SavedAdd your journal

Journals / Ağrı / 2010 / Cilt: 22 - Sayı: 4

Floroskopik lateral yaklaşımla intraartiküler hyaluronik asit enjeksiyonunun ileri evre kalça osteoartritinde etkinliği

Efficacy of intraarticular hyaluronic acid injection through a lateral approach under fluoroscopic control for advanced hip osteoarthritis

CAN EYİGÖR
Alihan PİRİM
Sibel EYİGÖR
Meltem UYAR
Journal
Ağrı
Pages
139–144
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In conclusion, intraarticular HA injection through a lateral approach under fluoroscopic control was shown to be a safe and effective method for patients with advanced hip OA.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Hyaluronic acid (HA) is used for intraarticular treatment of hip osteoarthritis (OA).
📊
Key Findings & Data:Methods: The study included 21 patients with advanced hip OA.
💡
Conclusion & Impact:Conclusion: In conclusion, intraarticular HA injection through a lateral approach under fluoroscopic control was shown to be a safe and effective method for patients with advanced hip OA.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Hyaluronic acid (HA) is used for intraarticular treatment of hip osteoarthritis (OA). The objective of this study was to determine the efficacy of intraarticular injection of HA through a lateral approach under fluoroscopic control for advanced hip OA. Methods: The study included 21 patients with advanced hip OA. All patients received 2.5 ml HA injection once a week for 3 weeks by lateral approach under fluoroscopic control. Disability (Lequesne index), pain scores (visual analog scale-VAS) and analgesic use of patients were assessed before treatment and 1, 3 and 6 months after the treatment. Results: Lequesne index and VAS pain scores measured 1, 3 and 6 months after treatment were significantly lower compared to baseline scores (p<0.001). Although analgesic use was significantly reduced 1 and 3 months after treatment compared to baseline (p<0.05), no difference was determined in analgesic use at the 6th month (p>0.05). No side effect was observed. Conclusion: In conclusion, intraarticular HA injection through a lateral approach under fluoroscopic control was shown to be a safe and effective method for patients with advanced hip OA.

Özet

Amaç: Hyaluronik asit (HA) kalça osteoartriti (OA) tedavisinde intraartiküler olarak kullanılmaktadır. Bu çalışmanın amacı, floroskopik lateral yaklaşımla intraartiküler HA enjeksiyonunun, ileri evre kalça OA’lı hastalarda etkinliğini saptamaktır. Gereç ve Yöntem: İleri evre kalça OA’lı 21 hasta çalışmaya alındı. Tüm hastalara lateral yaklaşımla floroskopi kılavuzluğunda birer hafta ara ile 3 kez 2.5 ml HA enjeksiyonu yapıldı. Hastaların tedavi öncesi ve son enjeksiyondan sonra 1., 3. ve 6. aylarda özürlülük (Lequesne indeks), ağrı (Vizuel analog scale-VAS) skorları ve analjezik tüketimleri değerlendirildi. Bulgular: Lequesne indeksi ve VAS ağrı skorları 1., 3., ve 6. aylarda başlangıç değerlerine göre istatiksel olarak anlamlı azaldı (p 0.05). Herhangi bir yan etki gözlenmedi. Sonuç: Sonuç olarak, floroskopi eşliğinde, şiddetli kalça OA’sında lateral yaklaşımla HA enjeksiyonu etkili ve emniyetli bir uygulamadır.

🔖

Cite This Article

EYİGÖR, C., PİRİM, A., EYİGÖR, S., UYAR, M. (2010). Floroskopik lateral yaklaşımla intraartiküler hyaluronik asit enjeksiyonunun ileri evre kalça osteoartritinde etkinliği. Ağrı, Cilt: 22 - Sayı: 4, 139–144. https://ajindex.com/articles/193541

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Thomas E, Wilkie R, Peat G, Hill S, Dziedzic K, Croft P. The North Stafordshire Osteoarthritis Project--NorStOP: prospective, 3-year study of the epidemiology and management of clinical osteoarthritis in a general population of older adults. BMC Musculoskelet Disord 2004;5:2
  2. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum 2000;43(9):1905-15
  3. Ling SM, Bathon JM. Osteoarthritis in older adults. J Am Geriatr Soc 1998;46(2):216-25
  4. Pelletier JP, Martel-Pelletier J. The pathophysiology of osteoarthritis and the implication of the use of hyaluronan and hylan as therapeutic agents in viscosupplementation. J Rheumatol Suppl 1993;39:19-24
  5. Brockmeier SF, Shafer BS. Viscosupplementation therapy for osteoarthritis. Sports Med Arthrosc 2006;14(3):155-62
  6. Migliore A, Tormenta S, Martin Martin LS, Iannessi F, Massafra U, Carloni E, et al. The symptomatic efects of intraarticular administration of hylan G-F 20 on osteoarthritis of the hip: clinical data of 6 months follow-up. Clin Rheumatol 2006;25(3):389-93
  7. Tikiz C, Unlü Z, Sener A, Efe M, Tüzün C. Comparison of the efcacy of lower and higher molecular weight viscosupplementation in the treatment of hip osteoarthritis. Clin Rheumatol 2005;24(3):244-50
  8. Caglar-Yagci H, Unsal S, Yagci I, Dulgeroglu D, Ozel S. Safety and efcacy of ultrasound-guided intra-articular hylan G-F 20 injection in osteoarthritis of the hip: a pilot study. Rheumatol Int 2005;25(5):341-4
  9. Leopold SS, Battista V, Oliverio JA. Safety and efcacy of intraarticular hip injection using anatomic landmarks. Clin Orthop Relat Res 2001;(391):192-7
  10. Gaston MS, Tiemessen CH, Philips JE. Intra-articular hip vis-cosupplementation with synthetic hyaluronic acid for osteoarthritis: efcacy, safety and relation to pre-injection radiographs. Arch Orthop Trauma Surg 2007;127(10):899-903
  11. Conrozier T, Bertin P, Mathieu P, Charlot J, Bailleul F, Treves R, et al. Intra-articular injections of hylan G-F 20 in patients with symptomatic hip osteoarthritis: an open-label, multicentre, pilot study. Clin Exp Rheumatol 2003;21(5):605-10
  12. Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K, et al. The American College of Rheumatology criteria for the classifcation and reporting of osteoarthritis of the hip. Arthritis Rheum 1991;34(5):505-14
  13. Kellgren JH, Lawrence JS. Radiological asse