2013, Number 1
Result of the application of viscosupplementation as conservative management of gonarthrosis grades II and III at Regional Hospital General Ignacio Zaragoza
López GR, Benítez RA, Pérez SA, Díaz MB, Mejía RLC
Language: Spanish
References: 13
Page: 45-50
PDF size: 436.90 Kb.
ABSTRACT
Background: Osteoarthritis is the most prevalent musculoskeletal condition among the population. Knee osteoarthritis is either primary or secondary. Hyaluronic acid is a polysaccharide of high molecular weight component of synovial fluid and cartilage. Viscosupplementation is the administration of preparations of hyaluronate in the knee.Patients and method: A retrospective, observational, longitudinal and descriptive study done in male and female patients who were submitted to viscosupplementation with Synvisc at the external consultation of Regional Hospital General Ignacio Zaragoza, from September of 2011 to April of 2012. We applied three weekly doses and applied VAS and WOMAC functional scale before infiltration, after infiltration, at three and six months.
Results: 41 knees of 35 patients were infiltrated, corresponding to 6 men (17.1%) and 29 women (82.9%), with a 1:5 ratio, with an average age of 60 years. The average results for visual analogue scale were: 8.5 points before infiltration, 6.3 points after infiltration, 4.7 points at 3 months and 4.5 points at 6 months. For the scale of WOMAC were: 62.1 points before infiltration, 29.1 points after infiltration, 29.5 points at three months and 30.9 points at six months.
Conclusion: Patients reported improvement in 90% and only 10% reported no improvement. It was observed symptoms relief at the end of treatment, which, although unobtrusive, supports this option as conservative management in patients with knee osteoarthrosis.
REFERENCES
Conrozier T, Jerosch J, Beks P, Kemper F, et al. Prospective, multi-center, randomised evaluation of the safety and efficacy of five dosing regimens of viscosupplementation with hylan G-F 20 in patients with symptomatic tibio-femoral osteoarthritis: a pilot study. Arch Orthop Trauma Surg 2009;129:417-423.