Objective The clinical efficacy of platelet-rich plasma (PRP) as adjuvant therapy in patients undergoing arthroscopic repair of meniscal injury remains controversial. This meta-analysis was performed to evaluate the clinical efficacy of PRP in the treatment of meniscal injury and provide evidence for the selection of clinical treatment options. Methods A computer-based search of the PubMed, Embase, and Cochrane Library databases was performed to retrieve articles using the search terms “platelet-rich plasma” and “menisci.” Quality evaluation and data extraction were performed. The combined effect was assessed using RevMan version 5.3 software. Results Three randomized controlled trials and three cohort studies involving 293 patients were included in the meta-analysis. There were no significant differences in the International Knee Documentation Committee score or Lysholm score between the experimental and control groups. The failure rate and visual analog scale score were significantly lower and the degree of active flexion was significantly higher in the experimental group than in the control group. Conclusion The findings of this meta-analysis suggest that PRP injection can effectively enhance the efficacy of arthroscopic repair of meniscal injury, reduce the failure rate and severity of pain, and improve active flexion.
The present study was designed to investigate the mechanical performance of ultra high molecular weight polyethylene (UHMWPE) reinforced by silver nanoparticles. The Ag/UHMWPE nanocomposites were prepared by a plate vulcanizing machine and tested with a contact angle micrometer, UMT friction tester, electronic universal testing machine and MicroXAM three-dimensional profilometer to characterise the wettability, ball indentation hardness, creep resistance, compression properties, and friction and wear performance. A scanning electron microscope (SEM) was employed to describe the morphology of the Ag/UHMWPE nanocomposites surfaces following the friction and wear tests. These results demonstrate that the compressive yield strength, ball indentation hardness and creep resistance increased with an increase in the content of silver nanoparticles. The contact angle of the Ag/UHMWPE nanocomposites with bovine calf serum decreases with an increase in the content of silver nanoparticles and this change increases the wettability of the Ag/UHMWPE nanocomposites. Therefore, the friction coefficient decreases, but the wear mechanism changes from scratch and furrow to fatigue flakes when the mass fraction of silver nanoparticles exceeds 0.3%. The composite with a silver nanoparticles mass fraction of 0.3% exhibits a low friction coefficient and good wear resistance.
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