Differences in the Effectiveness of Leukocyte-rich Platelet-rich Plasma Compared with Leukocyte-poor Platelet-rich Plasma in the Treatment of Rotator Cuff Surgery: an Umbrella Review of Meta-analyses

Overview

Journal J Orthop Traumatol

Specialties Emergency Medicine
Orthopedics

Date 2024 Oct 24

PMID 39446263

Authors

Peiyuan Tang

Masoud Rahmati

Wenfeng Xiao

Ting Wen

Dong Keon Yon

Lee Smith

Jingyue Su

Shengwu Yang

Yusheng Li

Zhenhan Deng

Affiliations

Soon will be listed here.

Abstract

Background: An umbrella review of meta-analyses was conducted to evaluate the use of platelet-rich plasma (PRP) in arthroscopic surgeries of rotator cuff injury. The effectiveness of leukocyte-poor PRP and leukocyte-rich PRP in the treatment of rotator cuff surgery was also compared.

Methods: Web of Science, Embase, PubMed/MEDLINE, and the Cochrane Library were searched from inception to May 2024. Literature screening, quality evaluation, and data extraction were performed according to the inclusion and exclusion criteria. The Jadad decision algorithm was used to ascertain which meta-analysis represented the best evidence.

Results: A total of 11 meta-analyses with evidence level ranging from level 1 to 2 were included in this umbrella review. Leukocyte-poor PRP was effective in reducing rotator cuff retear rates, alleviating pain, and increasing Constant scores compared with non-PRP treatments. However, it did not show improvement on the University of California Los Angeles (UCLA) score, the American Shoulder and Elbow Surgeons (ASES) score, and the Simple Shoulder Test (SST) compared with the non-PRP treatment group. Meanwhile, the leukocyte-rich PRP group improved the SST but showed no different results when compared with the non-PRP treatment group.

Conclusion: Compared with no use of PRP, leukocyte-poor PRP was able to alleviate postoperative pain, reduce the retear rate, and improve the postoperative Constant score. Leukocyte-rich PRP could effectively enhance postoperative SST outcomes, leading to improvement of patient satisfaction and quality of life. Future researches should prioritize long-term follow-up studies and evaluate the durability of these results.

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