A Study to evaluate effect of oral bisphosphonate with Platelets rich plasma in knee Osteoarthritis
- Conditions
- Health Condition 1: M170- Bilateral primary osteoarthritis of knee
- Registration Number
- CTRI/2023/02/049883
- Lead Sponsor
- Amit Kumar
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Early stage of Degenerative osteoarthritis of knee
1.History of pain for the last 3 months according to the ACR criteria for knee osteoarthritis along with radiologic evidence of joint changes based on Kellgren-Lawrence criteria (including grades 1,2 and 3).
2.Mild radiographic OA of the medial compartment (medial tibiofemoral joint space <= 2 mm on a weightbearing fixed flexion PA view/Rosenberg view);
3.Mild varus malalignment by clinical examination
1.Age <50 years and >75 years
2.Any form of knee injection such as visco-supplements, ozone etc. in the preceding 3 months;
3.Having arthroscopic or open surgery in the past 6 months;
4.Having metabolic bone disease immunodeficiency, autoimmune disease, collagen vascular disease, or diabetes;
5.History of cancer;
6.Infection or inflamed lesion in the knee;
7.Platelet disorder or disease;
8.Use of anticoagulant or anti-platelet medication 10 days before injection;
9.Use of NSAIDs 2 days before injection;
10.Corticosteroid knee injection 3 weeks before injection or use of systemic corticosteroids 2 weeks before the injection;
11.Hemoglobin level less than 10 g/dL and platelets less than 150,000/microliter;
12.History of severe knee trauma;
13.Pregnancy and lactation;
14.Hypersensitivity to Bisphoshphonate
15.History of Renal impairment
16.Non-reactive for HIV, HBsAg and HCV by chemiluminscence
17.In diabetic patients Fasting blood sugar less than 110mg/dl and HbA1c less than 7.5 %
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Improvement of pain using Visual Analogue Scale, <br/ ><br>Improvement in Knee functional status by calculating Western Ontario and McMaster universities Osteoarthritis Index (WOMAC) Scores <br/ ><br>Timepoint: 6 and 12 months after completion of 3 months treatment
- Secondary Outcome Measures
Name Time Method Conversion to Surgical OptionTimepoint: 2 years after completion of 3 months treatment