Knee osteoarthritis Musculoskeletal Diseases Knee osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Participants aged over 50 2. Male or female 3. Ambulatory (not wheelchair bound) 4. Able and willing to attend or comply with treatment and follow-up 5. Radiological evidence of early disease at medial tibio-femoral knee compartment (modified Kellgren & Lawrence [k&l] score 2/3, joint space width [JSW] >1 mm) 6. Pain in knee for most days of previous month 7. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Secondary osteoarthritis (OA), septic arthritis, gout, Wilson's disease, Paget's disease, pseudo gout 2. History of inflammatory arthritis 3. Knee stiffness >30 minutes duration 4. Current user of cod liver oil or vitamin D supplementation 5. Current use of glucosamine or chondroitin for less than 3 months 6. History of hyperparathyroidism or osteomalacia 7. Current use of anti-epileptic medication 8. Current use of bisphosphonates or use within 2 years 9. History of hypercalcaemia or hypercalciuria 10. History of hyperthyroidism, sarcoidosis 11. History of renal stones 12. Previous intra-articular injection: steroid within 3 months, hyalgan within 6 months 13. Previous knee surgery or arthroscopy within 6 months 14. History of osteoporotic fracture 15. History of cancer within last 5 years, excluding skin cancer 16. Serious psychiatric disorders including dementia 17. Inability to understand the procedures 18. Inability to attend or comply with treatment or follow-up scheduling 19. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Radiological progression of knee OA in medial joint compartment at 36 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Radiological progression of knee OA in other joint compartments 2. Reduction in pain and functional disability 3. Improvement in quality of life | — |
Countries
United Kingdom