Knee Osteoarthritis
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy of intra-articular injections of combined hyaluronic acid and platelet-rich plasma in knee degenerative joint disease in improving joint function and reducing pain.
Interventions
Intra-articular injections of hyaluronic acid combined with platelet-rich plasma
Intra-articular injections of hyaluronic acid
Intra-articular injections of platelet-rich plasma
Sponsors
Study design
Eligibility
Inclusion criteria
* Knee pain for 4 months; * Knee degenerative sign evaluated with X-ray with a Kellgren-Lawrence grade inferior to 3; * Patients able to understand the study conditions and willing to participate for its entire duration; * Patients who signed written informed consent.
Exclusion criteria
* Severe knee osteoarthritis of grade 4; * Diabetes mellitus; * Rheumatoid arthritis; * Ongoing malignancies; * Certified allergic reactions towards the administered drugs ; * Malalignment of mechanical axis of the lower limb (varus \> 10 °, valgus \> 10 °); * Coagulopathies; * Severe cardiovascular diseases; * Ongoing infections; * Immunodepression; * Anticoagulants or anti-platelet agents; * Haemoglobin \< 11 g/dl; * Platelet count \< 150,000/mm\^3 * Drug addiction; * Alcoholism; * Psychiatric disease; * Pregnancy or breastfeeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| WOMAC score | 6 months after the first intra-articular injection | Comparison of WOMAC total score among three treatment arms |
Countries
Italy