Viscosupplementation for Hip Osteoarthritis: A Systematic Review and Meta-Analysis of the Efficacy on Pain and Disability, and the Occurrence of Adverse Events

Leite, Victor Figueiredo; Amadera, João Eduardo Daud; Buehler, Anna Maria

doi:10.1016/j.apmr.2017.07.010

Cited by 41 publications

(26 citation statements)

References 32 publications

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“…92 Evidence for its use in hip OA is more mixed, and although several trials have shown some benefit, a recent meta-analysis of eight randomized controlled trials showed little evidence of benefit over placebo at 3 months, with no evidence of benefit at 6 months. 93 There is a relative paucity of evidence for the use of HA in elbow OA, with a single case series reporting some benefit at 3 months. 94 HA did show positive results, however, in a randomized controlled trial for the treatment of lateral epicondylitis.…”

Section: Viscosupplementationmentioning

confidence: 99%

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

Walsh

Farrell

Hynes

et al. 2018

Semin Musculoskelet Radiol

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Over the last several decades, the volume and range of therapeutic musculoskeletal (MSK) interventions that radiologists can offer their patients has dramatically increased. With new materials and improving imaging modalities, as well as significant investment in research, the field of MSK interventional radiologic intervention will likely continue to expand. In this article, we summarize the range of interventions currently available to the MSK radiologist. We also seek to explore new and emerging techniques that may become commonplace in the near future while considering the challenges that may lie ahead in the field of MSK radiology.

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Section: Viscosupplementationmentioning

confidence: 99%

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

Walsh

Farrell

Hynes

et al. 2018

Semin Musculoskelet Radiol

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“…There was no difference at 1 month between steroid injection and viscosupplementation. 15 It is, therefore, difficult to justify the cost of viscosupplementation in the hip with the current available evidence. Regenerative therapies such as platelet-rich plasma or adipose mesenchymal stem cells have also been used.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

Hip Cartilage Restoration: Available Evidence and Current Trends

Collins

2018

J Hip Surg

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Treatment of cartilage pathology is controversial. In the hip, it is even more so as identification and treatment of early cartilage disease are relatively new and little evidence exists. With the advent and more widespread use of hip arthroscopy, easier access to the hip joint is available, and adequate treatment is possible with less morbidity. Many treatment options exist for cartilage lesions including nonoperative treatment, debridement, microfracture, acetabuloplasty, cartilage fixation, cartilage scaffolds, autologous chondrocyte implantation, and osteochondral grafting. While far from definitive, the current evidence suggests that smaller cartilage lesions (< 4 cm2) have good results with most treatments while larger lesions fare better with treatments that produce hyaline-like cartilage. The most cost-effective arthroscopic treatments of smaller cartilage lesions include acetabuloplasty and microfracture, while larger lesions should be considered for autologous matrix-induced chondrogenesis or matrix-assisted autologous chondrocyte implantation. Larger cartilage lesions with bone disease are more adequately treated with open procedures such as osteochondral grafting or total hip arthroplasty.

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“…Leite и соавт. [67] выполнили метаанализ 11 РКИ (n=807), в 4 из которых ГлК сравнивалась с плацебо, в 3 -с ГК, еще в 3 -с ОТП и в 1 -с местным анестетиком (мепивакаин). В некоторых РКИ предусматривались 3 исследуемые группы (например, ГлК, ОТП и плацебо).…”

Section: рис 1 механизм действия экзогенной глкunclassified

Hyaluronic acid preparations in the treatment of osteoarthritis: is it clear to us?

Каратеев¹,

Погожева²,

Амирджанова³

et al. 2018

RJTAO

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Osteoarthritis (OA) is a progressive joint disease that causes persistent pain, limited joint function, disability, and loss of social activity. One of the most popular OA treatment options is intra-articular (I/A) hyaluronic acid (HA) injections. This procedure was introduced into clinical practice in the early 1980s and is used universally. To date, there is no consensus on the therapeutic value of HA. Many investigations confirm that HA is effective as not only a symptomatic agent, but also a structure-modifying one. Some works also show that the effect of HA is equal or only slightly superior to that of placebo (I/A saline injection). The review describes the mechanism of action and comparative efficacy of various (lowand high-molecular weight) HA preparations, as well as the safety of their use in real clinical practice.

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Viscosupplementation for Hip Osteoarthritis: A Systematic Review and Meta-Analysis of the Efficacy on Pain and Disability, and the Occurrence of Adverse Events

Cited by 41 publications

References 32 publications

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

Hip Cartilage Restoration: Available Evidence and Current Trends

Hyaluronic acid preparations in the treatment of osteoarthritis: is it clear to us?

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