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

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.

• Authors: Can Eyigör, Alihan Pirim, Sibel Eyigör, Meltem Uyar
• Journal: Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology (Agri) Vol. 22 Issue 4 Pg. 139-44 (Oct 2010) ISSN: 2458-9446 [Electronic] Turkey
• PMID: 21153931 (Publication Type: Clinical Trial, Journal Article)

Chemical References

• Analgesics
• Viscosupplements
• Hyaluronic Acid

Topics

• Aged
• Analgesics (administration & dosage)
• Female
• Humans
• Hyaluronic Acid (administration & dosage)
• Injections, Intra-Articular
• Male
• Middle Aged
• Osteoarthritis, Hip (drug therapy)
• Pain Measurement
• Viscosupplementation (standards)
• Viscosupplements (administration & dosage)