Evidence map›Paper›PMID 32885339›Full record

ArticleJournal of experimental orthopaedics2020

Platelet-rich plasma (PRP) as therapy for cartilage, tendon and muscle damage - German working group position statement.

T Tischer, G Bode, M Buhs, B Marquass, S Nehrer, S Vogt, W Zinser, P Angele, G Spahn, G H Welsch and 2 more

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. PRP or not PRP: Is the debate surrounding platelets-based blood-derived products evolving?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Review
  7. Article
  8. Use of platelet-rich plasma in rheumatic diseases.Rheumatology international · 2024
    Review
  9. Cartilage Repair: Promise of Adhesive Orthopedic Hydrogels.International journal of molecular sciences · 2024
    Review
  10. Infiltration therapy in the context of cartilage surgery.Archives of orthopaedic and trauma surgery · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Orthobiologics: a review.International orthopaedics · 2023
    Review
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

T TischerDepartment of Orthopaedic Surgery, University medicine Rostock, Doberanerstr. 142, 18057, Rostock, Germany. Thomas.tischer@med.uni-rostock.de.ORCID http://orcid.org/0000-0002-3942-0235
G BodeKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Freiburg, Freiburg, Germany.
M BuhsNorddeutsches Knorpelcentrum, COVZ Quickborn, Quickborn, Germany.
B MarquassKlinik für Orthopädie, Unfallchirurgie und plastische Chirurgie, Universität Leipzig, Leipzig, Germany.
S NehrerDonau University Krems, Krems, Austria.
S VogtKlinik für Sportorthopädie und arthroskopische Chirurgie, Hessing Stiftung, Augsburg, Germany.
W ZinserKlinik für Orthopädie und Unfallchirurgie, St. Vinzenz-Hospital, Dinslaken, Germany.
P AngeleDepartment of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany.
G SpahnCenter of Trauma and Orthopaedic Surgery Eisenach and Jena University Hospital, Jena, Germany.
G H WelschUKE Athleticum, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
P NiemeyerOCM Gemeinschaftspraxis, Munich, Germany.
H MadryCenter of Experimental Orthopaedics, Saarland University, Homburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePlatelet rich plasma (PRP) is widely used in orthopaedics, but is still heavily debated. Therefore, a survey among the German "Working Group for Clinical Tissue Regeneration" of the German Society of Orthopaedics and Traumatology was conducted to achieve a consensus about the current therapeutical potential of PRP.

methodsA first survey (n = 65 experts, all orthopaedic/trauma surgeons) was conducted (n = 13 questions). Following, a second round (n = 40 experts) was conducted with 31 questions to achieve consensus in 5 categories: three most common indications, PRP application, future research areas.

resultsTherapeutic PRP application was regarded as useful (89%), possibly even more important in the future (90%). Most common indications were tendon pathologies (77%), osteoarthritis (OA) (68%), muscle injuries (57%) and cartilage damage (51%). Consensus was reached in 16/31 statements. The application of PRP for early knee OA (Kellgren-Lawrence grade II) was regarded as potentially useful, as well as for acute and chronic tendinopathies. For chronic lesions (cartilage, tendons), multiple injections (2-4) were seen preferable to singular injections. However, no sufficient data exists on the time interval between the injections. Standardization of PRP preparation, application, frequency, as well as determining the range of indication is strongly recommended.

conclusionsThere is a need of further standardization of the PRP preparation methods, indication and application protocols for knee OA and other indications, which must be further evaluated in basic science studies and randomized controlled clinical trials. LEVEL OF EVIDENCE: Consensus of expert opinion, Level V.

Indexed as

CartilageConsensus statementMuscle injuriesOsteoarthritisPlatelet-rich-plasma (PRP)Tendon pathologies

Identifiers

PMID32885339
PMCPMC7471237

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.