Turkish Journal of Physical Medicine and Rehabilitation 2008 , Vol 54 , Num 4

Effectiveness of Intraarticular Sodium Hyaluronate in Synchronous Treatment of Hip and Knee Osteoarthritis

Ali Aydeniz 1 ,Savaş Gürsoy 2 ,Erman Yağız 3 ,Sema Keven 3 ,Orhan Büyükbebeci 3
1 Gaziantep Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Gaziantep, Türkiye
2 Gaziantep University, Research Hospital, Department of Physical Medicine and Rehabilitation, Gaziantep, Turkey
3 Gaziantep Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Gaziantep

Objective: We aimed to evaluate results of synchronous intraarticular sodium hyaluronate therapy in patients who have both hip and knee osteoarthritis.

Materials and Methods: Twenty-five patients (18 women, 7 men) with hip and knee osteoarthritis constituted the study group and 14 patients (9 women, 5 men) constituted the control group. In the treatment protocol, 2 ampules of sodium hyaluronate were injected into the hip joint using fluoroscopy guide in the operating room. After two weeks, the injection was performed in the affected knee joint. This protocol was repeated following a week without treatment. The clinical conditions of the groups before therapy and on the 30th and 60th days after therapy were evaluated by the Western Ontario and McMaster Osteoarthritis Index (WOMAC) A, B, C indices and 15 m walking time.

Results: There are significant differences between the two groups when WOMAC scores and the quantity of nonsteroidal antiinflammatory drugs administered were considered, but there was no difference between the groups concerning walking time. There are significant differences in all test parameters except for the WOMAC C index in group I before and after therapy.

Conclusion: The treatment of hip and knee osteoarthritis synchronously with sodium hyaluronate injection provides considerable reduction of pain and increase in joint range of motion and function. 

Keywords : Osteoarthritis, sodium hyaluronate, viscosupplementatio