Lateral epikondilit tedavisinde plateletten zengin plazma ve steroid enjeksiyonlarının karșılaștırılması

AMAÇ: Lateral epikondilit tedavisinde kullanılan plateletten zengin plazma ve steroid enjeksiyonlarının karșılaștırmayı amaçladık. YÖNTEM: Çalıșmamızda 50 adet lateral epikondilit tanılı hasta yer aldı. İlk 25 hastaya plateletten zengin plazma, daha sonraki 25 hastaya steroid enjeksiyonu yapıldı. Hastalar 1. ve 3. ayda kontrole çağırılarak, Görsel Analog Skor ve Patient Rated Tenis Elbow Evaluation sistemlerine göre değerlendirildiler. Bulgular enjeksiyon öncesi değerler ile karșılaștırıldı. BULGULAR: Her iki gruba ait birinci ve üçüncü ay sonu Görsel Analog Skor ve Patient Rated Tenis Elbow Evaluation değerleri enjeksiyon öncesi değerlere göre daha düșük tespit edildi. Birinci ayın sonundaki değerlerin steroid grubunda daha düșük olduğu görüldü. Üçüncü ayın sonunda, her iki grubun Görsel Analog Skor ve Patient Rated Tenis Elbow Evaluation değerleri arasında ise anlamlı fark bulunamadı (p>0.05). SONUÇ: Lateral epikondilit tedavisinde kullanılan plateletten zengin plazma ve steroid enjeksiyonlarının etkinliği, birinci ayın sonunda steroid grubunda daha fazlayken, üçüncü ayın sonunda benzerdir.

The comparison platelet-rich plasma and steroid ınjections for the treatment of lateral epicondylitis

AIM: We aimed to compare the use of platelet-rich plasma and steroid injections treatment of lateral epicondylitis. METHODS: We analyzed 50 patients with the diagnosis of lateral epicondylitis. The first of 25 patients received steroid injection and second 25 received platelet-rich plasma. The participants were reevaluated in the following first and third months using the Visual Analog Score and Patient Rated Tennis Elbow Evaluation Scores. The results were compared with the initial values. RESULTS: Both group’s Visual Analog Score and Patient Rated Tennis Elbow Evaluation Score values were found lower than the values before the injections. Although the results were lower in steroid group at the end of the first month, there wasn’t any significant difference between both group’s Visual Analog Score and Patient Rated Tennis Elbow Evaluation Score values at the end of the third month (p>0.05). CONCLUSION: Although steroid injections seem better for the treatment of lateral epicondylitis at the end of first month, they have similar efficiency in comparison with platelet-rich plasma at the end of third month.


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