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Cartilage Regeneration Potential of Platelet-Rich Plasma versus Plasma Rich in Growth Factors in Knee Osteoarthritis Based on Serum Biomarker of Cartilage Degradation, Coll2-1: A Triple-Blind Randomized Study

2025· article· en· W4409212664 on OpenAlexaboutno aff
Amit Saraf, Hamza Habib, Sandeep Bishnoi, Naman K Parakh, Abhishek Sharma

Bibliographic record

VenueJournal of Orthopaedic Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicPeriodontal Regeneration and Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineOsteoarthritisPlatelet-rich plasmaWOMACBiomarkerCartilageRandomized controlled trialInternal medicineArticular cartilageCartilage damageGastroenterologyPlateletPathologyAnatomy

Abstract

fetched live from OpenAlex

Background: Through the course of the reported triple-blind randomized single-center study, we compared the clinical effectiveness of platelet-rich plasma (PRP) and plasma rich in growth factors (PRGF) and evaluated their cartilage regeneration potential by studying the change in blood biomarkers related to cartilage breakdown, Coll2-1 before and after the intervention. Materials and Methods: During our study, the candidates with symptomatic KL grade 2 and 3 knee osteoarthritis were recruited and randomized into two groups. Each group received three intra-articular injections of PRP or PRGF, each one 4 weeks apart. Baseline visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were compared with scores reported before 2nd and 3rd injection and at the 6-month and 12-month follow-ups since the first intervention. Furthermore, baseline serum Coll2-1 levels were compared with those obtained at the 12-month follow-up since the first intervention. Results: The difference between the baseline means serum Coll2-1 values and the mean value obtained at the 12-month follow-up was found to be significant in both the PRP (P = 0.005) and PRGF (P = 0.009) groups showing significant reductions in the Coll2-1 levels at the 12-month follow-up of the patient. Conclusion: Both PRGF and PRP showed statistically significant reductions in serum Coll2-1 levels at 12 months. PRGF showed better VAS and WOMAC outcomes at the 12-month follow-up as compared to PRP.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.395
Threshold uncertainty score0.992

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.281
Teacher spread0.263 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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