New options such as PRP platelet rich plasma may cause structural improvement of the cartilage. Objective: The aim of ourstudywas to evaluate the evolution of the patients with knee osteoarthritis on PRP treatment. Material and method: The patients with osteoarthritis were evaluated at enrolment and every three months by ultrasound knee ecography.
A semi-quantitative knee ultrasound score was applied to monitor changes before and after the treatment. The score was composed by the presence of the following: bursitis 1 pointhypoechogenic changes at the level of the hyaline cartilage in the anterior transversal window 1 pointasymmetrical narrowing of the cartilage 1 pointthe involvement of the medial cartilage in the longitudinal approach 1 pointthe involvement of lateral cartilage in the longitudinal approach 1 point and the presence of step up lesions — osteophytes 1 osteoarthritis treatment The evaluation was performed independently by two separate physicians.
Another ultrasound — trained doctor was osteoarthritis treatment all the images.
Results: Twenty — nine patients were included in our study; with one patient excluded due to masive bursitis. No differences were found concerning the pathological findings between the first two evaluators p: 0. So far, only nine patients have been evaluated at three months, and we were unable to find any improvements or worsening osteoarthritis treatment the ultrasound alterations p: 0.
The ultrasound lack of modifications was not correlated with the functional status of the subjects. Conclusions: In the short term, the local treatment showed no improvement on structural damage, but it improved the overall status of the patients less pain, improved mobility, a better quality of life.