Sagar Chhetri - Academia.edu (original) (raw)
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Papers by Sagar Chhetri
Apollo Medicine, 2017
Background: It has been recently reported by various literatures that local injection of autologo... more Background: It has been recently reported by various literatures that local injection of autologous blood in tennis elbow offers a significant benefit by virtue of various growth factors contained in the blood. The objective of this study is to evaluate the efficacy and role of autologous blood-injection for the treatment of lateral epicondylitis which is compared with the local injection of cortico-steroid. Methods: It is a prospective randomized trial which was undertaken in 60 consecutive patients of untreated lateral epicondylitis. Randomization was done on alternate basis and two groups were constituted, first one receiving steroid injection and second one receiving the injection of autologous blood. Both groups were evaluated at 2 weeks, 12 weeks and 24 weeks for pain relief and stage of disease. Results: There were no between group difference in demographic characteristics and preinjection VAS score. In first follow up (2 weeks) VAS score in autologous blood group (1.33 AE 1.29) is significantly lower (p value P 0.04) than that of steroid group (2.83 AE 2). Similarly Nirschl's stage in first 2 week in autologous blood group was significantly lower than that in steroid group (2.8 AE 1.45). VAS score and Nirschl's stage in 12 weeks and 24 weeks follow up in both group was similar. Functional score at first 2 weeks follow up is significantly better (p value-0.039) in autologous blood group (excellent-73%, good-13.33%, fair-10% and poor-3.34%) than in steroid group (excellent-36.6%, good-30%, fair-20%, poor-13.33%). Functional score at 12 weeks and 24 weeks was comparable in both the group. Conclusion: Autologous blood injection is more effective than steroid injection in the short term follow up in tennis elbow but its long-term outcome seems comparable.
Apollo Medicine, 2017
Background: It has been recently reported by various literatures that local injection of autologo... more Background: It has been recently reported by various literatures that local injection of autologous blood in tennis elbow offers a significant benefit by virtue of various growth factors contained in the blood. The objective of this study is to evaluate the efficacy and role of autologous blood-injection for the treatment of lateral epicondylitis which is compared with the local injection of cortico-steroid. Methods: It is a prospective randomized trial which was undertaken in 60 consecutive patients of untreated lateral epicondylitis. Randomization was done on alternate basis and two groups were constituted, first one receiving steroid injection and second one receiving the injection of autologous blood. Both groups were evaluated at 2 weeks, 12 weeks and 24 weeks for pain relief and stage of disease. Results: There were no between group difference in demographic characteristics and preinjection VAS score. In first follow up (2 weeks) VAS score in autologous blood group (1.33 AE 1.29) is significantly lower (p value P 0.04) than that of steroid group (2.83 AE 2). Similarly Nirschl's stage in first 2 week in autologous blood group was significantly lower than that in steroid group (2.8 AE 1.45). VAS score and Nirschl's stage in 12 weeks and 24 weeks follow up in both group was similar. Functional score at first 2 weeks follow up is significantly better (p value-0.039) in autologous blood group (excellent-73%, good-13.33%, fair-10% and poor-3.34%) than in steroid group (excellent-36.6%, good-30%, fair-20%, poor-13.33%). Functional score at 12 weeks and 24 weeks was comparable in both the group. Conclusion: Autologous blood injection is more effective than steroid injection in the short term follow up in tennis elbow but its long-term outcome seems comparable.