Leukocyte-rich versus leukocyte-poor platelet-rich plasma for Osteoarthritis: A systematic review

This review highlights that current evidence is insufficient to determine whether adding leukocytes to PRP provides a clinical benefit in the treatment of osteoarthritis. Overall, results generally show no significant differences between LR-PRP and LP-PRP, suggesting that both may be effective. Although leukocytes were initially thought to induce inflammation, there is no conclusive evidence that local reactions are directly caused by them. Given the limitations of existing studies, further research is required to clarify the role of leukocytes in PRP therapy.

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Publication Details

Journal
Regenerative Therapy
Published
2026-02-25
DOI
https://doi.org/10.1016/j.reth.2026.101078
Primary Topic
Periodontal Regeneration and Treatments
Type
article
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article

Leukocyte-rich versus leukocyte-poor platelet-rich plasma for Osteoarthritis: A systematic review

Rubén Sánchez‐Gómez, Paola Sanz-Wozniak, Ismael Ortuño-Soriano, Ignacio Zaragoza-García et al.
Regenerative Therapy
Periodontal Regeneration and Treatments
article

Leukocyte-rich versus leukocyte-poor platelet-rich plasma for Osteoarthritis: A systematic review

Rubén Sánchez‐Gómez, Paola Sanz-Wozniak, Ismael Ortuño-Soriano, Ignacio Zaragoza-García, Álvaro Gómez Carrión, Marta Martín-Vega, Arian Marcelino-Argemi, Rebeca Saludes-Llamas
article en

Abstract

This review highlights that current evidence is insufficient to determine whether adding leukocytes to PRP provides a clinical benefit in the treatment of osteoarthritis. Overall, results generally show no significant differences between LR-PRP and LP-PRP, suggesting that both may be effective. Although leukocytes were initially thought to induce inflammation, there is no conclusive evidence that local reactions are directly caused by them. Given the limitations of existing studies, further research is required to clarify the role of leukocytes in PRP therapy.

Regenerative TherapyVol. 31
Universidad Complutense de Madrid (ES), Clínica Rementería (ES), Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (ES), Instituto de Investigación Sanitaria La Fe (ES)
No poverty
Openalex Percentile: Top 42%
Periodontal Regeneration and Treatments
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