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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2022-45-4-388-399</article-id><article-id pub-id-type="publisher-id">137</article-id><article-categories><subj-group subj-group-type="heading"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Revisiting the Use of Platelet-Rich Fibrin Clots&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Revisiting the Use of Platelet-Rich Fibrin Clots&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Pakhlevanyan</surname><given-names>Smbat G.</given-names></name><name xml:lang="en"><surname>Pakhlevanyan</surname><given-names>Smbat G.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Shevchenko</surname><given-names>Lina V.</given-names></name><name xml:lang="en"><surname>Shevchenko</surname><given-names>Lina V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Shevchenko</surname><given-names>Alexandra Yu.</given-names></name><name xml:lang="en"><surname>Shevchenko</surname><given-names>Alexandra Yu.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Pakhlevanyan</surname><given-names>Volodya G.</given-names></name><name xml:lang="en"><surname>Pakhlevanyan</surname><given-names>Volodya G.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Pahlevanyan</surname><given-names>Gurgen G.</given-names></name><name xml:lang="en"><surname>Pahlevanyan</surname><given-names>Gurgen G.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2022</year></pub-date><volume>45</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2022/4/388-399.pdf" /><abstract xml:lang="ru"><p>Medical communities in different countries are increasingly expressing interest in cellular technologies. The use of the patient&amp;#39;s own biological material in the treatment of various diseases is a prospect of the future. Thus, the use of APRF &amp;ndash; advanced platelet-rich fibrin clots in the treatment of various wound defects is both an alternative to more expensive techniques and safer for the patient. Their use is described in various fields of medicine, as they have a number of useful properties: local immunomodulatory, anti-inflammatory and regenerative effect. This article presents an overview of national and foreign literature in scope of advanced platelet-rich fibrin clots in the treatment of various wound defects, which can be effective for introduction and use in practice by surgeons, dentists, traumatologists.</p></abstract><trans-abstract xml:lang="en"><p>Medical communities in different countries are increasingly expressing interest in cellular technologies. The use of the patient&amp;#39;s own biological material in the treatment of various diseases is a prospect of the future. Thus, the use of APRF &amp;ndash; advanced platelet-rich fibrin clots in the treatment of various wound defects is both an alternative to more expensive techniques and safer for the patient. Their use is described in various fields of medicine, as they have a number of useful properties: local immunomodulatory, anti-inflammatory and regenerative effect. This article presents an overview of national and foreign literature in scope of advanced platelet-rich fibrin clots in the treatment of various wound defects, which can be effective for introduction and use in practice by surgeons, dentists, traumatologists.