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Research ArticleORIGINAL RESEARCH
Open Access

Comparative, Controlled, Retrospective Study of Patient-Reported Outcomes After Meniscectomy With Adjunctive Use of Platelet-Rich Plasma or Amniotic Umbilical Cord Tissue

Nneoma Duru, Gerard Williams, Eric Assid, Andrew Renshaw and Deryk Jones
Ochsner Journal March 2024, 24 (1) 6-13; DOI: https://doi.org/10.31486/toj.23.0073
Nneoma Duru
1Ochsner Andrews Sports Medicine Institute, Ochsner Clinic Foundation, Jefferson, LA
MD
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Gerard Williams Jr.
2Department of Orthopedic Surgery, Howard University Hospital, Washington, DC
MD
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Eric Assid
1Ochsner Andrews Sports Medicine Institute, Ochsner Clinic Foundation, Jefferson, LA
3Department of Internal Medicine, Medical College of Georgia, Augusta University, Augusta, GA
MD
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Andrew Renshaw
1Ochsner Andrews Sports Medicine Institute, Ochsner Clinic Foundation, Jefferson, LA
MD
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Deryk Jones
1Ochsner Andrews Sports Medicine Institute, Ochsner Clinic Foundation, Jefferson, LA
4The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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  • For correspondence: djones@ochsner.org
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Article Figures & Data

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  • Figure 1.
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    Figure 1.

    Preoperative and postoperative visual analog scale pain severity scores by treatment group. Lower scores indicate better outcomes (decreased pain severity). AMUC, amniotic umbilical cord tissue; Ctrl, control; PRP, platelet-rich plasma.

  • Figure 2.
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    Figure 2.

    Preoperative and postoperative Lysholm Knee Scoring Scale scores by treatment group. Higher scores indicate better outcomes. AMUC, amniotic umbilical cord tissue; Ctrl, control; PRP, platelet-rich plasma.

Tables

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    Table 1.

    Demographic Data of Study Population

    VariableAMUC Group, n=24PRP Group, n=40Control Group, n=49P Value
    Sex0.0379
     Male13 (54.2)29 (72.5)22 (44.9)
     Female11 (45.8)11 (27.5)27 (55.1)
    Age, years, mean ± SD47.4 ± 15.347.0 ± 15.053.0 ± 11.80.0259
    Body mass index, kg/m2, mean ± SD31.9 ± 7.130.9 ± 6.731.1 ± 5.40.9385
    ICRS grade0.0005
     05 (20.8)21 (52.5)10 (20.4)
     113 (54.2)12 (30.0)21 (42.9)
     26 (25.0)7 (17.5)18 (36.7)
    Side of tear0.2350
     Medial16 (66.7)29 (72.5)26 (53.1)
     Lateral6 (25.0)8 (20.0)13 (26.5)
     Medial and lateral2 (8.3)3 (7.5)10 (20.4)
    Meniscus removed, %, mean ± SD44.6 ± 22.351.5 ± 17.844.4 ± 25.7
    • Note: Data are presented as n (%) unless otherwise indicated.

    • AMUC, amniotic umbilical cord tissue; ICRS, International Cartilage Repair Society; PRP, platelet-rich plasma.

    • View popup
    Table 2.

    Preoperative and Postoperative Visual Analog Scale Pain Scores

    Treatment Group
    AMUC GroupPRP GroupControl Group
    Time PointFrequencySeverityFrequencySeverityFrequencySeverity
    Baseline8.13 ± 2.245.00 ± 2.873.65 ± 2.594.00 ± 2.735.00 ± 2.114.86 ± 2.68
    3 months4.33 ± 2.793.33 ± 3.14Low n3.61 ± 3.145.20 ± 3.434.86 ± 3.08
    0.00020.06150.56800.86571.0000
    6 months4.00 ± 4.292.63 ± 2.83Low n3.28 ± 2.923.40 ± 3.374.38 ± 3.13
    0.06490.01430.30040.18690.4434
    12 monthsLow n3.30 ± 1.79Low n3.55 ± 3.177.71 ± 3.505.18 ± 3.49
    0.12070.67140.08950.7764
    • Notes: Data are presented as mean ± SD. The term Low n indicates inadequate sample size. The visual analog scale is scored from 0 to 10, with 0 indicative of no pain and 10 indicative of the most severe pain. P values reflect the statistical significance of the change from baseline.

    • AMUC, amniotic umbilical cord tissue; PRP, platelet-rich plasma.

    • View popup
    Table 3.

    Preoperative and Postoperative Lysholm Knee Scoring Scale and International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form Scores

    Treatment Group
    AMUC GroupPRP GroupControl Group
    Time PointLysholmIKDCLysholmIKDCLysholmIKDC
    Baseline44.26 ± 21.9836.43 ± 17.0648.41 ± 14.3840.26 ± 2.7348.35 ± 22.7341.07 ± 19.99
    3 months66.47 ± 21.7959.61 ± 16.9165.58 ± 24.6356.38 ± 20.7659.70 ± 22.0248.18 ± 21.07
    0.00460.00030.01170.00530.01890.1127
    6 months67.43 ± 24.4560.09 ± 22.4456.64 ± 25.5047.85 ± 20.7960.24 ± 25.9052.17 ± 26.23
    0.05080.03220.33550.27720.04820.0610
    12 monthsLow nLow n56.00 ± 22.5244.06 ± 16.1157.36 ± 29.9250.53 ± 28.53
    0.62160.72630.36690.3184
    • Notes: Data are presented as mean ± SD. The term Low n indicates inadequate sample size. For the Lysholm Knee Scoring Scale and the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, higher scores indicate better outcomes. P values reflect the statistical significance of the change from baseline.

