Professional article for medical professionals

PRP injection techniques: The syringe is not the standard – the target tissue is.

A PRP treatment is not technically a single uniform procedure. An intradermal microinjection of the scalp, an intra-articular application in the knee, tendon fenestration and a PRF membrane in oral surgery involve different anatomical targets, preparation properties and application requirements. This article classifies the most important techniques by specialty and target tissue – with a focus on published procedures, imaging and the interface between preparation and application.

Schematic tissue cross-section with four target structures From top to bottom: skin with microdepots, subcutis with linear distribution, tendon with peppering points and joint space with intra-articularly placed preparation. The preparation is shown in gold in each case.
Schematic, not to scale. Click to open the technique in the atlas.

For professional users. This article describes application principles used in studies and specialist literature. It is not a treatment guide and does not replace specialist medical qualification, the intended purpose or instructions for use of the medical devices used. Volumes, depths, intervals and preparation parameters depend on the system and indication.

Chapter 1

Warum “PRP injection” is too broad a term

Define the technique first, then consider the specialty. Three questions distinguish procedures that are grouped under the same term.

Target tissue

Where should the preparation be delivered?

Dermis, subcutis, joint space, tendon, enthesis, mucosa or a surgical defect require different approaches. A technique therefore cannot be meaningfully defined by “PRP” alone.

Preparation

What is being applied?

Anticoagulated liquid PRP and i-PRF are different autologous blood products. Preparation protocols, fibrin formation and resulting material properties cannot simply be transferred from one to the other.5 Technical handling therefore depends not only on the target tissue but also on the preparation.

Guidance

How is the target controlled?

Superficial microinjections are usually visually guided. Deep joint, tendon or perineural procedures may benefit from ultrasound or other imaging. Greater targeting accuracy does not automatically mean a better clinical outcome.

The technical chain from centrifuge to follow-up assessment

RCF, rotor radius, run time and tube system determine the resulting cell and plasma fraction. RPM alone cannot be transferred between centrifuges.

  • RCF
  • Rotorradius
  • Laufzeit
  • Tube system
Continue to Chapter 4

Chapter 2

Interactive technique atlas

The terminology is not always used consistently in the literature. The atlas therefore shows the principle of material distribution – not a prescribed depth or dose.

Schematic representation of the selected application technique
Gold shows the preparation, dark shows the needle. Schematic, without depth or volume specifications.

Papula / Mikrodepots

Many small, defined depots in superficial tissue layers.

Verteilung
punktuell, viele kleine Depots
Target, schematic
Superficial layers
Typischer Kontext
Dermatology, face and neck, scalp. Published protocols are heterogeneous in depth and volume.
All seven patterns at a glance
TechniqueVerteilungsprinzipTarget, schematicTypischer Kontext
punktuell, viele kleine DepotsSuperficial layersDermatology, face and neck, scalp
Broad-area, serialSuperficial layersDermatology and aesthetic medicine
entlang eines KanalsDependent on target layer and preparationAesthetic and reconstructive concepts
multiple tracks from one entry pointBroad-area, preparation-dependentViscous materials
One concentrated depotDependent on indication and preparationAcross specialties
mehrere NadelpassagenTendon, enthesisOrthopaedics and sports medicine
In the joint spaceJoint spaceOrthopaedics, landmark- or image-guided

Chapter 3

PRP application by medical specialty

Use the filter to view individual areas. The classification describes published procedures, not “the right technique” for a patient.

Which application forms are described in which specialty? Select a row to display that specialty individually below. An empty field means “not described in this article”, not “excluded”.
Specialty Intradermal, microinjection Microneedling, topisch Linear, fanning, depot Joint, tendon, enthesis Local, peri- or intralesional Fibrinmatrix, chirurgisch
beschriebenbeschriebenDescribed depending on preparationNot describedNot describedNot described
beschriebenbeschriebenbeschriebenNot describedNot describedNot described
Not describedNot describedNot describedbeschriebenNot describedNot described
Not describedNot describedNot describedNot describedbeschriebenbeschrieben
Not describedNot describedNot describedNot describedbeschriebenNot described
Not describedbeschriebenNot describedNot describedbeschriebenbeschrieben

Described in this articleDescribed depending on the preparation

Dermatology & aesthetic medicine

heterogen

Clinical studies of facial rejuvenation use injected PRP as well as PRP combined with microneedling; application technique and dose differ considerably between studies.1 Terms such as papule, point-by-point or nappage describe technical distribution patterns, but not a uniformly validated PRP protocol.

