TY - JOUR T1 - Dirençli Lateral Epikondilit Tedavisinde Trombositten Zengin Plazma ile Kombine Steroid Enjeksiyonunun Etkinliği TT - The Efficacy of Platelet Rich Plasma Combined with Steroid Injection in the Treatment of Resistant Lateral Epicondylitis AU - Aktaş, Erdem AU - Yılmaz, Barış AU - Ataoğlu, Baybars AU - Arıkan, Murat AU - Toğral, Güray AU - İlikmen, Murat PY - 2014 DA - December DO - 10.5505/aot.2014.18480 JF - Acta Oncologica Turcica PB - ANKARA HEMATOLOJİ VE ONKOLOJİ DERNEĞİ WT - DergiPark SN - 0304-596X SP - 26 EP - 31 VL - 47 IS - 3 LA - tr AB - AMAÇ: Lateral epikondilit tedavisinde, otolog trombositten zengin plazma (TZP) ile kombine steroid enjeksiyonu yapılan hastalarda el kavrama gücü, ağrı ve hasta memnuniyeti sonuçlarının değerlendirilmesi.YÖNTEMLER: Unilateral dirençli lateral epikondilit tanısı alan, ortalama yaşı 42.6 (23-62), 26 erkek, 58 kadın toplam 84 hastaya uygulanan 2 farklı tedavi yöntemi retrospektif olarak incelendi. Extensor carpi radialis brevis origosuna 1 hafta ara ile lokal steroid (0,5ml Bethametasone+0.25 ml Prilokain) ve TZP uygulanan hastalar grup 1'e dahil edilirken, grup 2'ye aynı lokalizsayona sadece TZP enjeksiyonu uygulanan hastalar dahil edildi. Hastaların tedavi öncesi ve sonrası 15-30 ve 60. günde kaydedilen el kavrama güçleri ve Verhaar fonksiyonel skorları değerlendirildi.BULGULAR: Grup 1'deki hastaların kavrama gücü tedavi öncesi ortalama 0.42±0.17 (0.18-0.63) bar iken, tedavi sonrası 60. günde ortalama 0.68±0.11(0.38-0.84), grup 2'de kavrama gücü tedavi öncesi ortalama 0.45±0.15 (0.19-0.67) iken tedavi sonrası 0.66±0.10 (0.44-082) bar ölçüldü. Grup 1 el kavrama gücünda artış yüzdesi 15 ve 30. günlerde grup 2'ye oranla anlamlı olarak yüksek bulunurken 60. günde 2 grup arasında anlamlı fark bulunmadı (p=0.277).Verhaar skoru, grup 1'de grup 2'ye oranla 15 ve 30. günlerde anlamlı olarak yüksek iken 60. günde fark bulunamadı.SONUÇ: Tek başına TZP uygulamasına göre, steroid enjeksiyonunu takiben yapılan TZP, azalan el kavrama gücünün erken dönemde geri kazanılması gerekli olan vakalarda güvenli ve etkili bir yöntem olarak tercih edilebilir. KW - Trombositten Zengin Plazma KW - Lateral Epikondilit KW - El Kavrama Gücü N2 - OBJECTIVE: To evaluate the impact of autologous platelet rich plasma (PRP) combined with steroid injection on hand grip strenght, pain and patient satisfaction in the treatment of lateral epicondylitis.METHODS: 84 patients, mean age 42.6 (23-62) years, diagnosed with unilateral resistant lateral epicondylitis was evaluated retrospectively. Group1 consisted of patients treated with local steroid injection (0,5ml Bethametasone+0.25 ml Prilokain) and PRP within 1 week interval to extensor carpi radialis brevis origo while group 2 consisted of patients who were subjected to single dose local PRP injection to the same localisation. Pretreatment and posttreatment 15-30-60 day hand grip strenght and Verhaar functional score data were evaluated.RESULTS: Mean pretreatment grip strenght of group1 patients were 0.42±0.17 (0.18-0.61) bar whereas posttreatment day 60 increased to 0.68±0.11(0.50-0.85). Group 2 mean pretreatment grip strenght was found to be 0.45±0.15 (0.19-0.84) bar, whereas posttreatment day 60 increased to 0.66±0.10 (0.44-082). Compared to group 2, the percentage of grip strenght increase in group 1 was significantly higher at days 15 and 30, whereas there was no difference at day 60 between groups. (p=0.277). 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