Inflammatory cytokine levels in knee synovial fluid of early knee osteoarthritis (OA) patients after intra-articular hyaluronic acid (IA-HA) injections Osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Unilateral knee OA diagnosed according to the American College of Rheumatology criteria and radiographic Kellgren-Lawrence (KL) grades 1 or 2 and no active symptoms in the contralateral knee 2.pain aggravated by walking, knee range of motion greater than 90 degrees 3.coronal plane deformity less than 10 degrees 4.no skin lesion or infection around the affected knee 5.no planned use of pain medication during the evaluation period.
Exclusion criteria
Exclusion criteria: 1.prior IA-HA treatment within 1 year 2.allergy to HA or related compounds 3.history of knee trauma 4.metabolic or malignant disease 5.use of analgesics or nonsteroidal anti inflammatory drugs (NSAIDs) within 2 weeks before enrollment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| knee synovial cytokine level 2 weeks after the injection synovial analysis | — |
Secondary
| Measure | Time frame |
|---|---|
| knee synovial cytokine level 1, 6 weeks after the injection synovial analysis,pain score 1,2,6 weeks after the injection VAS score,functional outcomes 1,2,6 weeks after the injection WOMAC and SF-36 scores,rescue medication 6 weeks after the injection count pills of NSAIDs use,complications of the injection 1,2,6 weeks after the injection physical examination | — |
Countries
Thailand
Contacts
Chulalongkorn University