  • Superficial: Microdepots, point-by-point and nappage are described as distribution principles.
  • Broad-area: Microneedling can be combined with topical PRP application.
  • Deeper or more viscous: Linear, fanning or depot-type concepts depend on the preparation; direct PRP comparative data are limited.
  • Besonderheit Gesicht: Vascular anatomy and complication management are central safety factors.
Evidence base
2025 systematic review: nine clinical studies and two observational studies; relevant heterogeneity in application and dose.1
Standardisierung
Low – technical terms are widely used but not validated as a universal PRP scheme

Trichology / scalp

direkte PRP-RCTs

Randomised studies describe different application planes on the scalp: intradermal injection, subdermal depots and microneedle delivery. These differences illustrate why “hair PRP” is not technically a single uniform procedure.2, 19, 3

  • Intradermal: In a placebo-controlled split-scalp RCT with 35 participants, hair density increased on both sides; there was no significant difference between the PRP and saline sides.2
  • Subdermal: A randomised study in 30 women used subdermal PRP injections and reported differences versus placebo in photographic assessment, hair density and hair calibre.19
  • Microneedle-Delivery: A split-scalp RCT published in 2025 with 20 participants found no significant differences in hair parameters after six months compared with intradermal injection; the microneedle side was rated as less painful.3
  • Trichoscopy and standardised photography are used in studies for objective follow-up assessment.
Evidence base
Direct randomised PRP studies of different application routes
Standardisierung
Still low – no universally validated depth, grid density or depot size

Orthopaedics & sports medicine

breite PRP-Literatur

Here, anatomy has a particularly strong influence on the technique: intra-articular, peritendinous, intratendinous or targeted at the Enthese. Imaging can improve target control, but a better clinical PRP outcome does not automatically follow.

  • Joint: Intra-articular application
  • Tendon: Intratendinous depot or peritendinous placement
  • Enthese: Peppering or fenestration with multiple needle passes has explicitly been used as part of the intervention in PRP studies.21
  • Methodische Besonderheit: With fenestration, the mechanical puncture is itself part of the intervention; needling and PRP effects may therefore overlap.
  • Bildgebung: A randomised comparison in lateral epicondylitis found no significant outcome difference between ultrasound- and palpation-guided PRP injection at 1, 3 and 6 months.13
Evidence base
Broad, but heterogeneous in PRP preparation, dose, concomitant needling and guidance
Standardisierung
Indication-dependent – technical precision and clinical outcome must be considered separately

Dentistry, maxillofacial & oral surgery

PRP and PRF

In dentistry, the topic does not end with injection. Liquid i-PRF, PRF clots and membranes extend application to matrix-based concepts.4, 5

  • Liquid PRF variants for local application
  • PRF clot and PRF membrane as a fibrin matrix
  • „Sticky Bone“: Combination of fibrin-based autologous preparations with particulate augmentation material; a specific systematic review is available on this topic.20
  • Direct placement in the surgical defect instead of classic microinjection
Evidence base
2025 umbrella review with 40 systematic reviews; at the same time, a need for further high-quality RCTs.4
Standardisierung
Highly dependent on indication and the PRP/PRF form used

Gynaecology & urology

Not yet standardised

Published applications range from periurethral or urethra-adjacent injections for stress urinary incontinence to vulvovaginal PRP injections. Protocols differ considerably.

