Intra-articular hylastan versus steroid for knee osteoarthritis

Housman, Lawrence R; Arden, N K; Schnitzer, Thomas J.; Birbara, C.; Conrozier, Thierry; Skrepnik, Nebojša; Wei, Nathan; Bockow, Barry; Waddell, David D.; Tahir, Hasan; Hammond, Anthony; Goupille, Philippe; Sanson, Bernd Jan; Elkins, Clare; Bailleul, François

doi:10.1007/s00167-013-2438-7

Cited by 38 publications

(30 citation statements)

References 32 publications

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“…Sodium hyaluronate injection is widely used in orthopedic treatment, especially in the knee joint (21,22). The results of arthrocentesis with additional injections (such as corticosteroids, visco-supplementation, or platelet-rich plasma) have varied greatly in patients with TMJ disorders, and no consensus has been reached regarding the most effective treatment (4,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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This study evaluated the long-term effectiveness of intra-articular temporomandibular joint arthrocentesis for patients with osteoarthritis and compared arthrocentesis/lavage alone with arthrocentesis/lavage and injected hyaluronic acid. Forty patients met the inclusion criteria, and 37 completed long-term follow-up (approximately 4 years). The patients were randomly allocated to two groups: arthrocentesis with lavage alone (A-group, n = 17) or combined with hyaluronic acid treatment (AS-group, n = 20). Standard two-needle arthrocentesis was performed. Pain and joint sounds were measured at baseline and approximately 4 years after treatment. Reported pain, as indicated by visual analogue scale (VAS) score, significantly decreased from baseline to the final follow-up examination in both groups. Mean VAS score decreased from 64 to 16 (P < 0.001) in the A-group and from 63 to 25 (P < 0.001) in the AS-group. Average maximum incisor opening increased significantly in both groups but did not significantly differ between groups (P = 0.223). Joint sounds did not significantly improve within groups (A-group, P = 0.495; AS-group, P = 0.236). Both methods resulted in significant long-term improvements in pain and jaw function.

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Section: Discussionmentioning

confidence: 99%

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

et al. 2019

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“…The most common side effect was arthralgia, swelling and stiffness that occurred in equivalent percentages in each treatment and control group. One study had a significant difference23 in arthralgia of 17% in HA and 3.2% in IAS with resolution symptoms within 2–3 weeks. The other studies did not demonstrate a difference between HA and control in treatment-related adverse events (table 4).…”

Section: Resultsmentioning

confidence: 98%

AMSSM scientific statement concerning viscosupplementation injections for knee osteoarthritis: importance for individual patient outcomes

Trojian¹,

Concoff

Joy

et al. 2016

Br J Sports Med

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Osteoarthritis (OA) is a disabling disease that produces severe morbidity reducing physical activity. Our position statement on treatment of knee OA with viscosupplementation injection (hyaluronic acid, HA) versus steroid (intra-articular corticosteroids, IAS) and placebo (intra-articular placebo, IAP) is based on the evaluation of treatment effect by examining the number of participants within a treatment arm who met the Outcome Measures in Rheumatoid Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) criteria, which is different and more relevant than methods used in other reviews which examined if the average change across the treatment groups were clinically different. We performed a systematic literature search for all relevant articles from 1960 to August 2014 in the MEDLINE, EMBASE and Cochrane CENTRAL. We performed a network meta-analysis (NMA) of the relevant literature to determine if there is a benefit from HA as compared with IAS and IAP. 11 papers met the inclusion criteria from the search strategy. On NMA, those participants receiving HA were 15% and 11% more likely to respond to treatment by OMERACT-OARSI criteria than those receiving IAS or IAP, respectively (p<0.05 for both). In the light of the aforementioned results of our NMA, the American Medical Society for Sport Medicine recommends the use of HA for the appropriate patients with knee OA.

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“…Prior to surgery, knee arthritis symptoms can be ameliorated via methods such as exercise, physical therapy, ambulatory assist devices, NSAIDs, and intra-articular injections [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Exercise therapy was found to improve pain levels by 34%, while the new AAOS guidelines for treatment of knee OA no longer supports intra-articular hyaluronic acid injections, as they believe the studies supporting hyaluronic acid to be publication-biased, and that the results were not clinically significant [6,22,25,26].…”

Section: Discussionmentioning

confidence: 99%

“…A currently widely used method of alleviating knee pain nonsurgically is through intra-articular injections, including corticosteroids and hyaluronic acid [19][20][21][22][23][24][25][26][27][28]. Corticosteroids have significant pain reducing effects on patients; however, there have not been any identified predictors of response to intra-articular corticosteroid injections [19,20]. In a study by Habib et al, a hiccup reflex occurring following an intra-articular corticosteroid injection was reported, and the authors recommended avoiding corticosteroid injections if this phenomenon is known to happen in a patient [21].…”

Section: Non-surgical Treatment For Knee Arthritismentioning

confidence: 99%

Modern Trends in Total Knee Arthroplasty

Zhu

Schwarzkopf²

2013

Orthop Muscul Syst

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Knee arthritis is a common disease that causes pain and disability. Non-surgical treatments include NSAIDs, lowimpact exercise, physical therapy, ambulatory assist devices and intra-articular injections. When these treatments fail to alleviate pain and restore knee function, such as in severe cases of knee osteoarthritis, total knee arthroplasty (TKA) may be necessary. Modern TKA has evolved significantly from its first incarnation and success rates are high. Various types of implants have the potential to allow more knee flexion and improved range of motion, but current studies show high-flexion devices do not conclusively improve function. Computer-assisted navigation during surgery allows greater accuracy in alignment, but may not ultimately improve survival rate or function. Complications during TKA surgery can involve infection, pain, and blood loss; intra-articular tranexamic acid can be used to decrease blood loss, while wound drains may increase blood loss. TKA patients under regional anesthesia appear to have fewer complications than patients under general endotracheal anesthesia.

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Intra-articular hylastan versus steroid for knee osteoarthritis

Cited by 38 publications

References 32 publications

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

Long-term effectiveness of arthrocentesis with and without hyaluronic acid injection for treatment of temporomandibular joint osteoarthritis

AMSSM scientific statement concerning viscosupplementation injections for knee osteoarthritis: importance for individual patient outcomes

Modern Trends in Total Knee Arthroplasty

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