Intraosseous Infiltration of Platelet-Rich Plasma for Severe Hip Osteoarthritis
The Regenerative Clinic's view on this research
Mr Raghbir Khakha “This is a technical note for interosseous infiltration of Platelet Rich Plasma with severe hip osteoarthritis and see the technical paper presented by Mikel Sanchez, who is considered to be one of the leaders in the use of PRP and degenerative joint disease. Dr. Sanchez works out of Vitoria in Spain and has been a leading expert in describing techniques in how to infiltrate and manage the use of PRP in osteoarthritis. This technical paper makes excellent note into the use of PRP in hip osteoarthritis. It demonstrates the challenges associated with managing the bone oedema often found within the femoral head of the acetabulum. He describes the method in which this should be performed and quantities required in order to achieve adequate infiltration in management of the subchondral bone oedema seen in osteoarthritis. This is the same technique that is used in our clinic, and having had this technique performed many times in his institute, we have now utilised it with favourable outcomes.”
Abstract
This work describes a technique of platelet-rich plasma (PRP) infiltration for the treatment of severe hip osteoarthritis (OA). Although the results achieved with intra-articular infiltrations of PRP are promising, they may be insufficient in the long-term for severe hip OA. The technique consists of a combined intra-articular and intraosseous infiltration of PRP to reach all joint tissues, especially the subchondral bone, and hence facilitate a greater distribution of PRP. Diagnosis is based on clinical and radiographic findings, and patients with grade III OA according to the Tönnis scale, as well as patients who have not responded to conventional treatment, are considered candidates for this technique.
After an ultrasound-guided intra-articular PRP infiltration is performed, 2 intraosseous infiltrations are conducted with a fluoroscope; the first injection is applied into the acetabulum and the second into the femoral head. However, this technique presents more difficulty than the conventional administration, so it is necessary to consider several aspects described in this work.