  • Stressinkontinenz: Injectable PRP protocols have been investigated in randomised and quasi-experimental studies.6
  • Vulvovaginal applications: A systematic review describes clearly varying methods and applications.7
  • No universal injection scheme can be derived from the current literature.
Evidence base
2026 meta-analysis on stress urinary incontinence: eight studies, including three RCTs and five quasi-experimental studies, with a total of 257 women.6
Standardisierung
Insufficient – larger standardised RCTs with longer follow-up are required

Wound care & regenerative surgery

Materialform entscheidend

The wound-care literature describes injected, perilesional and topically applied PRP procedures. Meta-analyses also show marked heterogeneity by wound aetiology, application form and follow-up.22

  • Peri- or intralesional application
  • Topical PRP application
  • Fibrin-rich matrix and covering concepts
  • Surgical placement in defect areas
Evidence base
Systematic reviews and meta-analyses, but highly dependent on wound type and comparator therapy.22
Standardisierung
Low – wound data should not be generalised to other PRP indications

Chapter 4

Preparation and injection cannot be separated

A common misconception is to consider application only after centrifugation. In fact, preparation helps determine which material is subsequently available and in what form.

Five variables between centrifuge and needle
VariableWhy it matters for applicationWhat cannot be inferred from it
RCF, Rotor, LaufzeitInfluence the resulting cell and plasma fraction. RPM alone cannot be transferred between centrifuges.No direct statement about clinical efficacy.
VolumenTogether with concentration, determines the absolute platelet dose; this is precisely the parameter included in the DEPA reporting approach.16“More volume = better” is not a universal rule.
LeukozytenanteilIs an important characteristic of PRP composition and should be recorded separately in reporting.16A current Network-Meta-Analyse from 2026 found in Knie-OA no significant direct efficacy difference between LP-PRP and L-PRP.8
Gerinnung, FibrinWith PRF, the time window until clotting is part of the handling.PRF protocols are not automatically transferable between systems.
ViscosityInfluences flow, required injection force and suitable application patterns.A particular gauge is not universally “optimal”.

Absolute platelet dose: report it better rather than optimise too quickly

Concentration alone describes a PRP application incompletely. The DEPA classification defines the administered platelet dose as concentration × volume, thereby making the absolute cell count a reporting parameter.16 A randomised dose study in early knee osteoarthritis compared 4 and 8 mL of the same leukocyte-poor PRP – averaging about 2.82 versus 5.65 billion administered platelets – and found better 6-month results in the higher-dose group, but also more short-term pain and stiffness.9 No universal target threshold can be derived from this.

Calculation aid for documentation

Calculate absolute platelet count

× 10³/µL
mL
× 10³/µL
Load study values:

Administered platelets

2,83Milliarden

Anreicherungsfaktor: Vollblutwert eintragen

  • Study arms 4 and 8 mL, reported means 2.82 and 5.65 billion9
  • Frequently cited “10-billion threshold” – not an established standard

4 mL PRP with 706.74 × 10³ platelets/µL = 2.83 × 10⁹ administered platelets.

Calculation aid for documentation and reporting, not a dose recommendation. Calculation: concentration (× 10³/µL) × volume (mL) ÷ 1,000 = billions of platelets.

Important: The frequently discussed “10-billion threshold” is not a generally established therapeutic standard. A 2026 meta-analysis of 32 knee-OA trials found indications that 1–10 billion administered platelets may be at least as relevant as >10 billion for individual endpoints. The absolute platelet count is therefore an important reporting and research variable, but not a universal dosing instruction.18

Fine needles and platelets: what has actually been studied

In-vitro data argue against the blanket claim that fine needles inevitably “destroy” PRP. In the study by Bausset et al., passage through a 30G × 13-mm needle showed no significant additional P-Selectinactivation compared with untreated PRP (3.80% vs. 3.37%; p = 0.41).10 A separate 2025 laboratory study compared needle-free delivery with 26G, 27G, 30G and 33G and found no significant difference in the platelet concentration measured afterwards.17 However, this 33G study did not investigate the same functional and activation parameters as Bausset.