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>APRF</kwd><kwd>advanced platelet-rich fibrin clot</kwd><kwd>growth factors</kwd><kwd>angenesis</kwd><kwd>neoangiogenesis</kwd><kwd>cellular technologies</kwd></kwd-group><kwd-group xml:lang="en"><kwd>APRF</kwd><kwd>advanced platelet-rich fibrin clot</kwd><kwd>growth factors</kwd><kwd>angenesis</kwd><kwd>neoangiogenesis</kwd><kwd>cellular technologies</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Achkasov E.E., Bezuglov E.N., Ulyanov A.A., Kurshev V.V., Repetyuk A.D., Egorova O.N. 2013. Primeneniye autoplazmy, obogashchennoy trombotsitami, v klinicheskoy praktike [The use of autoplasma enriched with platelets in clinical practice]. Biomeditsina. 4: 46&amp;ndash;59. https://doi.org/10.17816/psaic187</mixed-citation></ref><ref id="B2"><mixed-citation>Bakulev A.L., Igonina I.A., Kravchenya S.S. 2020. Primeneniye bogatoy trombotsitami plazmy v lechenii dermatozov (obzor) [The use of platelet-rich plasma in the treatment of dermatoses (review)]. Saratovskiy nauchno-meditsinskiy. 16&amp;nbsp;(3): 837&amp;ndash;841.</mixed-citation></ref><ref id="B3"><mixed-citation>Zakharov V. D., Shkvorchenko D. O., Krupina E. A., Pismenskaya V. A., Kakunina S. A., Norman K. S. 2016. Effektivnost&amp;#39; bogatoy trombotsitami plazmy pri bol&amp;#39;shikh razryvakh makuly [Efficacy of platelet-rich plasma in large macular surgery breaks]. Prakticheskaya meditsina. 9 (101): 118&amp;ndash;121.</mixed-citation></ref><ref id="B4"><mixed-citation>Kontorshchikova K.N., Shakhova K.A., Yachnenko O.S., Tikhomirova Yu.R., Bulat V.V., Bulat A.V. 2018. Opredeleniye trombotsitarnykh faktorov rosta v neobogashchennoy trombotsitami plazme [Determination of platelet growth factors in non-platelet-rich plasma]. Meditsinskiy al&amp;#39;manakh. 2&amp;nbsp;(53): 41&amp;ndash;44.</mixed-citation></ref><ref id="B5"><mixed-citation>Kotelnikov G.P., Dolgushkin D.A., Lazarev V.A., Braitichuk A.N., Bogdanov K.M. 2020. Problemy klassifikatsii produktov na osnove obogashchennoy trombotsitami plazmy, primenyayemykh v travmatologii i ortopedii (obzor literatury) [Problems of classification of products based on platelet-rich plasma used in traumatology and orthopedics (literature review)]. Aspirantskiy vestnik Povolzh&amp;#39;ya. 5 (6): 106&amp;ndash;113. doi:10.17816/2072-2354.2020.20.3.106-113</mixed-citation></ref><ref id="B6"><mixed-citation>Lisitsyn M.P., Zaremuk A.M., Lisitsyna Ye.M., Atlukhanov R.Ya. 2020. Primeneniye obogashchennoy trombotsitami autoplazmy krovi v lechenii gonartroza [The use of platelet-rich autoplasma in the treatment of gonarthrosis]. Endoskopicheskaya khirurgiya. 26 (6): 49&amp;ndash;62. doi:10.17116/endoskop20202606149</mixed-citation></ref><ref id="B7"><mixed-citation>Malanin D.A., Tregubov A.S., Demeshchenko M.V., Cherezov L.L. 2018. PRP-terapiya pri osteoartrite krupnykh sustavov [PRP-therapy for osteoarthritis of large joints]. Volgograd: Izdatel&amp;#39;stvo VolgGMU. p. 49.</mixed-citation></ref><ref id="B8"><mixed-citation>Malygina M.A., Borovkova N.V., Sakharova O.M., Ponomarev I.N. 2017. Primeneniye bogatoy trombotsitami plazmy pri zabolevaniyakh i povrezhdeniyakh oporno-dvigatel&amp;#39;nogo apparata [The use of platelet-rich plasma in diseases and injuries of the musculoskeletal system]. Transplantologiya. 9 (4): 325&amp;ndash;334. doi:10.23873/2074-0506-2017-9-4-325-334</mixed-citation></ref><ref id="B9"><mixed-citation>Medvedev V.L., Kogan M.I., Mikhailov I.V., Lepetunov S.N. 2020. Autologichnaya plazma obogashchonnaya trombotsitami: chto eto i dlya chego? [Autologous platelet-rich plasma: what is it and why?] Vestnik urologii Urology Herald. 