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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Characterization of Leukocyte-platelet Rich Fibrin, A Novel Biomaterial
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Single/ Multiple Dose Percutaneously Injected LR-PRP Enhances Union Rate in Fracture Delayed Unions: A Prospective

Kishor Kunal1, Nitesh Gahlot1, Neeraj Choudhary1

  • 1Department of Orthopedics, AIIMS, Jodhpur, Rajasthan 342005 India.

Indian Journal of Orthopaedics
|December 12, 2024
PubMed
Summary

Leucocyte-rich Platelet-Rich Plasma (LR-PRP) injections effectively promote bone healing in adults with delayed unions. This treatment catalyzed union in 90.3% of patients, offering a viable alternative for fracture recovery.

Keywords:
Delayed unionDiaphyseal fractureFracture healingLR-PRPMetaphyseal fractureNon-surgical treatmentPRP

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Area of Science:

  • Orthopedics
  • Regenerative Medicine
  • Biomaterials

Background:

  • Bone healing typically takes 3-12 weeks, varying by fracture location.
  • Platelet-Rich Plasma (PRP) utilizes growth factors to accelerate natural healing.
  • PRP has been explored for treating delayed bone unions.

Purpose of the Study:

  • To evaluate the efficacy of Leucocyte-rich PRP (LR-PRP) in promoting union of delayed fractures.
  • To determine the effectiveness of percutaneously administered LR-PRP in adult patients.

Main Methods:

  • Included patients over 18 years with documented delayed union.
  • Administered LR-PRP injections, with repeat doses based on radiographic assessment.
  • Followed up patients monthly after each injection.

Main Results:

  • Achieved union in 28 out of 31 patients (90.3%).
  • Most patients (71.4%) required only one LR-PRP injection.
  • No significant correlation found between the number of injections and healing time.

Conclusions:

  • Percutaneously administered LR-PRP is an effective treatment for delayed bone union.
  • LR-PRP serves as a beneficial alternative to accelerate fracture healing.
  • Treatment efficacy is independent of the injury site.