The Effect of Platelet Rich Plasma (PRP) on Post Operative Pain in Anterior Cruciate Ligament Reconstruction

NCT ID: NCT01765712

Last Updated: 2021-03-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this research study is to investigate whether or not platelet rich plasma (PRP) may help to improve tendon healing and decrease post operative pain in patients undergoing anterior cruciate ligament (ACL) reconstructive surgery using their own patellar tendons as autografts.

Detailed Description

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There is currently a paucity of well-designed, prospective, randomized, blinded (Level 1) clinical studies that carefully and comprehensively investigate the role of PRP in ACL surgery. Specifically, ACL reconstruction using Bone Patellar Tendon Bone (BPTB) harvest and the role of PRP in decreasing postoperative pain at the donor site. Given the need for a highly powered study to demonstrate the clinical efficacy of PRP in ACL reconstruction, the investigators have designed a prospective, randomized, level 1, double-blinded study to evaluate the effects of PRP on the specific outcomes of donor site pain and radiographic measures of graft healing and incorporation.

The aim of this study is to evaluate the efficacy of intra-operatively applied autologous PRP in reducing donor site morbidity and increasing radiographic healing in ACL reconstruction using autologous BPTB.

Conditions

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Post Operative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Control Group

Patients will be randomized into the treatment arm using a computer generated randomization table (simple randomization). Patients in the control arm of the study will undergo Anterior cruciate ligament reconstruction using Autologous bone patellar tendon bone autograft. At the end of the surgery, their graft donor site will have bone graft chips placed into the bony defect and the wound will be closed using sutures.

Group Type PLACEBO_COMPARATOR

Anterior Cruciate ligament reconstruction bone patellar tendon bone autograft

Intervention Type PROCEDURE

Platelet Rich Plasma

Patients randomized into the treatment arm of the study will undergo Anterior cruciate ligament reconstruction with Autologous bone patellar tendon bone autografts. At the start of the surgery,just after the administration of anesthesia, 10cc of blood will be withdrawn from the patients IV by the anesthesiologist. This sample will be spun down into 3-5cc of Platelet Rich Plasma which will be added to the patients bone graft chips and placed into the donor site at the end of the case.

Group Type EXPERIMENTAL

Anterior Cruciate ligament reconstruction bone patellar tendon bone autograft

Intervention Type PROCEDURE

Platelet Rich Plasma

Intervention Type BIOLOGICAL

Interventions

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Anterior Cruciate ligament reconstruction bone patellar tendon bone autograft

Intervention Type PROCEDURE

Platelet Rich Plasma

Intervention Type BIOLOGICAL

Other Intervention Names

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ACL BPTB PRP

Eligibility Criteria

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Inclusion Criteria

* Primary ACL Reconstruction
* Outerbridge \</= 2
* Minimum follow up of two years
* No ligamentous secondary injury
* Willingness to participate in study

Exclusion Criteria

* Any previous knee injury
* prior history of anterior knee pain
* Outerbridge classification 3 or greater
* Revision ACL
* Diabetic or smoker
* Workers compensation patient
* pregnant or nursing women
* Any patient with limited English Proficiency
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Brian Walters

OTHER

Sponsor Role lead

Responsible Party

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Brian Walters

MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Stephen Nicholas, MD

Role: PRINCIPAL_INVESTIGATOR

Northwell Health

Locations

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NY Orthopedics

New York, New York, United States

Site Status

Countries

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United States

References

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Walters BL, Porter DA, Hobart SJ, Bedford BB, Hogan DE, McHugh MM, Klein DA, Harousseau K, Nicholas SJ. Effect of Intraoperative Platelet-Rich Plasma Treatment on Postoperative Donor Site Knee Pain in Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Double-Blind Randomized Controlled Trial. Am J Sports Med. 2018 Jul;46(8):1827-1835. doi: 10.1177/0363546518769295. Epub 2018 May 9.

Reference Type DERIVED
PMID: 29741923 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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12-160A

Identifier Type: -

Identifier Source: org_study_id

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