8 (2): 67&amp;ndash;77. doi:10.21886/2308-6424-2020-8-2-67-77</mixed-citation></ref><ref id="B10"><mixed-citation>Obolensky V.N., Ermolova D.A. 2012. Primeneniye trombotsitarnykh faktorov rosta i kollagenovykh biopreparatov v lechenii bol&amp;#39;nykh s khronicheskimi troficheskimi yazvami razlichnoy etiologii [The use of platelet growth factors and collagen biopreparations in the treatment of patients with chronic trophic ulcers of various etiologies]. Khirurgiya. Zhurnal im. I. 5: 42&amp;ndash;47.</mixed-citation></ref><ref id="B11"><mixed-citation>Ochkurenko A.A., Saveliev S.N., Baimatov T.O. 2020. Primeneniye bogatoy trombotsitami plazmy v lechenii epikondilita plecha [The use of platelet-rich plasma in the treatment of shoulder epicondylitis]. Vestnik travmatologii i ortopedii im. N.N. Priorova. 27 (1): 98&amp;ndash;102. doi:10.17816/vto202027198-102</mixed-citation></ref><ref id="B12"><mixed-citation>Pakhomova E.E., Smirnova I.O. 2017. Molekulyarno-biologicheskiye i klinicheskiye aspekty primeneniya plazmy, obogashchennoy trombotsitami, v lechenii androgeneticheskoy alopetsii [Molecular biological and clinical aspects of the use of platelet-rich plasma in the treatment of androgenetic alopecia]. Klinicheskaya dermatologiya i venerologiya. 16 (6): 16&amp;ndash;22. doi:10.17116/klinderma201716616-21</mixed-citation></ref><ref id="B13"><mixed-citation>Semenov F.V., Yakobashvili I.Yu. 2007. Primeneniye obogashchennoy trombotsitami plazmy v kachestve gemostaticheskogo i anal&amp;#39;geziruyushchego sredstva pri tonzillektomii [The use of platelet-rich plasma as a hemostatic and analgesic agent in tonsillectomy]. Vestn. otorinolaringologii, 6: 48&amp;ndash;50.</mixed-citation></ref><ref id="B14"><mixed-citation>Skorobogatko K.S., Petrikas I.V., Sokolova I.V. 2019. Effektivnost&amp;#39; primeneniya trombotsitarnogo faktora rosta (PRP) pri kompleksnom lechenii disfunktsii VNCHS [The effectiveness of the use of platelet growth factor (PRP) in the complex treatment of TMJ dysfunction]. Problemy stomatologii. 15 (2): 56&amp;ndash;61. doi: 10.18481 / 2077 7566 2019 15 2-56-61.</mixed-citation></ref><ref id="B15"><mixed-citation>Sonis A.G., Sefedimova M.Yu., Bezrukova M.A., Marchenko A.A., Ladonin S.V. 2016. Primeneniye obogashchennoy trombotsitami autoplazmy v lecheniye patsiyentov s gnoyno-vospalitel&amp;#39;nymi zabolevaniyami myagkikh tkaney, kostey i sustavov [The use of platelet-rich autoplasma in the treatment of patients with purulent-inflammatory diseases of soft tissues, bones and joints]. Aspirantskiy vestnik Povolzh&amp;#39;ya. 5 (6): 162&amp;ndash;167.</mixed-citation></ref><ref id="B16"><mixed-citation>Shamardin V.V. 2017. Opyt primeneniya A-PRF i I-PRF v povsednevnoy praktike vracha-stomatologa na khirurgicheskom ambulatornom priyeme [Experience in the use of A-PRF and I-PRF in the daily practice of a dentist at a surgical outpatient appointment]. Stomatologiya. P. 27&amp;ndash;28.</mixed-citation></ref><ref id="B17"><mixed-citation>Shibeko A.M., Balandina A.N., Podoplelova N.A., Panteleev M.A. 2020. Sovremennyye napravleniya v issledovaniyakh svertyvaniya krovi [Modern trends in blood coagulation research]. Voprosy gematologii / onkologii i immunopatologii v pediatrii. 9 (3): 144&amp;ndash;150. doi: 10.24287/1726-1708-2020-19-3-144-150</mixed-citation></ref><ref id="B18"><mixed-citation>Aggour R.L., Gamil L. 2017. Antimicrobial Effects of Platelet-rich Plasma against Selected Oral and Periodontal Pathogens. Pol. J. Microbiol. 66 (1): 31&amp;ndash;37. doi: 10.5604/17331331.1235227</mixed-citation></ref><ref id="B19"><mixed-citation>Choukroun J., Miron R.J. 2017. Platelet Rich Fibrin in Regenerative Dentistry &amp;ndash; Biological Background and Clinical Indications. 