Osteoarthritis, Knee
Conditions
Brief summary
This study investigates clinical outcome and imaging outcome parameters after intraarticular injection of steroids, platelet-rich-plasma (prp), hyaluronic acid or placebo in patients with early osteoarthritis of the knee joint.
Detailed description
Osteoarthritis of the knee joint is a very common disease in middle aged and elderly patients. This study evaluates the efficiency of different commonly used substances for intraarticular, non-operative treatment in early stages of this disease. 120 patients receive an fluoroscopic guided injection in the knee joint: 30 patients get injection with steroids 30 patients get injection with prp 30 patients get injection with hyaluronic acid 30 patients get injection with placebo (iopamiro contrast media) Primary outcome: - clinical outcome (pain using numeric rating scale) * Magnetic Resonance imaging (cartilage defects etc.)
Interventions
Fluoroscopic guided injection in the knee joint
Sponsors
Study design
Eligibility
Inclusion criteria
* gonarthritis Kellgren 1,2,3 with symptoms * german speaking * informed consent
Exclusion criteria
-age under 18, gonarthritis, Kellgren 4, anticoagulation therapy, known inflammatory disease or infection, cardiovascular disease NYHA IV, immunosuppression, contraindication for MRI, pregnancy, no informed consent, NSAR 3 days before injection, etc.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment | up to 24 months after injection | numeric rating scale (NRS) and WOMAC |
| Magnetic Resonance imaging | up to 12 months after injection | cartilage volume (ml) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| WOMAC score (stiffness, difficulty) | up to 24 months after injection | Clinical outcome |
| Tegner Activity Scale | up to 24 months after injection | Clinical outcome |
| Knee mobility and thigh circumference | 3 month after injection | Clinical assessment, comparison to baseline |
Countries
Switzerland