Akademik Veri Yönetim Sistemi
Archives of Orthopaedic and Trauma Surgery, cilt.132, sa.6, ss.781-785, 2012 (SCI-Expanded)
Introduction: In this study, the results of local injection of platelet-rich plasma (PRP) and corticosteroids in the treatment of plantar fasciitis were compared. Patients and methods: Sixty patients who were diagnosed as plantar fasciitis and treated conservatively for at least 3 months and had no response to conservative treatment modalities were involved in this study. The Wrst 30 consecutive patients were treated by local injection of 2 mL of 40 mg Methylprednisolone with 2 mL of 2% prilocaine (metilprednizalone) and the second 30 patients were treated by injecting 3 mL PRP after 2 mL of 2% prilocaine injection. Patients were evaluated according to the modiWed criteria of the Roles and Maudsley scores and visual analog scale before injection and 3 weeks and 6 months following injection. Results: The mean VAS heel pain scores measured 6 months after treatment were 3.4 in steroid group and 3.93 in PRP group, and the scores in both groups were signiWcantly lower when compared with pretreatment levels (6.2 in steroid group and 7.33 in PRP group). There was no signiWcant diVerence between steroid and PRP groups in visual analog scale scores and modiWed criteria of the Roles and Maudsley scores measured at 3 weeks and 6 months (P > 0.05). Conclusion: Our results revealed that both methods were eVective and successful in treating plantar fasciitis. When the potential complication of corticosteroid treatment was taken into consideration, PRP injection seems to be safer and at least having same eVectivity in the treatment of plantar fasciitis. © Springer-Verlag 2012.