PMID- 38384614 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240224 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 16 IP - 1 DP - 2024 Jan TI - Autologous Conditioned Plasma (ACP) and Osteoarthritis of the Knee: A Review of Current Clinical Evidence. PG - e52693 LID - 10.7759/cureus.52693 [doi] LID - e52693 AB - The primary objective of this study is to record the clinical outcomes of autologous conditioned plasma (ACP) for the treatment of knee osteoarthritis (OA) based on published literature. Multiple databases (PubMed, Embase, Web of Science and Scopus) were searched using terms for "knee OA" and the intervention "ACP" for articles published in English to January 4, 2024. All clinical studies using ACP for knee OA were included. Studies not utilizing ACP alone, i.e. used as an adjunct with other modalities or not focusing on the management of knee OA, were excluded. Five studies, three randomized controlled trials (RCTs) and two real-world post-market studies conducted in a clinical practice met the inclusion/exclusion criteria and were included in this study. All studies demonstrated statistically significant improvements in various patient-reported outcome measures (PROMs), however the studies performed in the clinical practice reported non-accomplishment of minimally clinically important difference (MCID). The results demonstrated the potential of ACP for management of knee OA, however the MCID was not achieved in real-world clinical settings. Thus, more adequately powered RCTs with longer follow-up as well as real-world post-market studies are warranted to establish long-term efficacy and justify routine clinical use, respectively, of ACP in patients suffering with knee OA. CI - Copyright (c) 2024, Gupta et al. FAU - Gupta, Ashim AU - Gupta A AD - Regenerative Medicine, Future Biologics, Lawrenceville, USA. AD - Regenerative Medicine, BioIntegrate, Lawrenceville, USA. AD - Orthopaedics, South Texas Orthopaedic Research Institute, Laredo, USA. AD - Orthopaedics and Regenerative Medicine, Regenerative Orthopaedics, Noida, IND. FAU - Jain, Vijay AU - Jain V AD - Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi, IND. LA - eng PT - Journal Article PT - Review DEP - 20240121 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10879647 OTO - NOTNLM OT - acp OT - acp max OT - autologous conditioned plasma OT - gonarthrosis OT - knee osteoarthritis OT - leukocyte-poor platelet-rich plasma OT - lp prp OT - orthobiologics OT - platelet-rich plasma OT - prp COIS- The authors have declared that no competing interests exist. EDAT- 2024/02/22 06:43 MHDA- 2024/02/22 06:44 PMCR- 2024/01/21 CRDT- 2024/02/22 03:52 PHST- 2024/01/21 00:00 [accepted] PHST- 2024/02/22 06:44 [medline] PHST- 2024/02/22 06:43 [pubmed] PHST- 2024/02/22 03:52 [entrez] PHST- 2024/01/21 00:00 [pmc-release] AID - 10.7759/cureus.52693 [doi] PST - epublish SO - Cureus. 2024 Jan 21;16(1):e52693. doi: 10.7759/cureus.52693. eCollection 2024 Jan.