30G

Direct PRP laboratory study

Activation directly assessed

For passage through 30G × 13 mm, P-selectin was compared directly with untreated PRP; the difference was not significant.10

bis 33G

Neuere In-vitro-Daten

Konzentration untersucht

The 2025 study found no significant difference in measured platelet concentration between needle-free, 26G, 27G, 30G and 33G delivery.17 This is not a complete functional assessment for 33G.

Practice

Flow physics

Physik bleibt relevant

The smaller the internal lumen and the longer the needle, the greater the flow resistance. Syringe size, preparation viscosity and desired flow rate also play a role.

Physik-Modell zum Ausprobieren

Why internal diameter matters so much

Flow resistance
1,0-fold
Flow rate at the same pressure
100%

Hagen–Poiseuille: resistance ∝ viscosity × length ÷ radius4. Halving the internal diameter results in 16-fold resistance.

Idealised model for laminar flow of a Newtonian fluid in a rigid tube, relative to the baseline value. Real needles differ by wall thickness and manufacturer; specific dimensions are provided by the KIPIC needle-size explorer in the Wissen & Tools.

Chapter 5

Imaging: targeting accuracy is not the same as efficacy

Ultrasound can significantly improve anatomical targeting accuracy. The specific values 95,8 % versus 77,8 % come from the 2012 review by Berkoff, Miller and Block and are not PRP-specific.11 A systematic review published in January 2026 found cumulative values of 95,4 % (356/373) versus 82,0 % (268/327) for ultrasound- versus landmark-guided knee injections and aspirations.12

How many punctures reach the joint space? Each square represents 1% of punctures: filled means on target, empty means off target.

Ultrasound-guided

95,4 %

356 of 373 on target

Landmark-guided

82,0 %

268 of 327 on target

Calculated per 100 punctures, around 5 miss the target with ultrasound versus around 18 with landmark guidance.

Kasitinon et al. 2026, systematic review of knee injections and aspirations.12 These accuracy data are not PRP-specific.

This makes the direct PRP comparison particularly interesting: in a randomised study of 60 patients with chronic lateral epicondylitis, both palpation- and ultrasound-guided PRP groups improved; at 1, 3 and 6 months there was no significant difference in pain, DASH or grip strength.13

“Where is the needle?”

Ultrasound helps measurably. Higher targeting accuracy at the knee in reviews and systematic reviews.11, 12, 14

„Wirkt PRP deshalb besser?“

  1. 1 monthNo significant difference
  2. 3 monthsNo significant difference
  3. 6 monthsNo significant difference

Not automatically. Lateral epicondylitis, 60 patients: both groups improved, with no between-group difference in pain, DASH or grip strength.13

Praktische Lesart: Ultrasound answers the question “Where is the needle?” very well. The question “Does PRP therefore work better clinically?” must be investigated separately for each indication.

Which imaging method fits which context?

Guides the needle

Ultrasound

Joints, tendons, entheses, effusions and deep soft-tissue structures. Doppler can also visualise vascular structures or neovascularisation.

Objectifies follow-up

Trichoskopie

Important in scalp studies for standardised follow-up assessment of hair density and hair parameters. It does not guide the injection but objectifies follow-up.

Dokumentiert

Photography and documentation

Essential in dermatology and aesthetic medicine, but meaningfully comparable only with standardised lighting, angle and camera settings.

Chapter 6

Safety: particularly relevant for the face and vascular-rich regions

10 published cases of unilateral visual impairment after PRP injections from seven publications, identified in a 2026 systematic review15

9 of 10 cases followed facial treatments; six involved the glabella and four the forehead. In nine cases, visual loss occurred immediately and was painful.15

1 Fall followed a scalp PRP treatment. The review describes two delayed or partial cases with recovery after corticosteroid therapy.15

Case reports do not allow conclusions about absolute incidence. They do show, however, that “autologous” is not synonymous with “risk-free”. In vascular-rich facial regions, anatomical knowledge, qualification and complication management are central. The systematic review describes therapeutic options for ophthalmic vascular occlusion as limited; a PRP-specific dissolution treatment analogous to hyaluronidase for hyaluronic-acid fillers has not been established.15

Redaktionelle Konsequenz: This article deliberately omits millimetre-precise injection points, angles or step-by-step instructions for high-risk regions. Its informational value lies in classifying the procedures – not in providing remote instructions for invasive techniques.

