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Tidal Irrigation Versus Intra-articular Steroid Injection in the Treatment of Knee Osteoarthritis

Not Applicable
Completed
Conditions
Knee Osteoarthritis
Interventions
Procedure: Intra-articular CSI
Procedure: TI of the knee
Registration Number
NCT01303666
Lead Sponsor
Portsmouth Hospitals NHS Trust
Brief Summary

Previous studies have indicated that patient expectations, beliefs and preferences may have an impact on treatment outcomes. The KIVIS study was primarily designed to compare two effective treatments for knee osteoarthritis (tidal irrigation (medical washout of the knee) or intra-articular corticosteroid injection). At study entry any preference expressed by the patient for each of the treatment interventions was recorded. This study assessed the effects of two treatments given at a single time-point and hence the effects of patient preference could be assessed independently of any compliance issues.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Clinical diagnosis of knee OA
  • Knee pain for most days of the prior month
  • Radiographic evidence consistent with knee OA
  • Aged between 40 and 90 years old
Exclusion Criteria
  • Symptomatic hip OA
  • Co-existent inflammatory or crystal arthritis
  • Prior knee surgery
  • Injury to the knee in the preceding 6 months
  • Any intra-articular injection in the preceding 3 months
  • Inability to provide informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intra-articular CSIIntra-articular CSI-
TI of the kneeTI of the knee-
Primary Outcome Measures
NameTimeMethod
WOMAC pain (WP)scoreWeeks 26
Visual Analogue ScaleWeeks 26
Secondary Outcome Measures
NameTimeMethod
Analgesic intakeWeeks 0,2,4,12,26
Overall assessment of the impact of the procedure by the patient (five point scale) (PA)Weeks 0,2,4,12,26
Time to walk fifty metreWeeks 0,2,4,12,26
Overall assessment of the impact of the procedure by the blinded clinician (five point scale)(CA)Weeks 0,2,4,12,26
WOMAC physical function score (WF)Weeks 0,2,4,12,26
Side effects of the procedureWeeks 0,2,4,12,26
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