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Comparative analysis of conventional and biological treatment in healing of bone disease

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机构: [1]Department of Plastic Surgery,Affiliated Hospital of Hebei University,Shijiazhuang 071000,China [2]Department of Neurosurgery,Affiliated Hospital of Hebei University,Shijiazhuang 071000,China [3]Department of Plastic Surgery, Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine, Cangzhou 071000, China [4]Department of Anesthesiology,Affiliated Hospital of Hebei University,Shijiazhuang 071000,China
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关键词: Platelets Growth factors Cell therapy Healing

摘要:
The healing of Bone tissue consists of a complex process. Hence, we designed our study to evaluate chondrial diseases, which are as they have a very low healing capacity. Seventy two elderly osteoarthritis (OA) and 54-paediatric juvenile idiopathic arthritis (JIA) patients were included. The group was divided as 24 OA patients and 18 JIA patients in each group. Group I received Hyualuronic acid and glucocorticoides. Group II received platelet rich plasma and fibrin glue. Group III received PRP, fibrin glue, and MSC. 40 control patients received only PRP treatment. Out of 72 OA patients 35 (48.6%) male and 37 (51.4%) female with mean age of 48 +/- 6.5 years. 64 (88.9%) Patients had pain and swelling. 52 (72.2%) lacked flexibility. 42 (58.3%) had hypertrophy. 28 (38.9%) had less cartilage thickness. 34 (47.2%) were in grade 3, grade 2 has 28 (38.9%) and grade 1 has 10 (13.9%) patients respectively. Among 54 JIA patients 28 (51.9%) male and 26 (48.1%) female patients with mean, age 4.6 +/- 3.8 years. 39 (72.2%) had pain and swelling. 32 (59.3%) lacked flexibility. 29 (53.7%) children's had functional disability. Group I patients showed 30% improvement with no statistical significance (P < 0.21). Group II showed 45% improvement with statistical significance (P < 0.01). In Group III 80%, improvement was observed with statistical significance (P < 0.001). In 40 control patients, 60% improvement was observed. In conclusion, use of these MSC, PRP, and PPP are safe and less cost effective for treating OA and JIA. (C) 2017 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University.

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大类 | 3 区 生物
小类 | 2 区 生物学
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Q1 BIOLOGY
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第一作者机构: [1]Department of Plastic Surgery,Affiliated Hospital of Hebei University,Shijiazhuang 071000,China
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通讯机构: [4]Department of Anesthesiology,Affiliated Hospital of Hebei University,Shijiazhuang 071000,China [*1]Department of Anesthesiology,Affiliated Hospital ofHebei University,No. 212,Yuhuadong Road,Baoding District,Hebei 071000,China
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