Chapter 7

Evidence matrix: What do we know directly – and what only indirectly?

A key quality distinction in PRP content is not to mix direct PRP data with general injection research or practical knowledge. The matrix can be filtered accordingly by evidence level.

6 of 6 findings displayed

Evidence matrix for PRP application techniques
FrageAktueller BefundEvidence level
Does a 30G needle measurably activate PRP?In the laboratory study, P-selectin activation after passage through 30G × 13 mm was not significantly higher than in untreated PRP.10direkt PRP
Is ultrasound always clinically better for PRP?No. In lateral epicondylitis, a randomised PRP comparison found no significant outcome difference between ultrasound- and palpation-guided injection.13direkt PRP
Does ultrasound improve targeting accuracy?For knee injections, the 2012 review, the 2021 Level-I review and the 2026 systematic review all show higher anatomical accuracy; these data are not PRP-specific.11, 14, 12indirekt
LP-PRP or L-PRP in Knie-OA?A 2026 network meta-analysis of 21 RCTs with 2,254 patients found no significant direct efficacy difference. Temporary local reactions were reported more often with L-PRP, but the safety data were inconsistent.8direkt PRP
Is there an optimal absolute dose?Absolute dose is a useful reporting variable. Dose-response signals exist in knee OA, but no universal threshold has been established.16, 9, 18direkt PRP
When should papule, nappage, linear or bolus techniques be used?The terms describe different distribution patterns. Choice depends on target layer, preparation and clinical indication; standardised comparative data are often lacking.Practice, technique

Chapter 8

Why there is no universal PRP injection protocol gibt

Variable 1

Andere Biologie

Platelet count, leukocytes, plasma fraction, activation and fibrin formation vary by system and protocol.

Variable 2

Andere Anatomie

A scalp microinjection cannot technically be transferred to a tendon, joint space or periurethral tissue.

Variable 3

Different evidence

Even within a specialty, studies differ in preparation, volume, number of applications and endpoints.

Konsequenz

Reporting statt starres Protokoll

PRP application becomes comparable only when the entire chain from preparation to image guidance is documented.

The more useful standard is therefore not a rigid “PRP protocol”, but sauberes Reporting: How was the blood product prepared? What was applied? Into which target tissue? Using which technique and image guidance? Only then can studies, results and clinical experience be meaningfully compared.

Checklist for your own documentation

Five details that make an application comparable

0 of 5 documented

Chapter 9

Frequently asked questions

Is the thinnest possible needle always better for PRP?
No. Fine gauges may be technically useful for small superficial depots, but they increase flow resistance. Target tissue, internal lumen, length, viscosity, syringe and desired flow rate are all relevant. “Thinner = better” is not a scientific rule.
Is ultrasound necessary for every PRP injection notwendig?
No. Its benefit depends on the anatomical target. For deep joints, tendons or difficult-to-palpate structures, ultrasound can improve target control. Superficial intradermal techniques are a different context. An overall additional clinical benefit specifically for PRP has not been demonstrated for every indication.13
Can PRP, i-PRF and PRF-Membranen be considered the same application procedure?
No. PRP and i-PRF differ in preparation and material behaviour; i-PRF is prepared without anticoagulant and changes as fibrin formation begins. Systematic reviews also show that preparation protocols and comparability remain heterogeneous.5 PRF membranes and sticky-bone concepts are matrix-based surgical applications and not classic microinjections.20
Is leukocyte-poor PRP demonstrably superior in joints?
Not as a general rule. A 2026 network meta-analysis of 21 RCTs with 2,254 patients found no significant efficacy difference in direct comparison between leukocyte-poor and leukocyte-rich PRP. The authors currently see insufficient evidence to generally prefer one formulation.8
What role does syringe size play?
Smaller syringes can allow finer manual control with small volumes and generate higher fluid pressure at the same plunger force because of the smaller cross-section. The specific effect depends on the actual syringe design. Therefore, blanket “x-fold” claims should not be made without product-specific dimensions.

