Original Research Article
Year: 2023 | Month: February | Volume: 10 | Issue: 2 | Pages: 321-329
DOI: https://doi.org/10.52403/ijrr.20230241
Effectiveness of Ultrasound-Guided Platelet-Rich Plasma Injection in Comparison with Standard Conservative Treatment on Improving Pain and Function Among the Athletes with Partial Tear of Anterior Talofibular Ligament of Ankle: A Randomized Controlled Trial
Dr Laimujam Sobhasini Devi1, Dr Akoijam Joy Singh2, Dr Yumnam Nandabir Singh3, Dr Yumnam Ningthemba Singh4, Dr Pheiroijam Bhupes5, Dr Kongkham Purnimala6, Dr Lisham Ranjankumar Singh7, Dr Sagolsem Adarsh Singh8, Dr Ramkumar R9
1,8,9Post Graduate Student, Department of Sports Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India Pin No. 795004
2Nodal Officer, Professor and i/c Head, Department of Sports Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India Pin No. 795004
3Professor, Department of Sports Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India Pin No. 795004
4,5Assistant Professor, Department of Sports Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India Pin No. 795004
6,7Senior resident, Department of Sports Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India Pin No. 795004
Corresponding Author: Dr Akoijam Joy Singh
ABSTRACT
Background: Ankle sprain is the most common injury in the world of sports and anterior talofibular ligament (ATFL) is most commonly affected. It is often underestimated, mismanaged and often result in delayed treatment, prolonged recovery times and long-term sequela. PRP may have enhancing effect on healing of partial tear of ATFL. Thus, the purpose of this study is to determine the role of PRP on partial tear of ATFL.
Methods: A randomized controlled trail was done among athletes with partial tear of ATFL who visited Department of Sports Medicine, RIMS, Imphal during January 2021 – June 2022. Patients with MRI diagnosed partial tear of ATFL (N=48) randomized into PRP injection plus rehabilitation, (n=24) and rehabilitation alone, (n=24) groups. The outcomes were compared using Foot and Ankle Disability Index (FADI) score for function and Visual analogue scale for pain at baseline, 2nd, 6th, 12th and 24th weeks respectively.
Results: Baseline characteristics were not statistically significant. There was statistically significant improvement seen in within the group comparison from baseline to 2nd, 6th, 12th and 24th weeks in both FADI and VAS in both the groups. There were statistically significant difference in mean changes of VAS and FADI score between the two groups from baseline to 2nd (p=0.007);(p=0.012), 6th (p=0.018);(p=0.009) and 12th (p=0.004); (p=0.001) follow-ups respectively with PRP group having more improvement however no significant difference at 24th weeks.
Conclusion: Ultrasound guided PRP injection along with standard rehabilitation program might be a treatment of choice for partial ATFL tear.
Keywords: ATFL tear, PRP, FADI, VAS, USG-guided.
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