Knee Osteoarthritis
Conditions
Keywords
knee osteoarthritis, comparing platelet-rich plasma, intra-articular knee injections
Brief summary
The benefit of using platelet rich plasma (PRP) in cartilage injuries, and specifically in degenerative ones, has not been assessed yet. Current studies on the PRP healing or repairing effect on knee cartilage degenerative injuries are not conclusive to establish a standard of behavior, although PRP has shown to improve joint functionality and reduce pain. Hypothesis: PRP intra-articular injections in osteoarthritic knees reduces pain and leads to a more effective and lasting functional recovering than corticosteroid intra-articular injections.
Interventions
a single intra-articular injection
A single betamethasone and bupivacaine intra-articular injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Degenerative osteoarthritis of the knee confirmed radiologically * Degenerative osteoarthritis of the knee replacement candidate * Walking ability in patients with or without external support * Baseline in pain VAS greater than 60
Exclusion criteria
* Neoplastic disease * Immunosuppressive States * Patients who received intra-articular injections of steroids, anesthetic and / or hyaluronic acid in the last 3 months. * Patients who have undergone arthroscopic surgery on the last 3 months * Patients with involvement of bone metabolism except osteoporosis (Paget's disease, renal osteodystrophy, osteomalacia) * Fibromyalgia or chronic fatigue syndrome * Liver disease * Deficit coagulation (blood dyscrasia) * Thrombocytopenia * Anticoagulant treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The value of the visual analogue scale pain (VAS) | one month after the treatment | The difference between the baseline and the value of the scale one month after treatment |
Secondary
| Measure | Time frame |
|---|---|
| the value of pain visual analog scale according to | 4 weeks, 3 and 6 months after treatment |
| the functional level of the knee KOOS | 4 weeks, 3 and 6 months after treatment |
| All reported adverse events | 4 weeks, 3 and 6 months after treatment |
| Scale of the SF36 quality of life | 4 weeks, 3 and 6 months after treatment |
Countries
Spain