Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections
<h3>Purpose</h3><p dir="ltr">To compare the infection rate of intraarticular platelet‐rich plasma (PRP) knee injections between open and closed techniques in randomized controlled trials (RCTs) published in the last decade.</p><h3>Methods</h3><p dir=&...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , |
| منشور في: |
2024
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513543093616640 |
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| author | Mohammad Sami Alazzeh (19730056) |
| author2 | Hamza Adnan Mohammad Naseh (19730059) Angelo Vasiliadis (19730062) Markus Laupheimer (16438614) Georgios Kalifis (12199531) Ayyoub Al‐Dolaymi (19730065) Luca Macchiarola (8085791) Theodorakys Marín Fermín (12199534) |
| author2_role | author author author author author author author |
| author_facet | Mohammad Sami Alazzeh (19730056) Hamza Adnan Mohammad Naseh (19730059) Angelo Vasiliadis (19730062) Markus Laupheimer (16438614) Georgios Kalifis (12199531) Ayyoub Al‐Dolaymi (19730065) Luca Macchiarola (8085791) Theodorakys Marín Fermín (12199534) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mohammad Sami Alazzeh (19730056) Hamza Adnan Mohammad Naseh (19730059) Angelo Vasiliadis (19730062) Markus Laupheimer (16438614) Georgios Kalifis (12199531) Ayyoub Al‐Dolaymi (19730065) Luca Macchiarola (8085791) Theodorakys Marín Fermín (12199534) |
| dc.date.none.fl_str_mv | 2024-09-23T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1002/jeo2.70002 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Platelet_rich_plasma_intra_articular_knee_injections_from_open_preparation_techniques_do_not_pose_a_higher_risk_of_joint_infection_A_systematic_review_of_91_randomized_controlled_trials_and_5914_injections/29665487 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences closed technique good manufacturing practices joint infection laminar flow open technique orthobiologics platelet‐rich plasma |
| dc.title.none.fl_str_mv | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">To compare the infection rate of intraarticular platelet‐rich plasma (PRP) knee injections between open and closed techniques in randomized controlled trials (RCTs) published in the last decade.</p><h3>Methods</h3><p dir="ltr">Following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, PubMed, Scopus and Virtual Health Library were accessed in October 2022 using the terms ‘platelet‐rich plasma’, ‘PRP’, ‘knee’ and ‘tibiofemoral’ alone and in combination with Boolean operators AND/OR. RCTs published during the last 10 years evaluating PRP intra‐articular knee injections were considered eligible. Studies were excluded if the kit/preparation technique was not described. Data were presented using individual studies' absolute values, totals, and pooled percentages. Publication bias was assessed using the ROBIS tool.</p><h3>Results</h3><p dir="ltr">Ninety‐one studies met the predetermined eligibility criteria. Forty‐one implemented a closed technique, while 50 were open. All studies implementing a closed technique disclosed their commercial kits. Only 16 studies (17.58%) failed to report joint infections. Among the studies reporting joint infections as outcomes, 30 implemented a closed technique with 1195 patients, 1921 intra‐articular knee injections and 95.44% of patient follow‐up. On the other hand, 45 of them implemented an open technique with 2290 patients, 3993 intra‐articular knee injections and 97.07% of patient follow‐up. No patient had a joint infection among the included studies. Thirty‐three studies prepared their PRP in controlled environments (36.26%). Most studies did not report where the preparation occurred (48.35%). Only twelve studies disclosed using laminar flow during preparation (13.19%). The infection rate for both techniques was 0 per 1000 knee injections.</p><h3>Conclusion</h3><p dir="ltr">Open PRP preparation techniques do not pose a higher risk of joint infection and can lower manufacturing costs when appropriate facilities are available. However, PRP preparation setting and laminar flow implementation data are deficient, and minimal requirements for good manufacturing practices demand further studies while adhering to local and regional regulations.</p><h3>Level of Evidence</h3><p dir="ltr">Level I, systematic review of RCTs.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Experimental Orthopaedics<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/jeo2.70002" target="_blank">https://dx.doi.org/10.1002/jeo2.70002</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_8a72ba934de4499e5e9151b098c7a230 |
