Related ACE Reports
- Published: Mar 2017
- ACE Report #9541
AAOS2017: Comparing 12-mo outcomes between PRP and surgery for tennis elbow
Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
CONFERENCE ACE REPORTS
This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.
Why was this study needed now?
PRP injections have been demonstrated to be a safe and effective treatment for lateral epicondylitis when compared to corticosteroid injections. While this treatment appears to be potentially more effective than other injectable treatments, few trials have compared PRP to surgical interventions, hence, the need for this study.
What was the principal research question?
In the treatment of refractory lateral epicondylitis, how do functional outcomes compare between platelet-rich plasma injection and surgical intervention with open debridement when assessed over a 12-month follow-up?
|Population:||92 patients with lateral epicondylitis, symptomatic duration longer than 6 months, and who had previous failed conservative management. (n=81 completed the study; Mean age: 47 years))|
|Intervention:||PRP group: Patients were administered platelet-rich plasma injection via a peppering technique. After 4 months, patients who were dissatisfied with their outcome were allowed to crossover and were offered the opportunity to undergo open release/debridement. (n=42)|
|Comparison:||Surgery group: Patients underwent open release/debridement of the extensor carpi radialis brevis. (n=39)|
|Outcomes:||The primary clinical outcome scores were the Patient-Rated Tennis Elbow Evaluation (PRTEE) and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.|
|Time:||Follow-up was scheduled for 6 weeks, and 3, 6 and 12 months.|
What were the important findings?
What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.