This study investigates clinical outcome and imaging outcome parameters after intraarticular injection of steroids, platelet-rich-plasma (prp), hyaluronic acid or placebo in patients with early osteoarthritis of the knee joint.
Osteoarthritis of the knee joint is a very common disease in middle aged and elderly patients. This study evaluates the efficiency of different commonly used substances for intraarticular, non-operative treatment in early stages of this disease. 120 patients receive an fluoroscopic guided injection in the knee joint: 30 patients get injection with steroids 30 patients get injection with prp 30 patients get injection with hyaluronic acid 30 patients get injection with placebo (iopamiro contrast media) Primary outcome: - clinical outcome (pain using numeric rating scale) * Magnetic Resonance imaging (cartilage defects etc.)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
University Hospital Balgrist
Zurich, Switzerland
Pain assessment
numeric rating scale (NRS) and WOMAC
Time frame: up to 24 months after injection
Magnetic Resonance imaging
cartilage volume (ml)
Time frame: up to 12 months after injection
Magnetic Resonance imaging
T2-values in cartilage (mean Signal +/- Standard Deviation) in subregions
Time frame: up to 12 months after injection
WOMAC score (stiffness, difficulty)
Clinical outcome
Time frame: up to 24 months after injection
Tegner Activity Scale
Clinical outcome
Time frame: up to 24 months after injection
Knee mobility and thigh circumference
Clinical assessment, comparison to baseline
Time frame: 3 month after injection
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