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Influence of synovial inflammation on pain and prognosis in knee osteoarthritis

Influence of synovial tissue nerve fiber formation on pain and prognosis in knee osteoarthritis

Status
Recruiting
Phases
Early Phase 1
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2000039416
Enrollment
Unknown
Registered
2020-10-27
Start date
2020-10-27
Completion date
Unknown
Last updated
2021-02-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee osteoarthritis

Interventions

The control group:Arthroscopy or open surgery
Mild pain group:Arthroscopic surgery
Moderate pain group:Arthroscopic surgery
Severe pain group:Arthroscopic surgery or knee replacement

Sponsors

Kunshan Third People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: All patients in the koa group should meet the following conditions: 1. It meets the clinical diagnostic criteria of OA proposed by American College of Rheumatology in 1986 (attached 1); 2. Aged 30-70 years; 3. Repeated knee pain and swelling were the main complaints; 4. If both knees have symptoms, select the severe side; if both knees have the same symptoms, select the right side; 5. The disease itself should be treated by arthroscopy or knee arthroplasty; 6. Willing to participate in this study and sign the informed consent. The inclusion criteria of the control group were as follows 1. No history of joint pain, trauma or operation; 2. Aged 18-50 years; 3. Patients who need open reduction and internal fixation or arthroscopic surgery for knee fractures; 4. No other metabolic, immune and cardiovascular diseases.

Exclusion criteria

Exclusion criteria: The exclusion criteria of KOA group were as follows 1. Synovitis caused by infection, such as intra-articular infection and tuberculous diseases; 2. Immune diseases, such as wind dampness, rheumatoid arthritis, psoriatic arthritis, etc; 3. Allergic to contrast medium; 4. Severe varus or valgus deformity of knee joint; 5. Subjects with hyperuricemia, kidney disease, diabetes or over 65 years old were excluded from the study; 6. Those who are participating in other clinical trials. The exclusion criteria of the control group were as follows 1. Severe open trauma or soft tissue injury; 2. Immune diseases, such as wind dampness, rheumatoid arthritis, psoriatic arthritis, etc; 3. Allergic to contrast medium; 4. Those who are participating in other clinical trials.

Design outcomes

Primary

MeasureTime frame
Visual Analogue Scale/Score;The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index;The density of nerve fibers in synovial tissue;

Secondary

MeasureTime frame
Sensitive degree of pain;Kellgren and Lawrence;MRI synovial hyperplasia score;Nerve growth factor, NGF;neuropeptide;Inflammatory cytokines;

Countries

China

Contacts

Public ContactLi Mingchao

Kunshan Third People's Hospital

114801575@qq.com+86 18068081787

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026