Objective To evaluate the efficacy of platelet rich plasma(PRP)combined with arthroscopic release in the treatment of frozen shoulder.Methods A retrospective analysis was conducted on 40 frozen shoulder patients treated with arthroscopic release admitted to our Department from January 2019 to December 2022.According to the differences in postoperative medication injection,the patients were divided into PRP group(20 cases)and triamcinolone acetonide group(20 cases).The visual analogue score(VAS),Constant-Murley shoulder function score,and the range of motion of active forward flexion,abduction,and external rotation of the shoulder were recorded and compared before surgery,and 1,3,6 and 12 months after surgery.Results Compared with preoperation,the VAS scores in the two groups at each observation time point after surgery were significantly reduced,and Constant-Murley scores were significantly improved(P<0.05).At 6th and 12th months after surgery,the Constant-Murley score of patients in the PRP group was significantly higher than that in the triamcinolone acetonide group.The PRP group exhibited a better range of motion in active forward flexion,abduction,and external rotation than the triamcinolone acetonide group at 12th month after surgery,with statistically significant differences(P<0.05).Conclusion PRP combined with arthroscopic release can effectively alleviate pain in frozen shoulder patients and improve shoulder joint function,making it an effective treatment plan.
关键词
富血小板血浆/关节镜/冻结肩/手术松解/关节活动度/疗效
Key words
Platelet rich plasma/Arthroscopy/Frozen shoulder/Surgical release/Range of motion/Effect