Skip to main content

A new simplified technique for producing platelet-rich plasma: a short technical note

  • Conference paper
Haemostasis in Spine Surgery

Abstract

A possible strategy to promote the wound-healing cascade in both soft and hard tissues is the preparation of an autologous plateletrich plasma (PRP) to encourage the release of growth factors from activated platelets. In this process, PRP combines the advantage of an autologous fibrin clot that will aid in hemostasis as well as provide growth factors in high concentrations to the site of a tissue defect. The PRP preparation can be used as a biological enhancer in the healing of fractures and lumbar fusions. The local application of growth factors seems to promote initiation and early maturation of bone formation. Autologous bone or bone substitutes can be added to this mixture to increase the volume of grafting material. A simplified technique utilizing a commercially available separation system (GPS - Gravitational Platelet Separation System) is described. This system provides a less costly alternative to other previously described augmentation techniques and also presents a patient-friendly and operator-safe alternative. Further experimental studies of the actual concentrations of the growth factors in the PRP samples are necessary in order to validate the platelet concentration and growthfactor activation by laboratory evidence. In further prospective clinical trials, the safety and efficacy of PRP, in combination with autologous bone or bone graft substitutes, must be evaluated.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bhanot S, Alex JC (2002) Current applications of platelet gels in facial plastic surgery. Facial Plast Surg;18:27–33

    Article  PubMed  Google Scholar 

  2. Boden SD (2002) Overview of the biology of lumbar spine fusion and principles for selecting a bone graft substitute. Spine 27:S26–31

    Article  PubMed  Google Scholar 

  3. Boden SD, Kang J, Sandhu H, Heller JG (2002) Use of recombinant human bone morphogenetic protein-2 to achieve posterolateral lumbar spine fusion in humans: a prospective, randomized clinical pilot trial: 2002 Volvo Award in clinical studies. Spine 27: 2662–2673

    Article  PubMed  Google Scholar 

  4. Canalis E (1985) Effect of growth factors on bone cell replication and differentiation. Clin Orthop 193:246–263

    PubMed  Google Scholar 

  5. Canalis E, McCarthy TL, Centrella M (1989) Effects of platelet-derived growth factor on bone formation in vitro. J Cell Physiol 140:530–537

    Article  PubMed  Google Scholar 

  6. Caplan AI (1991) Mesenchymal stem cells. J Orthop Res 9:641–650

    Article  PubMed  Google Scholar 

  7. Gospodarowicz D (1983) Growth factors and their action in vivo and in vitro. J Pathol 141:201–233

    Article  PubMed  Google Scholar 

  8. Hotz G (1991) Alveolar ridge augmentation with hydroxylapatite using fibrin sealant for fixation. I. An experimental study. Int J Oral Maxillofac Surg 20: 204–207

    Article  PubMed  Google Scholar 

  9. Hotz G (1991) Alveolar ridge augmentation with hydroxylapatite using fibrin sealant for fixation. II. Clinical application. Int J Oral Maxillofac Surg 20: 208–213

    Article  PubMed  Google Scholar 

  10. Howes R, Bowness JM, Grotendorst GR, Martin GR, Reddi AH (1988) Platelet-derived growth factor enhances demineralized bone matrixinduced cartilage and bone formation. Calcif Tissue Int 42:34–38

    PubMed  Google Scholar 

  11. Kasperk CH, Wergedal JE, Mohan S, Long DL, Lau KH, Baylink DJ (1990) Interactions of growth factors present in bone matrix with bone cells: effects on DNA synthesis and alkaline phosphatase. Growth Factors 3:147–158

    PubMed  Google Scholar 

  12. Lowery GL, Kulkarni S, Pennisi AE (1999) Use of autologous growth factors in lumbar spinal fusion. Bone 25: 47S–50S

    Article  PubMed  Google Scholar 

  13. Margolis DJ, Kantor J, Santanna J, Strom BL, Berlin JA (2001) Effectiveness of platelet releasate for the treatment of diabetic neuropathic foot ulcers. Diabetes Care 24:483–488

    PubMed  Google Scholar 

  14. Martinowitz U, Spotnitz WD (1997) Fibrin tissue adhesives. Thromb Haemost 78:661–666

    PubMed  Google Scholar 

  15. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR (1998) Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:638–646

    Article  PubMed  Google Scholar 

  16. Matras H (1985) Fibrin seal: the state of the art. J Oral Maxillofac Surg 43: 605–611

    PubMed  Google Scholar 

  17. Nielsen HM, Andreassen TT, Ledet T, Oxlund H (1994) Local injection of TGF-beta increases the strength of tibial fractures in the rat. Acta Orthop Scand 65:37–41

    PubMed  Google Scholar 

  18. Nimni ME (1997) Polypeptide growth factors: targeted delivery systems. Biomaterials 18:1201–1225

    Article  PubMed  Google Scholar 

  19. Noda M, Camilliere JJ (1989) In vivo stimulation of bone formation by transforming growth factor-beta. Endocrinology 124:2991–2994

    PubMed  Google Scholar 

  20. Schilephake H (2002) Bone growth factors in maxillofacial skeletal reconstruction. Int J Oral Maxillofac Surg 31:469–484

    Article  PubMed  Google Scholar 

  21. Slater M, Patava J, Kingham K, Mason RS (1995) Involvement of platelets in stimulating osteogenic activity. J Orthop Res 13:655–663

    Article  PubMed  Google Scholar 

  22. Sonnleitner D, Huemer P, Sullivan DY (2000) A simplified technique for producing platelet-rich plasma and platelet concentrate for intraoral bone grafting techniques: a technical note. Int J Oral Maxillofac Implants;15:879–882

    PubMed  Google Scholar 

  23. Vaccaro AR, Anderson DG, Toth CA (2002) Recombinant human osteogenic protein-1 (bone morphogenetic protein-7) as an osteoinductive agent in spinal fusion. Spine 27:S59–65

    Article  PubMed  Google Scholar 

  24. Whitman DH, Berry RL, Green DM (1997) Platelet gel: an autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. J Oral Maxillofac Surg 55:1294–1299

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Marlovits, S., Mousavi, M., Gäbler, C., Erdös, J., Vécsei, V. (2005). A new simplified technique for producing platelet-rich plasma: a short technical note. In: Szpalski, M., Weiskopf, R.B., Gunzburg, R., Aebi, M. (eds) Haemostasis in Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27394-8_18

Download citation

  • DOI: https://doi.org/10.1007/3-540-27394-8_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-24234-5

  • Online ISBN: 978-3-540-27394-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics