Objective To evaluate the clinical efficacy and safety of local multi-point injection of platelet-rich plasma(PRP)for the treatment of medial tibial stress syndrome(MTSS).Methods A total of 60 patients of unilateral MTSS in our hospital were enrolled,and randomly divided into PRP group(30 cases)and triamcinolone acetonide group(30 cases),which were given local multi-point injection of PRP and triamcinolone acetonide,respectively.At 1 week,4 weeks and 8 weeks post-injection,the visual analogue scale(VAS)score,the distance of hop test of patients were evaluated,and the number of patients who returned to training were counted.Results No complications such as injection site erythema and infection occurred in both groups after local injection.The VAS scores and distance of hop test of patients 1 week,4 weeks and 8 weeks after injection in both groups were significantly improved compared with those before injection,the differences were statistically significant(P<0.01).There was no significant difference in VAS score and distance of hop test at pre-injection or 1 week,4 weeks and 8 weeks post-injection between the two groups(P>0.05),and no significant difference in the number of patients who returned to training between the two groups at 4 and 8 weeks post-injection(P>0.05).Conclusion Local multi-point injection of PRP for the treatment of MTSS has the same short-term efficacy as triamcinolone acetonide,which can relieve the pain and improve the function of the affected limb with fewer complications.
关键词
军事训练伤/胫骨内侧应力综合征/富血小板血浆/皮质类固醇
Key words
military training-related injuries/medial tibial stress syndrome/platelet-rich plasma/cortical steroids
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