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Assessment of platelet rich plasma injection in clinical outcome and MRI findings in patients with knee osteoarthritis

Phase 3
Conditions
knee osteoarthritis.
Gonarthrosis [arthrosis of knee]
Registration Number
IRCT2014020413442N6
Lead Sponsor
Physical Medicine and Rehabilitation Department of Shahid Beheshti University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
40
Inclusion Criteria

arthralgia since past 3 months; radiologic evidence of articular damage (grade 1-4 of Kellgren-Lawrence scale) based on knee OA criteria of ACR. Exclusion criteria: systemic diseases such as diabetes mellitus and collagen vascular disorders; history or presence of cancer or malignant disorders; any infection and active wound of the knee; presence of immunosuppressive, autoimmune and platelet disorders; treatment with anticoagulant and anti-platelet medications 10 days before injection; use of NSAIDs 2 days before injection; history of knee articular injections of corticosteroids 3 weeks or use of systemic corticosteroids 2 weeks before PRP injections; hemoglobin measures of less than 12 g/dl and platelet counts of less than 150,000 per micro liter; recent history of severe trauma to the knee; age less than 45 or over 75 year; history of vasovagal shock; pregnancy; breastfeeding; genu valgum/varum greater than 20 degrees; contraindication for MRI including aneurysm clips,pacemaker,metallic devices and claustrophobia.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cartilage lesion. Timepoint: before intervention & 6 months after intervention. Method of measurement: WORMS criteria.;Joint stiffness. Timepoint: before intervention & 6 months after intervention. Method of measurement: WOMAC questionnaire.;Function. Timepoint: before intervention & 6 months after intervention. Method of measurement: WOMAC questionnaire.;Knee pain. Timepoint: before intervention & 6 months after intervention. Method of measurement: WOMAC questionnaire.;Knee pain. Timepoint: before intervention & 6 months after intervention. Method of measurement: VAS.;Bone marrow edema. Timepoint: before intervention & 6 months after intervention. Method of measurement: WORMS criteria.;Meniscus lesion. Timepoint: before intervention & 6 months after intervention. Method of measurement: WORMS criteria.;Synovitis. Timepoint: before intervention & 6 months after intervention. Method of measurement: WORMS criteria.
Secondary Outcome Measures
NameTimeMethod
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