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Indian Journal of Orthopaedics Surgery
Year : 2015, Volume : 1, Issue : 4
First page : ( 282) Last page : ( 285)
Print ISSN : 2395-1354. Online ISSN : 2395-1362.
Article DOI : 10.5958/2395-1362.2015.00043.2

Effectiveness of Platelet-Rich Plasma in Chronic Severe Plantar Fasciitis: A Prospective Analysis

Thanigai T Sriram*Associate Professor, Deviprasad S, Assistant Professor, Babu MB Sathik, Assistant Professor, Nithin PS, Senior Resident

SRM Medical College, Chennai

*Corresponding Author: E-mail: drsridravid2003@yahoo.co.in

Online published on 3 February, 2016.

Abstract

Purpose

Chronic plantar fasciitis is a commonly faced problem and can be challenging to treat. The purpose of the study was to prospectively analyze the effectiveness of platelet-rich plasma (PRP) in patients with chronic plantar fasciitis.

Methods

We included 56 patients with unilateral chronic severe plantar fasciitis who underwent a single injection of autologous PRP under ultrasound guidance. The patients were followed up at regular intervals of 3, 6, 12, and 24 months. The results were evaluated with visual analog scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scale.

Results

The average pretreatment AOFAS score of 56 increased to 96 at 3 months, was 94 at 6 months, and was 92 at 12 months, with a final score of 92 at 24 months. The average pretreatment VAS score of 8.1 decreased to 1.8 at 3 months, was 1.9 at 6 months, and was 2.1 at 12 months, with a final score of 2.0 at 24 months.

Conclusion

From our prospective study, we found that a single injection of PRP is a safe and effective method for the treatment of chronic severe recalcitrant cases of plantar fasciitis.

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Keywords

AOFAS Hindfoot scale, chronic, heel pain, plantar fasciitis, platelet-rich plasma, PRP.

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