect of platelet-rich plasma on the biologic activity of the human rotator-cuff fibroblasts: a controlled in vitro study" 31 : 1249-1253, 2013

      83 Field LD, "Editorial commentary: the needle or the knife? platelet-rich plasma versus surgery for lateral epicondylitis" 33 : 1330-1331, 2017

      84 Sheth U, "Does platelet-rich plasma lead to earlier return to sport when compared with conservative treatment in acute muscle injuries? A systematic review and meta-analysis" 34 : 281-288, 2018

      85 Rossi LA, "Does platelet-rich plasma decrease time to return to sports in acute muscle tear? A randomized controlled trial" 25 : 3319-3325, 2017

      86 Jo CH, "Does platelet-rich plasma accelerate recovery after rotator cuff repair? A prospective cohort study" 39 : 2082-2090, 2011

      87 Pandey V, "Does application of moderately concentrated platelet-rich plasma improve clinical and structural outcome after arthroscopic repair of medium-sized to large rotator cuff tear? A randomized controlled trial" 25 : 1312-1322, 2016

      88 Kaux JF, "Current opinions on tendinopathy" 10 : 238-253, 2011

      89 Repetto I, "Conservative treatment of ankle osteoarthritis: can platelet-rich plasma effectively postpone surgery?" 56 : 362-365, 2017

      90 Erroi D, "Conservative treatment for insertional achilles tendinopathy: platelet-rich plasma and focused shock waves. A retrospective study" 7 : 98-106, 2017

      91 Rha DW, "Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial" 27 : 113-122, 2013

      92 Sanchez M, "Comparison of surgically repaired achilles tendon tears using platelet-rich fibrin matrices" 35 : 245-251, 2007

      93 Kevy SV, "Comparison of methods for point of care preparation of autologous platelet gel" 36 : 28-35, 2004

      94 Cerza F, "Comparison between hyaluronic acid and platelet-rich plasma, intra-articular infiltration in the treatment of gonarthrosis" 40 : 2822-2827, 2012

      95 Gormeli G, "Clinical effects of platelet-rich plasma and hyaluronic acid as an additional therapy for talar osteochondral lesions treated with microfracture surgery: a prospective randomized clinical trial" 36 : 891-900, 2015

      96 Dohan Ehrenfest DM, "Classification of platelet concentrates: from pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF)" 27 : 158-167, 2009

      97 Gaballah AM, "Can PRP injection (platelet-rich plasma) effectively treat hamstring strain injuries?"

      98 Notarnicola A, "CHELT therapy in the treatment of chronic insertional achilles tendinopathy" 29 : 1217-1225, 2014

      99 Rodeo SA, "Biologic augmentation of rotator cuff tendon-healing with use of a mixture of osteoinductive growth factors" 89 : 2485-2497, 2007

      100 Woodell-May J, "Autologous protein solution inhibits MMP-13 production by IL-$1{\beta}$ and TNF$\alpha$-stimulated human articular chondrocytes" 29 : 1320-1326, 2011

      101 Schepull T, "Autologous platelets have no effect on the healing of human achilles tendon ruptures: a randomized single-blind study" 39 : 38-47, 2011

      102 Edwards SG, "Autologous blood injections for refractory lateral epicondylitis" 28 : 272-278, 2003

      103 Merolla G, "Arthroscopic debridement versus platelet-rich plasma injection: a prospective, randomized, comparative study of chronic lateral epicondylitis with a nearly 2-year follow-up" 33 : 1320-1329, 2017

      104 Charousset C, "Are multiple platelet-rich plasma injections useful for treatment of chronic patellar tendinopathy in athletes? A prospective study" 42 : 906-911, 2014

      105 Nguyen RT, "Applications of platelet-rich plasma in musculoskeletal and sports medicine: an evidence-based approach" 3 : 226-250, 2011

      106 Schepsis AA, "Achilles tendon disorders in athletes" 30 : 287-305, 2002

      107 Kaniki N, "A retrospective comparative study with historical control to determine the effectiveness of platelet-rich plasma as part of nonoperative treatment of acute achilles tendon rupture" 30 : 1139-1145, 2014

      108 Wesner M, "A pilot study evaluating the effectiveness of platelet-rich plasma therapy for treating degenerative tendinopathies: a randomized control trial with synchronous observational cohort" 11 : e0147842-, 2016

      109 Ferrari M, "A new technique for hemodilution, preparation of autologous platelet-rich plasma and intraoperative blood salvage in cardiac surgery" 10 : 47-50, 1987

      110 Seetharamaiah VB, "A comparative study to evaluate the efficacy of platelet-rich plasma and triamcinolone to treat tennis elbow" 51 : 304-311, 2017

      111 Ebert JR, "A Midterm evaluation of postoperative platelet-rich plasma injections on arthroscopic supraspinatus repair: a randomized controlled trial" 45 : 2965-2974, 2017

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