|Injecting PRP during surgery on the Achilles tendon is just one of the many ways that PRP is being used in orthopaedics. Courtesy of Allan K. Mishra, MD|
Note from JTM: So the use of PRP is not yet available in nonresearch practices and is not the standard of care. Is remains experimental except in rats and lawyers.
Note from JTM: So the use of PRP in rotator cuff tears still required surgery and has not been proven to have any beneficial effects on healing. While arthoscopic cuff repairs are less invasive than open repairs, it is still surgery and still requires 6 weeks for the tendon to heal. We do not heal tendons faster just because the skin incision is smaller.
- What is the best time for injection?
- Are there different effects on acutely injured tendon versus degenerative tendon?
- Is there a risk of increasing inflammation?
- Would serial injections be more effective?
- What is the effect of pH on cytokine release?
- What are the kinetics of cytokine release?