The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study

Introduction. Without appropriate treatment, nerve injuries may result in permanent loss of function. Platelet-rich plasma (PRP) injection is found to help in nerve regeneration. PRP is a concentrated platelet derived from autologous blood with the potential to release various growth factors (GF) to...

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Main Authors: Muhammad Pandunugrahadi, Komang Agung Irianto, Oen Sindrawati
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Biomaterials
Online Access:http://dx.doi.org/10.1155/2022/9601547
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author Muhammad Pandunugrahadi
Komang Agung Irianto
Oen Sindrawati
author_facet Muhammad Pandunugrahadi
Komang Agung Irianto
Oen Sindrawati
author_sort Muhammad Pandunugrahadi
collection DOAJ
description Introduction. Without appropriate treatment, nerve injuries may result in permanent loss of function. Platelet-rich plasma (PRP) injection is found to help in nerve regeneration. PRP is a concentrated platelet derived from autologous blood with the potential to release various growth factors (GF) to promote nerve regeneration. This study aims to know the best time for PRP injection to promote nerve regeneration. Methods. This is an experimental in vivo research using male New Zealand white rabbits in the randomized control group posttest only design. Samples were divided into 5 groups (1 control group and 4 treatment groups). The control group without PRP injection and treated groups injected immediately after nerve injury, 3 days, 7 days, and 14 days afterward. Nerve regeneration was evaluated by the histology specimen sacrificed on day 21. Inflammation cells and endoneurium vacuoles were counted as mean percentage of five nerve fragments in each injured nerve sample specimen. Result. Inflammation cells and vacuole cells increased significantly when PRP was administered 3 days after injury (group 2) (respectively, 14 ± 6.7 and 56.6 ± 11.6) compared to all treatment groups (p<0.005) (control group, respectively, 6 ± 2.6 and 15.7 ± 9.5). On the other hand, significantly lower endoneurium vacuoles and inflammation cells were found on “the day 14” sample group (respectively, 5 ± 1.3 and 5.2 ± 1.6) compared to all other groups (p<0.005). Conclusion. This study found that the best time for injecting PRP for nerve regeneration is 14 days after injury.
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spelling doaj-art-3549e3f4bacc4986968b9778d14027282025-02-03T01:22:28ZengWileyInternational Journal of Biomaterials1687-87952022-01-01202210.1155/2022/9601547The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary StudyMuhammad Pandunugrahadi0Komang Agung Irianto1Oen Sindrawati2Orthopaedic and Traumatology DepartmentOrthopaedic and Traumatology DepartmentPathologic Anatomy DepartmentIntroduction. Without appropriate treatment, nerve injuries may result in permanent loss of function. Platelet-rich plasma (PRP) injection is found to help in nerve regeneration. PRP is a concentrated platelet derived from autologous blood with the potential to release various growth factors (GF) to promote nerve regeneration. This study aims to know the best time for PRP injection to promote nerve regeneration. Methods. This is an experimental in vivo research using male New Zealand white rabbits in the randomized control group posttest only design. Samples were divided into 5 groups (1 control group and 4 treatment groups). The control group without PRP injection and treated groups injected immediately after nerve injury, 3 days, 7 days, and 14 days afterward. Nerve regeneration was evaluated by the histology specimen sacrificed on day 21. Inflammation cells and endoneurium vacuoles were counted as mean percentage of five nerve fragments in each injured nerve sample specimen. Result. Inflammation cells and vacuole cells increased significantly when PRP was administered 3 days after injury (group 2) (respectively, 14 ± 6.7 and 56.6 ± 11.6) compared to all treatment groups (p<0.005) (control group, respectively, 6 ± 2.6 and 15.7 ± 9.5). On the other hand, significantly lower endoneurium vacuoles and inflammation cells were found on “the day 14” sample group (respectively, 5 ± 1.3 and 5.2 ± 1.6) compared to all other groups (p<0.005). Conclusion. This study found that the best time for injecting PRP for nerve regeneration is 14 days after injury.http://dx.doi.org/10.1155/2022/9601547
spellingShingle Muhammad Pandunugrahadi
Komang Agung Irianto
Oen Sindrawati
The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
International Journal of Biomaterials
title The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
title_full The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
title_fullStr The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
title_full_unstemmed The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
title_short The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study
title_sort optimal timing of platelet rich plasma prp injection for nerve lesion recovery a preliminary study
url http://dx.doi.org/10.1155/2022/9601547
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