Knee Surg Sports Traumatol Arthrosc DOI 10.1007/s00167-014-3398-2
KNEE
Will a single periarticular lidocaine–corticosteroid injection improve the clinical efficacy of intraarticular hyaluronic acid treatment of symptomatic knee osteoarthritis? Cemil Ertürk · Mehmet Akif Altay · Nuray Altay · Ali Murat Kalender · I˙brahim Avs¸in Öztürk
Received: 24 April 2014 / Accepted: 20 October 2014 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014
Abstract Purpose A local injection of corticosteroid–lidocaine into the periarticular soft tissue structures is used commonly for rapid pain relief. It is hypothesized that knee pain associated with knee osteoarthritis would be relieved quickly and effectively in patients receiving intraarticular hyaluronic acid combined with a periarticular lidocaine–corticosteroid injection. To test this hypothesis, the clinical effect of the combined treatment with hyaluronic acid injection alone in patients with symptomatic knee osteoarthritis as compared in this prospective single-blinded randomized trial. Methods This study included 70 patients. Group 1 (n = 35) received intraarticular hyaluronic acid injections only, whereas group 2 (n = 35) received intraarticular hyaluronic acid injections combined with a single local injection of corticosteroid–lidocaine. Injections were administered to the most painful areas of the anterior or posterior medial condyle of the femur or tibia. The outcome was measured by independent assessors (blinded to treatment) using a linear VAS pain scale and WOMAC and HSS knee scores. Assessments were performed at baseline and at 1, 3, 6, 12, 26, and 52 weeks. Results During the first 3 weeks, group 2 patients showed significantly better all scores than did group 1 patients C. Ertürk (*) · M. A. Altay · ˙I. A. Öztürk Department of Orthopedic Surgery, Harran University Faculty of Medicine, 63100 Yenisehir, Sanliurfa, Turkey e-mail: [email protected]; [email protected] N. Altay Department of Anesthesiology and Reanimation, Harran University Faculty of Medicine, Sanliurfa, Turkey A. M. Kalender Department of Orthopaedic Surgery, Kahramanmaras Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey
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KNEE
Will a single periarticular lidocaine–corticosteroid injection improve the clinical efficacy of intraarticular hyaluronic acid treatment of symptomatic knee osteoarthritis? Cemil Ertürk · Mehmet Akif Altay · Nuray Altay · Ali Murat Kalender · I˙brahim Avs¸in Öztürk
Received: 24 April 2014 / Accepted: 20 October 2014 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014
Abstract Purpose A local injection of corticosteroid–lidocaine into the periarticular soft tissue structures is used commonly for rapid pain relief. It is hypothesized that knee pain associated with knee osteoarthritis would be relieved quickly and effectively in patients receiving intraarticular hyaluronic acid combined with a periarticular lidocaine–corticosteroid injection. To test this hypothesis, the clinical effect of the combined treatment with hyaluronic acid injection alone in patients with symptomatic knee osteoarthritis as compared in this prospective single-blinded randomized trial. Methods This study included 70 patients. Group 1 (n = 35) received intraarticular hyaluronic acid injections only, whereas group 2 (n = 35) received intraarticular hyaluronic acid injections combined with a single local injection of corticosteroid–lidocaine. Injections were administered to the most painful areas of the anterior or posterior medial condyle of the femur or tibia. The outcome was measured by independent assessors (blinded to treatment) using a linear VAS pain scale and WOMAC and HSS knee scores. Assessments were performed at baseline and at 1, 3, 6, 12, 26, and 52 weeks. Results During the first 3 weeks, group 2 patients showed significantly better all scores than did group 1 patients C. Ertürk (*) · M. A. Altay · ˙I. A. Öztürk Department of Orthopedic Surgery, Harran University Faculty of Medicine, 63100 Yenisehir, Sanliurfa, Turkey e-mail: [email protected]; [email protected] N. Altay Department of Anesthesiology and Reanimation, Harran University Faculty of Medicine, Sanliurfa, Turkey A. M. Kalender Department of Orthopaedic Surgery, Kahramanmaras Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey
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