Hyaluronic acid and platelet-rich plasma for the management of knee osteoarthritis
Purpose Symptomatic knee osteoarthritis (OA) remains a substantial cause of pain and disability worldwide and effective management in young patients without indications for total knee arthroplasty remains challenging. Intra-articular injections represent a viable option in the non-operative treatmen...
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| Published in: | International orthopaedics Vol. 45; no. 2; pp. 345 - 354 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Berlin/Heidelberg
Springer Berlin Heidelberg
01-02-2021
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| Subjects: | |
| Online Access: | Get full text |
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| Abstract | Purpose
Symptomatic knee osteoarthritis (OA) remains a substantial cause of pain and disability worldwide and effective management in young patients without indications for total knee arthroplasty remains challenging. Intra-articular injections represent a viable option in the non-operative treatment of knee OA. Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two commonly utilized intra-articular treatment modalities that are of particular clinical interest in the current literature. The purpose of this manuscript is to provide a concise review of the current literature on the use of HA, PRP, and HA-PRP conjugates for the treatment of symptomatic knee OA.
Methods
A review of the literature utilizing PubMed, OVID/Medline, and Cochrane databases on basic science and clinical literature pertaining to preparation, composition, and outcomes of HA, PRP, and HA-PRP conjugates in patients with symptomatic knee OA.
Results
Both HA and PRP have been shown to be efficacious for the treatment of symptomatic knee OA, with HA injections providing limited short-term improvement, while PRP may provide greater therapeutic relief, particularly with the use of leukocyte-poor (LP-PRP) formulations. Despite limited data, the combination of different formulations of HA-PRP conjugates may provide a synergistic effect, resulting in a clinically significant improvement in both pain and function.
Conclusion
In patients with symptomatic knee OA, intra-articular HA and PRP provide short-term improvement in pain and function, while the efficacy of HA-PRP conjugates warrants further study. |
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| AbstractList | Symptomatic knee osteoarthritis (OA) remains a substantial cause of pain and disability worldwide and effective management in young patients without indications for total knee arthroplasty remains challenging. Intra-articular injections represent a viable option in the non-operative treatment of knee OA. Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two commonly utilized intra-articular treatment modalities that are of particular clinical interest in the current literature. The purpose of this manuscript is to provide a concise review of the current literature on the use of HA, PRP, and HA-PRP conjugates for the treatment of symptomatic knee OA.
A review of the literature utilizing PubMed, OVID/Medline, and Cochrane databases on basic science and clinical literature pertaining to preparation, composition, and outcomes of HA, PRP, and HA-PRP conjugates in patients with symptomatic knee OA.
Both HA and PRP have been shown to be efficacious for the treatment of symptomatic knee OA, with HA injections providing limited short-term improvement, while PRP may provide greater therapeutic relief, particularly with the use of leukocyte-poor (LP-PRP) formulations. Despite limited data, the combination of different formulations of HA-PRP conjugates may provide a synergistic effect, resulting in a clinically significant improvement in both pain and function.
In patients with symptomatic knee OA, intra-articular HA and PRP provide short-term improvement in pain and function, while the efficacy of HA-PRP conjugates warrants further study. PURPOSESymptomatic knee osteoarthritis (OA) remains a substantial cause of pain and disability worldwide and effective management in young patients without indications for total knee arthroplasty remains challenging. Intra-articular injections represent a viable option in the non-operative treatment of knee OA. Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two commonly utilized intra-articular treatment modalities that are of particular clinical interest in the current literature. The purpose of this manuscript is to provide a concise review of the current literature on the use of HA, PRP, and HA-PRP conjugates for the treatment of symptomatic knee OA. METHODSA review of the literature utilizing PubMed, OVID/Medline, and Cochrane databases on basic science and clinical literature pertaining to preparation, composition, and outcomes of HA, PRP, and HA-PRP conjugates in patients with symptomatic knee OA. RESULTSBoth HA and PRP have been shown to be efficacious for the treatment of symptomatic knee OA, with HA injections providing limited short-term improvement, while PRP may provide greater therapeutic relief, particularly with the use of leukocyte-poor (LP-PRP) formulations. Despite limited data, the combination of different formulations of HA-PRP conjugates may provide a synergistic effect, resulting in a clinically significant improvement in both pain and function. CONCLUSIONIn patients with symptomatic knee OA, intra-articular HA and PRP provide short-term improvement in pain and function, while the efficacy of HA-PRP conjugates warrants further study. Purpose Symptomatic knee osteoarthritis (OA) remains a substantial cause of pain and disability worldwide and effective management in young patients without indications for total knee arthroplasty remains challenging. Intra-articular injections represent a viable option in the non-operative treatment of knee OA. Hyaluronic acid (HA) and platelet-rich plasma (PRP) are two commonly utilized intra-articular treatment modalities that are of particular clinical interest in the current literature. The purpose of this manuscript is to provide a concise review of the current literature on the use of HA, PRP, and HA-PRP conjugates for the treatment of symptomatic knee OA. Methods A review of the literature utilizing PubMed, OVID/Medline, and Cochrane databases on basic science and clinical literature pertaining to preparation, composition, and outcomes of HA, PRP, and HA-PRP conjugates in patients with symptomatic knee OA. Results Both HA and PRP have been shown to be efficacious for the treatment of symptomatic knee OA, with HA injections providing limited short-term improvement, while PRP may provide greater therapeutic relief, particularly with the use of leukocyte-poor (LP-PRP) formulations. Despite limited data, the combination of different formulations of HA-PRP conjugates may provide a synergistic effect, resulting in a clinically significant improvement in both pain and function. Conclusion In patients with symptomatic knee OA, intra-articular HA and PRP provide short-term improvement in pain and function, while the efficacy of HA-PRP conjugates warrants further study. |
| Author | Cole, Brian J. Gilat, Ron Haunschild, Eric D. Knapik, Derrick M. Parvaresh, Kevin C. Evuarherhe, Aghogho |
| Author_xml | – sequence: 1 givenname: Ron surname: Gilat fullname: Gilat, Ron organization: Midwest Orthopaedics at Rush University Medical Center, Department of Orthopaedic Surgery, Shamir Medical Center and Tel Aviv University – sequence: 2 givenname: Eric D. surname: Haunschild fullname: Haunschild, Eric D. organization: Midwest Orthopaedics at Rush University Medical Center – sequence: 3 givenname: Derrick M. surname: Knapik fullname: Knapik, Derrick M. organization: Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center – sequence: 4 givenname: Aghogho surname: Evuarherhe fullname: Evuarherhe, Aghogho organization: Midwest Orthopaedics at Rush University Medical Center – sequence: 5 givenname: Kevin C. surname: Parvaresh fullname: Parvaresh, Kevin C. organization: Midwest Orthopaedics at Rush University Medical Center – sequence: 6 givenname: Brian J. orcidid: 0000-0002-4006-2113 surname: Cole fullname: Cole, Brian J. email: brian.cole@rushortho.com organization: Midwest Orthopaedics at Rush University Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32935198$$D View this record in MEDLINE/PubMed |
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| Keywords | Knee Platelet-rich plasma LP-PRP Hyaluronic acid Hyaluronate Osteoarthritis PRP |
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| SubjectTerms | Humans Hyaluronic Acid - therapeutic use Injections, Intra-Articular Invited Papers Medicine Medicine & Public Health Orthopedics Osteoarthritis, Knee - drug therapy Platelet-Rich Plasma Treatment Outcome |
| Title | Hyaluronic acid and platelet-rich plasma for the management of knee osteoarthritis |
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