CAN EYİGÖR, Alihan PİRİM, Sibel EYİGÖR, Meltem UYAR

Efficacy of intraarticular hyaluronic acid injection through a lateral approach under fluoroscopic control for advanced hip osteoarthritis

Amaç: Hyaluronik asit (HA) kalça osteoartriti (OA) tedavisinde intraartiküler olarak kullanılmaktadır. Bu çalışmanın amacı, floroskopik lateral yaklaşımla intraartiküler HA enjeksiyonunun, ileri evre kalça OA’lı hastalarda etkinliğini saptamaktır. Gereç ve Yöntem: İleri evre kalça OA’lı 21 hasta çalışmaya alındı. Tüm hastalara lateral yaklaşımla floroskopi kılavuzluğunda birer hafta ara ile 3 kez 2.5 ml HA enjeksiyonu yapıldı. Hastaların tedavi öncesi ve son enjeksiyondan sonra 1., 3. ve 6. aylarda özürlülük (Lequesne indeks), ağrı (Vizuel analog scale-VAS) skorları ve analjezik tüketimleri değerlendirildi. Bulgular: Lequesne indeksi ve VAS ağrı skorları 1., 3., ve 6. aylarda başlangıç değerlerine göre istatiksel olarak anlamlı azaldı (p

Floroskopik lateral yaklaşımla intraartiküler hyaluronik asit enjeksiyonunun ileri evre kalça osteoartritinde etkinliği

Objectives: Hyaluronic acid (HA) is used for intraarticular treatment of hip osteoarthritis (OA). The objective of this study was to determine the efficacy of intraarticular injection of HA through a lateral approach under fluoroscopic control for advanced hip OA. Methods: The study included 21 patients with advanced hip OA. All patients received 2.5 ml HA injection once a week for 3 weeks by lateral approach under fluoroscopic control. Disability (Lequesne index), pain scores (visual analog scale-VAS) and analgesic use of patients were assessed before treatment and 1, 3 and 6 months after the treatment. Results: Lequesne index and VAS pain scores measured 1, 3 and 6 months after treatment were significantly lower compared to baseline scores (p<0.001). Although analgesic use was significantly reduced 1 and 3 months after treatment compared to baseline (p<0.05), no difference was determined in analgesic use at the 6th month (p>0.05). No side effect was observed. Conclusion: In conclusion, intraarticular HA injection through a lateral approach under fluoroscopic control was shown to be a safe and effective method for patients with advanced hip OA.

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