Pilot Study to Evaluate Combination of Intraosseous With Intra-articular Infiltrations of Plasma Rich in Growth Factors (PRGF®-Endoret®) in the Treatment of Knee Osteoarthritis.
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Knee Osteoarthritis
- Sponsor
- Unidad de Cirugía Artroscópica
- Enrollment
- 19
- Primary Endpoint
- Pain according to KOOS scale at 6 months after treatment
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The aim of this study was to assess a novel approach to treating severe knee osteoarthritis by targeting synovialmembrane, superficial articular cartilage, synovial fluid, and subchondral bone by combining intra-articular injections and intraosseous infiltrations of platelet rich plasma.This study explored a new strategy consisting of intraosseous infiltrations of platelet rich plasma into the subchondral bone in combination with the conventional intra-articular injection in order to tackle several knee joint tissues simultaneously.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients of both sexes aged 40 to 77 years.
- •Predominant internal tibiofemoral knee osteoarthritis.
- •Joint pain above 2.5 VAS points.
- •Radiographic severity degrees 3 and 4 according to Ahlbäck scale.
- •Values of body mass index between 20 and
- •Possibility for observation during the follow-up period.
Exclusion Criteria
- •Bilateral knee osteoarthritis which requires infiltration in both knees.
- •Values of body mass index \>
- •Polyarticular disease diagnosed.
- •Severe mechanical deformity (diaphyseal varus of 4∘ and valgus of 16∘).
- •Arthroscopy in the last year prior to treatment.
- •Intra-articular infiltration of hyaluronic acid in the past 6 months.
- •Systemic autoimmune rheumatic disease (connective tissue diseases and systemic necrotizing vasculitis).
- •Poorly controlled diabetes mellitus (glycosylated hemoglobin above 9%).
- •Blood disorders (thrombopathy, thrombocytopenia, and anemia with Hb \< 9).
- •Undergoing immunosuppressive therapy and/or warfarin.
Outcomes
Primary Outcomes
Pain according to KOOS scale at 6 months after treatment
Time Frame: 6 months
Pain according to KOOS scale
Secondary Outcomes
- Symptoms according to KOOS scale at 6 months after treatment(6 months)
- Function according to KOOS scale at 6 months after treatment(6 months)
- Sport Activity according to KOOS scale at 6 months after treatment(6 months)
- QoL according to KOOS scale at 6 months after treatment(6 months)