Chapter 10

Selected references and methodological notes

The editorial team used practical materials only for terminology and visualisation of application patterns. Medical statements in the article were checked against peer-reviewed literature and current systematic reviews.

B1-Quellencheck: Practical materials were used only for terminology and visualisation of application patterns. Numerical values and medical statements in the evidence sections were checked against original studies, randomised trials or current systematic reviews. Direct PRP evidence is separated from general injection and imaging evidence.

Reference profile 22 references: systematic evidence, randomised studies, direct laboratory studies and a reporting/classification approach
  • Systematische Reviews / Meta-Analysen / Umbrella-Reviews 12
  • Randomised studies 5
  • Methods comparison 1
  • Review 1
  • Laboratory studies 2
  • Klassifikation / Reporting 1
  1. 1
    Systematische ReviewRodríguez-Castro MJ, Cortés-Rodríguez AE. Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review. Enferm Clin (Engl Ed). 2025;35(5):502161. DOI: 10.1016/j.enfcle.2025.502161. PubMed
  2. 2
    Randomised studyShapiro J, Ho A, Sukhdeo K, Yin L, Lo Sicco K. Evaluation of platelet-rich plasma as a treatment for androgenetic alopecia: A randomized controlled trial. J Am Acad Dermatol. 2020;83(5):1298–1303. DOI: 10.1016/j.jaad.2020.07.006. PubMed
  3. 3
    Methods comparisonLu P, Liao M, Qiu X, et al. Platelet-rich plasma for androgenetic alopecia: intradermal injection or microneedle delivery? J Cosmet Laser Ther. 2025;27(3):53–63. DOI: 10.1080/14764172.2025.2488980. PubMed
  4. 4
    Umbrella-ReviewAcerra A, Caggiano M, Chiacchio A, Scognamiglio B, D'Ambrosio F. PRF and PRP in Dentistry: An Umbrella Review. J Clin Med. 2025;14(9):3224. DOI: 10.3390/jcm14093224. PubMed
  5. 5
    Systematische ReviewFarshidfar N, Amiri MA, Estrin NE, et al. Platelet-rich plasma (PRP) versus injectable platelet-rich fibrin (i-PRF): A systematic review across all fields of medicine. Periodontol 2000. 2025;99(1):185–215. DOI: 10.1111/prd.12626. PubMed
  6. 6
    Systematische Review & Meta-AnalyseUtama BI, Al Birru AB, Cuandra KN, et al. Therapeutic efficacy and safety of injectable platelet-rich plasma in women with stress urinary incontinence: a systematic review and meta-analysis. Front Med. 2026;13:1728478. DOI: 10.3389/fmed.2026.1728478. PubMed
  7. 7
    Systematische ReviewDe Ponte A, Cabrera S, Bermúdez Sparice SS, Baulies S, Rodríguez I. Platelet-rich plasma in the management of vulvovaginal disorders: a systematic review. J Sex Med. 2026;23(1):qdaf307. DOI: 10.1093/jsxmed/qdaf307. PubMed
  8. 8
    Network-Meta-AnalyseXu B, Huang X, Su X, et al. Leukocyte-rich versus leukocyte-poor platelet-rich plasma and hyaluronic acid for knee osteoarthritis: a systematic review and network meta-analysis. J Orthop Surg Res. 2026;21:222. DOI: 10.1186/s13018-026-06689-4. PubMed
  9. 9
    Randomised studyPatel S et al. Comparison of Conventional Dose Versus Superdose Platelet-Rich Plasma for Knee Osteoarthritis: A Prospective, Triple-Blind, Randomized Clinical Trial. Orthop J Sports Med. 2024;12(2):23259671241227863. PubMed
  10. 10
    Laboratory studyBausset O, Giraudo L, Veran J, et al. Impact of local anaesthetics and needle calibres used for painless PRP injections on platelet functionality. Muscles Ligaments Tendons J. 2014;4(1):18–23. PMID: 24932442. PubMed
