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Does platelet-rich fibrin aid cuff repair?

By Mary Ann Porucznik

In a prospective, randomized study, the addition of platelet-rich fibrin matrix (PRFM) during arthroscopic repair of the rotator cuff did not significantly improve perioperative morbidity or clinical results, according to a paper presented at the 2010 AAOS Annual Meeting.

“Early, anecdotal studies have suggested both improved healing rates and improvement in perioperative morbidity with PRFM,” said study author Stephen C. Weber, MD, ‘but within the power of this study, PRFM was not shown to significantly improve perioperative morbidity and early follow-up did not show significant improvement in structural integrity.”

Arthroscopic cuff repair remains problematic

Addition of platelet-rich fibrin matrix doesn’t improve clinical results

In a prospective, randomized study, the addition of platelet-rich fibrin matrix (PRFM) during arthroscopic repair of the rotator cuff did not significantly improve perioperative morbidity or clinical results, according to a paper presented at the 2010 AAOS Annual Meeting.

“Early, anecdotal studies have suggested both improved healing rates and improvement in perioperative morbidity with PRFM,” said study author Stephen C. Weber, MD, “but within the power of this study, PRFM was not shown to significantly improve perioperative morbidity, and early follow-up did not show significant improvement in structural integrity.”

Surgical management of the rheumatoid elbow.

Many patients with rheumatoid arthritis demonstrate elbow involvement that may limit upper extremity function, usually within 5 years of disease onset. Initial management consists of nonsurgical measures that address synovitis and capsular inflammation in an effort to diminish pain and maintain elbow range of motion. Disease progression may result in articular damage and ligamentous compromise, causing increased symptoms, elbow instability, and functional debilitation. For patients unresponsive to nonsurgical management, open or arthroscopic synovectomy may provide relief of symptoms. For those with more advanced disease, elbow arthroplasty is a reasonable alternative. Advancements in prosthetic technology and surgical techniques allow elbow arthroplasty to be reliably performed in patients with severe rheumatoid arthritis of the elbow.

Study Finds No Benefits for PRFM in Rotator Cuff Surgery

Level I study found no significant improvement in outcomes

Terry Stanton

In his presentation on “Platelet-rich Plasma (PRP) in Rotator Cuff Surgery: Good, Bad and Inconsequential,” at the 2012 annual meeting of the Arthroscopy Association of North America (AANA), Stephen C. Weber, MD, of Sacramento Knee & Sports Medicine, reviewed the available studies on PRP and rotator cuff repair and stated that so far the evidence does not demonstrate efficacy.

Meetings and Course Listings

Listed below are upcoming continuing medical education (CME) courses and orthopaedic meetings (June through September). For more information about AAOS-sponsored courses, contact the AAOS customer service department at (800) 626-6726 or visit the CME course section of the AAOS Web site.

For more information about other CME courses or orthopaedic meetings listed, contact the source provided.

Meetings and courses sponsored by Board of Specialty Societies members and regional orthopaedic organizations may be listed in the print version of AAOS Now. Send information, including contact name and e-mail address, to AAOS Now, 6300 N. River Rd., Rosemont, Ill. 60018-4262; fax: (847) 823-8033; e-mail: aaoscomm@aaos.org

Meetings and Course Listings

Listed below are upcoming continuing medical education (CME) courses and orthopaedic meetings (May through September). For more information about AAOS-sponsored courses, contact the AAOS customer service department at (800) 626-6726 or visit the CME course section of the AAOS Web site.

For more information about other CME courses or orthopaedic meetings listed, contact the source provided.

Meetings and courses sponsored by Board of Specialty Societies members and regional orthopaedic organizations may be listed in the print version of AAOS Now. Send information, including contact name and e-mail address to: