Platelet-rich plasma in the foot and ankle

Curr Rev Musculoskelet Med. 2018 Dec;11(4):616-623. doi: 10.1007/s12178-018-9522-z.

Abstract

Purpose of review: Platelet-rich plasma has become an increasingly popular treatment option within the orthopedic community to biologically enhance and stimulate difficult-to-heal musculoskeletal tissues. This review evaluates the recent literature on platelet-rich plasma use in the treatment of foot and ankle pathologies.

Recent findings: Recent literature has demonstrated platelet-rich plasma to have a possible benefit in the treatment of Achilles pathology, chronic plantar fasciitis, osteochondral lesions of the talus, ankle osteoarthritis, and diabetic foot ulcers. However, given the lack of standardization of platelet-rich plasma preparations and protocols and the predominance of low-quality studies, no definitive treatment indications exist. Platelet-rich plasma is a promising treatment option, but at present, there is only limited clinical evidence supporting its use in foot and ankle applications.

Keywords: Achilles; Foot and ankle; Orthobiologics; PRP; Platelet-rich plasma.

Publication types

  • Review