Risultati clinici del trattamento con acido jaluronico per via intraarticolare nella gonartrosi

Author report results of 98 patients with osteoarthritis of the knee treated with intraarticular hyaluronic acid. Treatment are prformed with one intraarticular every week, for 6 weeks. In the study are considered patients abserved and treated in 4 years serious osteoarthritis of the femour-patellar joint diagnosed by X-ray. This caused serious deficit of joint motion and considerable pain, particularly during walk. Evaluation of treatment with hyaluronic acid are made at 1, 3 and 9 months. The following parameters were evaluated: selfvaluation of pain with SVA in according with Scott-Huskisson, shwos remarkable reduction both at rest and walk at 1 month evaluation, which remains unchanged at 3 months and at 9 months evaluation, it get back as when at started. Joint range of motion evaluation was besed on joint morning stiffness, passive joint motion and even on walk ability in plain, in climb and in descent. Selfvaluation with SVA of joint morning stiffness shwos initial improvement with progressive increase up to 3 months, and then return at the initial values at 9 monthd evaluation. Passive joint motion (tested in degrees) show very good improvement at 1 and 3 months evaluation but agian it returns at the initial values at 9 months check. Walking in palin, evaluated as length of distance followed, shows progressive improvement until 3 months control. The same trend occurs in walking in clim and descent, evaluated as number of steps followed; but imprivement are keep at 9 months control. This study shows good results after treatment with intraarticular hyaluronic acid in osteoarthritis of the knee.