    • AMUC, amniotic umbilical cord tissue; PRP, platelet-rich plasma.

    • View popup
    Table 4.

    Preoperative and Postoperative Knee Injury and Osteoarthritis Outcome Subscale Scores: Pain, Symptoms, Activities of Daily Living (ADL), Sport and Recreation Function (Sports), and Knee-Related Quality of Life (QOL)

    Treatment Group
    AMUC GroupPRP GroupControl Group
    Time PointPainSymptomsADLSportsQOLPainSymptomsADLSportsQOLPainSymptomsADLSportsQOL
    Baseline46.0 ± 23.249.8 ± 16.951.7 ± 25.531.3 ± 25.127.4 ± 20.651.4 ± 17.649.4 ± 21.161.6 ± 24.746.0 ± 26.625.8 ± 16.253.0 ± 20.260.1 ± 19.359.0 ± 22.644.8 ± 31.331.3 ± 25.3
    3 months70.9 ± 18.369.3 ± 16.078.8 ± 18.358.2 ± 26.947.1 ± 26.075.3 ± 22.171.2 ± 23.879.7 ± 25.968.9 ± 27.049.5 ± 30.166.6 ± 19.269.2 ± 18.868.5 ± 23.146.0 ± 33.142.1 ± 25.2
    0.00080.00110.00050.00550.02080.00440.01560.08020.04100.03550.00170.02890.05540.86260.0469
    6 months77.4 ± 15.774.5 ± 21.481.3 ± 13.957.1 ± 25.551.8 ± 31.268.9 ± 25.567.5 ± 25.873.1 ± 20.945.0 ± 38.622.9 ± 17.165.6 ± 24.469.2 ± 19.369.7 ± 24.953.2 ± 35.043.8 ± 31.3
    0.00100.02190.00080.04050.08990.08140.08600.26630.95130.75690.02420.05330.06650.30850.0763
    12 monthsLow nLow nLow nLow nLow n55.6 ± 7.351.2 ± 7.455.4 ± 16.460.0 ± 13.233.3 ± 20.166.9 ± 27.669.3 ± 21.869.3 ± 27.656.5 ± 30.453.1 ± 28.1
    0.56680.81540.63290.25600.59980.14030.24490.29520.29410.0264
    • Notes: Data are presented as mean ± SD. The term Low n indicates inadequate sample size. For the Knee Injury and Osteoarthritis Outcome subscale scores, higher scores indicate better outcomes. P values reflect the statistical significance of the change from baseline.

    • AMUC, amniotic umbilical cord tissue; PRP, platelet-rich plasma.

    • View popup
    Table 5.

    Preoperative and Postoperative 12-Item Short Form Survey Physical Component Score (PCS) and Mental Component Score (MCS)

    Treatment Group
    AMUC GroupPRP GroupControl Group
    Time PointPCSMCSPCSMCSPCSMCS
    Baseline34.58 ± 8.9849.10 ± 12.4051.82 ± 9.9237.28 ± 8.7051.36 ± 10.4335.33 ± 10.20
    3 months40.75 ± 10.0951.57 ± 10.6053.98 ± 10.7440.32 ± 10.9951.41 ± 11.9537.67 ± 12.80
    0.06680.52160.47920.31330.98330.3534
    6 months47.44 ± 9.4552.73 ± 15.1352.81 ± 8.7837.82 ± 10.5048.30 ± 11.6542.90 ± 14.01
    0.01030.57960.74590.87330.26230.0170
    12 months47.70 ± Low n42.60 ± Low n51.89 ± 17.0529.03 ± 2.0642.33 ± 14.9048.48 ± 11.57
    0.99650.01790.09600.0059
    • Notes: Data are presented as mean ± SD. The term Low n indicates inadequate sample size. For the 12-Item Short Form Survey physical component score (PCS) and mental component score (MCS), higher scores indicate better outcomes. P values reflect the statistical significance of the change from baseline.

    • AMUC, amniotic umbilical cord tissue; PRP, platelet-rich plasma.

    • View popup
    Table 6.

    Ipsilateral Complications and Follow-up Procedures

    Complication/ProcedureAMUC Group, n=24PRP Group, n=40Control Group, n=49
    Revision meniscectomy1 (4.2)5 (12.5)7 (14.3)
    Unicompartmental knee arthroplasty02 (5.0)2 (4.1)
    Total knee arthroplasty1 (4.2)2 (5.0)7 (14.3)
    Bony realignment01 (2.5)1 (2.0)
    Repair or transplant003 (6.1)
    Incision and drainage02 (5.0)0
    Total2 (8.3)12 (30.0)20 (40.8)
    • Note: Data are presented as n (%).

    • AMUC, amniotic umbilical cord tissue; PRP, platelet-rich plasma.

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Comparative, Controlled, Retrospective Study of Patient-Reported Outcomes After Meniscectomy With Adjunctive Use of Platelet-Rich Plasma or Amniotic Umbilical Cord Tissue
Nneoma Duru, Gerard Williams, Eric Assid, Andrew Renshaw, Deryk Jones
Ochsner Journal Mar 2024, 24 (1) 6-13; DOI: 10.31486/toj.23.0073

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Comparative, Controlled, Retrospective Study of Patient-Reported Outcomes After Meniscectomy With Adjunctive Use of Platelet-Rich Plasma or Amniotic Umbilical Cord Tissue
Nneoma Duru, Gerard Williams, Eric Assid, Andrew Renshaw, Deryk Jones
Ochsner Journal Mar 2024, 24 (1) 6-13; DOI: 10.31486/toj.23.0073
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