Title |
Effectiveness of intra-articular injections of sodium hyaluronate-chondroitin sulfate in knee osteoarthritis: a multicenter prospective study
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Published in |
Journal of Orthopaedics and Traumatology, November 2015
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DOI | 10.1007/s10195-015-0388-1 |
Pubmed ID | |
Authors |
Fabrizio Rivera, Luca Bertignone, Giancarlo Grandi, Roberto Camisassa, Guido Comaschi, Diego Trentini, Marco Zanone, Giuseppe Teppex, Gabriele Vasario, Giorgio Fortina |
Abstract |
Intra-articular injection of hyaluronic acid is a well-established therapy for the treatment of knee osteoarthritis. The aim of the study was to assess the effectiveness and safety of the use of Arthrum HCS(®) (40 mg hyaluronic acid and 40 mg chondroitin sulfate in 2 mL). This was an open, multicenter, prospective study. Men or women over 40 years of age with documented knee osteoarthritis and WOMAC subscore A (severity of pain) ≥25 were enrolled. They received three weekly intra-articular injections of sodium hyaluronate 2 % and chondroitin sulfate 2 % in combination. WOMAC subscore A was assessed at 1, 3 and 6 months after the last injection. One hundred and twelve patients were included (women, 66 %). The mean (SD) WOMAC subscore A decreased from 52.1 (15.2) at inclusion to 20.5 (19.7) at month 6 (P < 0.0001). The mean subscore was already significantly decreased 1 month after the last injection at 25.7 (P < 0.0001). Pain relief and consumption of analgesic drugs, both assessed with visual analogic scale (VAS), consistently decreased. The investigators were satisfied/very satisfied as regards the therapeutic effectiveness of sodium hyaluronate-chondroitin sulfate in reducing pain (77 %), improving mobility (78 %) and reducing the consumption of analgesics (74 %). Only one adverse effect was reported by one patient (knee tumefaction). These results suggest that intra-articular injections of Arthrum HCS(®) (sodium hyaluronate plus chondroitin sulfate) in patients with knee osteoarthritis are efficient and safe. These results should be confirmed in a randomized controlled study. IV. |
X Demographics
Geographical breakdown
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United States | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 33% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
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United Kingdom | 1 | <1% |
Unknown | 109 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 19 | 17% |
Researcher | 12 | 11% |
Student > Bachelor | 12 | 11% |
Student > Postgraduate | 5 | 5% |
Student > Doctoral Student | 5 | 5% |
Other | 15 | 14% |
Unknown | 42 | 38% |
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Biochemistry, Genetics and Molecular Biology | 4 | 4% |
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Agricultural and Biological Sciences | 3 | 3% |
Other | 11 | 10% |
Unknown | 46 | 42% |