21 (6): 1913&amp;ndash;1927. doi: 10.1007/s00784-017-2133-z</mixed-citation></ref><ref id="B20"><mixed-citation>Du L.; Miao Y.; Li X.; Shi P.; Hu Z.A 2018. Novel and Convenient Method for the Preparation and Activation of PRP without Any Additives: Temperature Controlled PRP. Biomed. Res. Int. 1761865. https://doi.org/10.1155/2018/1761865</mixed-citation></ref><ref id="B21"><mixed-citation>Ehrenfest D.M.D., Andia I., Zumstein M.A., Zhang C.Q., Pinto N.R., Bielecki T. 2014. Classification of platelet concentrates (Platelet-Rich Plasma-PRP, Platelet-Rich Fibrin-PRF) for topical and infiltrative use in orthopedic and sports medicine: Current consensus, clinical implications and perspectives. Muscles Ligaments Tendons J. 4: 3&amp;ndash;9.</mixed-citation></ref><ref id="B22"><mixed-citation>Elghblawi E. 2017. Platelet-rich plasma, the ultimate secret for youthful skin elixir and hair growth triggering. J. Cosmet. Dermatol. doi: 10.1111/jocd.12404</mixed-citation></ref><ref id="B23"><mixed-citation>Koupenova M., Clancy L., Corkrey H.A., Freedman J.E. 2018. Circulating platelets as mediators of immunity, inflammation and thrombosis. Circ. Res. 122 (2): 337&amp;ndash;351. doi:10.1161/CIRCRESAHA.117.310795</mixed-citation></ref><ref id="B24"><mixed-citation>Lana J.F.S.D., Purita J., Paulus C., Huber S.C., Rodrigues B.L., Rodrigues A.A., Santana M.H., Madureira Jr J.L., Luzo A.C.M., Belangero W.D., Annichino-Bizzacchi J.M. 2017. Contributions for classification of platelet rich plasma &amp;ndash; proposal of a new classification: MARSPILL. Regenerative Medicine. 12 (5): 565&amp;ndash;574. doi:10.2217/rme-2017-0042</mixed-citation></ref><ref id="B25"><mixed-citation>Li X.H., Zhou X., Zeng S., Ye F., Yun J.L., Huang T.G., Li H., Li Y.M. 2008. Effects of intramyocardial injection of platelet-rich plasma on the healing process after myocardial infarction. Coron Artery Dis. 19 (5): 363&amp;ndash;70. doi:10.1097/mca.0b013e3282fc6165</mixed-citation></ref><ref id="B26"><mixed-citation>Mannava S.; Whitney K.E.; Kennedy M.I.; King J.; Dornan G.J.; Klett K.; Chahla J.; Evans T.A.; Huard J.; LaPrade R.F. 2019. The Influence of Naproxen on Biological Factors in Leukocyte-Rich Platelet-Rich Plasma: A Prospective Comparative Study. Arthroscopy. 35: 201&amp;ndash;210. doi:10.1016/j.arthro.2018.07.030</mixed-citation></ref><ref id="B27"><mixed-citation>Mariani E., Pulsatelli L. 2020. Platelet Concentrates in Musculoskeletal Medicine Int. J. Mol. Sci. 21 (4): 1328. doi:10.3390/ijms21041328</mixed-citation></ref><ref id="B28"><mixed-citation>Setayesh K., Villarreal A., Gottschalk A., Tokish J.M., Choate W.S. 2018. Treatment of Muscle Injuries with Platelet-Rich Plasma: a Review of the Literature. Current Reviews in Musculoskeletal Medicine. 11: 635&amp;ndash;642. doi:10.1007/s12178-018-9526-8</mixed-citation></ref><ref id="B29"><mixed-citation>Tanaka H., Toyoshima T., Atsuta I., Ayukawa Y., Sasaki M., Matsushita Y., Hiraoka R., Koyano K., Nakamura S. 2015. Additional Effects of Platelet-Rich Fibrin on Bone Regeneration in Sinus Augmentation With Deproteinized Bovine Bone Mineral: Preliminary Results. Implant dentistry. 24 (6): 669&amp;ndash;673. doi:10.1097/id.0000000000000306</mixed-citation></ref><ref id="B30"><mixed-citation>Zhang N., Wang K., Li Z., Luo T. 2019. Comparative study of different anticoagulants and coagulants in the evaluation of clinical application of platelet-rich plasma (PRP) standardization. Cell Tissue Bank. 20 (1): 61&amp;ndash;75. doi:10.1007/s10561-019-09753-y</mixed-citation></ref></ref-list></back></article>