The mid-term efficacy of intra-articular hyaluronic acid injections on joint structure: a nested case control study.

Abstract:

OBJECTIVE:Intra-articular (IA) injection of hyaluronic acid (HA) has been shown to relieve osteoarthritis (OA)-related pain and improve joint structure within a 1-year period. We examined the mid-term (2-year) efficacy of IA-HA in Japanese subjects by using a large-scale population-based cohort of the Research on Osteoarthritis/Osteoporosis Against Disability study. METHODS:We performed a nested case control study of 60 case control pairs matched for age (within 1 year), sex, Kellgren and Lawrence grade, and history of knee pain. The mean follow-up period after IA-HA series was 2.9 years in case patients. We examined the association of IA-HA with knee radiographic severity and knee pain. To estimate radiographic severity of OA, six distinct features--joint space area and the minimum joint space width at medial and lateral sides, osteophyte area, and tibiofemoral angle--were measured using a fully automatic computer-assisted program. RESULTS:Comparison of the radiographic parameters between case patients and controls showed that the medial and lateral joint space areas were significantly bigger in case patients than in controls. After constructing a multivariate logistic regression model to examine the correlation of knee pain, IA-HA, and radiographic features, we found that unlike radiographic features, IA-HA was protectively associated with the presence of pain. CONCLUSION:IA-HA might effectively improve joint structure and relieve pain in patients with knee OA.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Oka H,Akune T,Muraki S,Tanaka S,Kawaguchi H,Nakamura K,Yoshimura N

doi

10.1007/s10165-012-0725-7

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

722-8

issue

4

eissn

1439-7595

issn

1439-7609

journal_volume

23

pub_type

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