Osteoarthritis
Conditions
Keywords
hyaluronate, hyaluronic acid, viscosupplementation
Brief summary
To compare the therapeutic effect of single intra-articular injection of hyaluronate with a single intra-articular injection of normal saline (placebo) for osteoarthritis of the ankle.
Detailed description
This study is a randomized, prospective, double-blind (blinded observer) , saline solution-controlled, parallel experimental design. The study device is SUPARTZ (Seikagaku Corporation, Tokyo, Japan) a brand of sodium hyaluronate.
Interventions
joint injection in ankle with hyaluronate
joint injection with saline solution for placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* To be eligible, subjects had to be at least 18 years old, not pregnant, and have pain and osteoarthritis of the ankle of at least stage 2 on the Kellgren and Lawrence scale. * Their AOFAS score had to be 90 points or less out of a possible 100 points. * Eligible subjects had to be willing to discontinue all pain medications and NSAIDs other than the rescue pain medications provided in the study.
Exclusion criteria
* Persons with systemic inflammatory condition or infection of the ankle or nearby soft tissues, * an injection of steroid or surgery on the involved joint within 6 months, * local cellulitis, rash, skin condition * diabetic or neuropathic Charcot arthropathy, * significant vascular insufficiency, * current treatment with anticoagulants, * lower extremity pain syndromes, sciatica, sprains, plantar fasciitis, * significant ankle instability or malalignment, * any known allergy to any of the components of either injection, known or suspected allergy to birds or bird products, * disabling degenerative joint disease of the ipsilateral hip, knee or foot were ineligible for the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| AOFAS score, difference from mean at 6 weeks and 12 weeks | 6 weeks 12 weeks | American Orthopaedic Foot and Ankle score |
Countries
United States