Functional outcome and result of intra-articular injection hyaluronic acid in treatment of osteoarthritis of knee

Rohan Memon; Ketan Parmar; Nishant Suvagiya

Volume : IX, Issue : I, January - 2020

Functional outcome and result of intra-articular injection hyaluronic acid in treatment of osteoarthritis of knee

Rohan Memon, Ketan Parmar, Nishant Suvagiya

Abstract :

Background: Osteoarthritis (OA) is the most common disease of joints in adults around the world. Worldwide, it is estimated to be the fourth leading cause of disability. Objective of the study was to assess functional outcome and results of injection of hyaluronic acid in symptomatic osteoarthritis knee. Method: The purpose of this study is to find out the efficacy of three doses of intra articular Hyaluronic acid injection in treatment of Osteoarthritis of knee which is an easy procedure and can be carried out on an OPD basis. 37 Patients (54 Knees) with duration of symptoms more than 12 months were included in the study. Patients with associated Diabetes Mellitus, local infection, ligament injury, Crystalline arthropathy were excluded. Pre and post procedure VAS score was assessed. Results: Patients were followed up 1 week, 2 weeks, 3 weeks, 3 months, 6 months after the injection. At 1st week 24.3%, at 2nd weeks 51.3%, at 3rd weeks 86.4% and at 3rd months and 6th months 94.5% patients had significant reduction in pain and improvement in VAS score. Conclusions: Visco-supplementation with intra articular injection hyaluronic acid should be considered as safe and effective modality of treatment in selected group of mild to moderate osteoarthritis before mechanical changes takes place and patient complies with regular exercise, weight control and postural habits.