  11. 11
    ReviewBerkoff DJ, Miller LE, Block JE. Clinical utility of ultrasound guidance for intra-articular knee injections: a review. Clin Interv Aging. 2012;7:89–95. DOI: 10.2147/CIA.S29265. PubMed
  12. 12
    Systematische ReviewKasitinon D, Williams R, Peraka V, Özçakar L, Jain NB. Accuracy and Efficacy of Intra-articular Knee Injections/Aspirations Under Ultrasound Versus Landmark Guidance: A Systematic Review. Am J Phys Med Rehabil. 2026;105(1):1–11. DOI: 10.1097/PHM.0000000000002803. PubMed
  13. 13
    Randomised studySağlam G, Çetinkaya Alişar D. Ultrasound-guided versus palpation-guided platelet-rich plasma injection for the treatment of chronic lateral epicondylitis: A prospective, randomized study. Arch Rheumatol. 2023;38(1):67–74. PMID: 37235119. PubMed
  14. 14
    Systematische ReviewFang WH et al. Ultrasound-Guided Knee Injections Are More Accurate Than Blind Injections: A Systematic Review of Randomized Controlled Trials. Arthrosc Sports Med Rehabil. 2021. PMID: 34430899. PubMed
  15. 15
    Systematische ReviewEbrahimzade M, et al. Ophthalmic Vascular Occlusion and Blindness After Platelet-Rich Plasma Injections: A Systematic Review. J Cosmet Dermatol. 2026;25:e70918. DOI: 10.1111/jocd.70918. DOI
  16. 16
    Klassifikation / ReportingMagalon J, Chateau AL, Bertrand B, et al. DEPA classification: a proposal for standardising PRP use and a retrospective application of available devices. BMJ Open Sport Exerc Med. 2016;2:e000060. DOI: 10.1136/bmjsem-2015-000060. PubMed
  17. 17
    Laboratory studyYıldız I, Görgü M, Karanfil E, Yoldas H. The Effect of Needle Diameter on Platelet Concentrations in Platelet-rich Plasma Injections. Turkish Journal of Plastic Surgery. 2025;33(1):17–23. DOI: 10.4103/tjps.tjps_4_24. DOI
  18. 18
    Systematische Review & Meta-AnalyseHooper N, Shapiro S, Paidsetty V, et al. Platelet-rich plasma outcomes in knee osteoarthritis are associated with the amount of total deliverable platelets: A systematic review and meta-analysis. PM&R. 2026;18(2):210–222. DOI: 10.1002/pmrj.13455. PubMed
  19. 19
    Randomised studyDubin DP, Lin MJ, Leight HM, et al. The effect of platelet-rich plasma on female androgenetic alopecia: A randomized controlled trial. J Am Acad Dermatol. 2020;83(5):1294–1297. DOI: 10.1016/j.jaad.2020.06.1021. PubMed
  20. 20
    Systematische ReviewSareen V, Santhi K, Saxena I, et al. Role of Sticky Bone in the Management of Various Alveolar Bone Defects: A Systematic Review. Cureus. 2024;16(7):e63561. DOI: 10.7759/cureus.63561. PubMed
  21. 21
    Randomised studyPeerbooms JC, Sluimer J, Bruijn DJ, Gosens T. Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: PRP versus corticosteroid injection with a 1-year follow-up. Am J Sports Med. 2010;38(2):255–262. DOI: 10.1177/0363546509355445. PubMed
  22. 22
    Systematische Review & Meta-AnalysePlatelet-Rich Plasma in Chronic Wound Management: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Clin Med. 2022;11(24):7532. PMC

Editorial status: 17 September 2026

This article is intended for medical professionals. It describes scientific and technical relationships and does not contain patient-specific diagnostic or treatment recommendations. Relevant requirements include professional qualification, individual indication, current guidelines, manufacturer information, product intended purposes and applicable law.

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