| identifier_str_mv | 10.1002/jeo2.70002 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29665487 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injectionsMohammad Sami Alazzeh (19730056)Hamza Adnan Mohammad Naseh (19730059)Angelo Vasiliadis (19730062)Markus Laupheimer (16438614)Georgios Kalifis (12199531)Ayyoub Al‐Dolaymi (19730065)Luca Macchiarola (8085791)Theodorakys Marín Fermín (12199534)Biomedical and clinical sciencesClinical sciencesclosed techniquegood manufacturing practicesjoint infectionlaminar flowopen techniqueorthobiologicsplatelet‐rich plasma<h3>Purpose</h3><p dir="ltr">To compare the infection rate of intraarticular platelet‐rich plasma (PRP) knee injections between open and closed techniques in randomized controlled trials (RCTs) published in the last decade.</p><h3>Methods</h3><p dir="ltr">Following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, PubMed, Scopus and Virtual Health Library were accessed in October 2022 using the terms ‘platelet‐rich plasma’, ‘PRP’, ‘knee’ and ‘tibiofemoral’ alone and in combination with Boolean operators AND/OR. RCTs published during the last 10 years evaluating PRP intra‐articular knee injections were considered eligible. Studies were excluded if the kit/preparation technique was not described. Data were presented using individual studies' absolute values, totals, and pooled percentages. Publication bias was assessed using the ROBIS tool.</p><h3>Results</h3><p dir="ltr">Ninety‐one studies met the predetermined eligibility criteria. Forty‐one implemented a closed technique, while 50 were open. All studies implementing a closed technique disclosed their commercial kits. Only 16 studies (17.58%) failed to report joint infections. Among the studies reporting joint infections as outcomes, 30 implemented a closed technique with 1195 patients, 1921 intra‐articular knee injections and 95.44% of patient follow‐up. On the other hand, 45 of them implemented an open technique with 2290 patients, 3993 intra‐articular knee injections and 97.07% of patient follow‐up. No patient had a joint infection among the included studies. Thirty‐three studies prepared their PRP in controlled environments (36.26%). Most studies did not report where the preparation occurred (48.35%). Only twelve studies disclosed using laminar flow during preparation (13.19%). The infection rate for both techniques was 0 per 1000 knee injections.</p><h3>Conclusion</h3><p dir="ltr">Open PRP preparation techniques do not pose a higher risk of joint infection and can lower manufacturing costs when appropriate facilities are available. However, PRP preparation setting and laminar flow implementation data are deficient, and minimal requirements for good manufacturing practices demand further studies while adhering to local and regional regulations.</p><h3>Level of Evidence</h3><p dir="ltr">Level I, systematic review of RCTs.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Experimental Orthopaedics<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/jeo2.70002" target="_blank">https://dx.doi.org/10.1002/jeo2.70002</a></p>2024-09-23T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/jeo2.70002https://figshare.com/articles/journal_contribution/Platelet_rich_plasma_intra_articular_knee_injections_from_open_preparation_techniques_do_not_pose_a_higher_risk_of_joint_infection_A_systematic_review_of_91_randomized_controlled_trials_and_5914_injections/29665487CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/296654872024-09-23T09:00:00Z |
| spellingShingle | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections Mohammad Sami Alazzeh (19730056) Biomedical and clinical sciences Clinical sciences closed technique good manufacturing practices joint infection laminar flow open technique orthobiologics platelet‐rich plasma |
| status_str | publishedVersion |
| title | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| title_full | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| title_fullStr | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| title_full_unstemmed | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| title_short | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| title_sort | Platelet‐rich plasma intra‐articular knee injections from open preparation techniques do not pose a higher risk of joint infection: A systematic review of 91 randomized controlled trials and 5914 injections |
| topic | Biomedical and clinical sciences Clinical sciences closed technique good manufacturing practices joint infection laminar flow open technique orthobiologics platelet‐rich plasma |