Our Summary

This study looked at whether using platelet-rich plasma (PRP) - a substance known for its healing abilities - during a specific type of shoulder surgery (arthroscopic rotator cuff repair) could improve the results of the surgery. They did this by analyzing data from seven different scientific trials that were conducted between 2013 and 2018, involving a total of 541 patients.

The study found that using PRP during the surgery significantly reduced the number of patients whose shoulder injuries recurred after the surgery (the ‘retear rate’). It also led to better scores in three different measures of recovery: the Constant score, the University of California at Los Angeles activity score, and the visual analogue scale score.

So, the study concludes that using PRP during this type of shoulder surgery can improve the results of the surgery.

FAQs

  1. What is platelet-rich plasma (PRP) and how does it aid in healing?
  2. How does the use of PRP during arthroscopic rotator cuff repair affect the results of the surgery?
  3. What measures of recovery showed improvement when PRP was used during the surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rotator cuff repair is to discuss the option of using platelet-rich plasma (PRP) during the surgery to potentially improve outcomes and reduce the risk of retears. It’s important to have a thorough discussion with your doctor about the potential benefits and risks of using PRP in your specific case.

Suitable For

Patients who are typically recommended for rotator cuff repair surgery are those who have a tear in one or more of the tendons that make up the rotator cuff in the shoulder. These tears can be caused by a variety of factors, including overuse, aging, trauma, or degenerative conditions. Patients may experience symptoms such as pain, weakness, limited range of motion, and difficulty performing daily activities.

Patients who have tried conservative treatments such as rest, physical therapy, and corticosteroid injections without success may be candidates for rotator cuff repair surgery. Additionally, patients who have a large tear that is causing significant pain and functional limitations may also be recommended for surgery.

Overall, patients who have a rotator cuff tear that is causing persistent symptoms and impairing their quality of life may benefit from rotator cuff repair surgery, potentially with the use of PRP to enhance the healing process and improve outcomes.

Timeline

Before rotator cuff repair surgery, a patient typically experiences shoulder pain, weakness, and limited range of motion. They may have tried conservative treatments such as physical therapy, anti-inflammatory medications, and cortisone injections without success.

After rotator cuff repair surgery, the patient will undergo a period of rehabilitation to regain strength and range of motion in the shoulder. This typically involves physical therapy sessions and a gradual return to normal activities. The recovery process can take several months, with full recovery expected within 6-12 months.

If PRP is used during the surgery, the patient may experience a reduced risk of retear, improved shoulder function, and faster recovery compared to traditional surgery without PRP. This can lead to a quicker return to normal activities and improved overall outcomes for the patient.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rotator cuff repair include:

  1. Is using platelet-rich plasma (PRP) during the surgery an option for me?
  2. What are the potential benefits of using PRP during the surgery for my specific case?
  3. Are there any risks or potential complications associated with using PRP during the surgery?
  4. How does using PRP during the surgery affect the recovery process and long-term outcomes?
  5. Are there any alternative treatment options to consider instead of using PRP during the surgery?
  6. How experienced are you in performing arthroscopic rotator cuff repair with the use of PRP?
  7. Can you provide me with more information or resources about the use of PRP in shoulder surgery?
  8. What is the expected timeline for recovery and rehabilitation after the surgery if PRP is used?
  9. How will the use of PRP affect my overall prognosis and chances of a successful outcome?
  10. Are there any specific precautions or post-operative care instructions I should follow if PRP is used during the surgery?

Reference

Authors: Yang FA, Liao CD, Wu CW, Shih YC, Wu LC, Chen HC. Journal: Sci Rep. 2020 Oct 14;10(1):17171. doi: 10.1038/s41598-020-74341-0. PMID: 33057143