Article ; Online: The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial.
BMC musculoskeletal disorders
2022 Volume 23, Issue 1, Page(s) 32
Abstract: Background: This study aimed to evaluate the efficacy of viscosupplementation after arthroscopic partial meniscectomy.: Method: A randomized controlled trial of 47 patients who underwent arthroscopic partial meniscectomy was conducted between March ... ...
| Abstract | Background: This study aimed to evaluate the efficacy of viscosupplementation after arthroscopic partial meniscectomy. Method: A randomized controlled trial of 47 patients who underwent arthroscopic partial meniscectomy was conducted between March 2020 and March 2021. Patients were randomized into two groups: a viscosupplementation group (n = 23) and a control group (n = 24). A single-dose intraarticular hyaluronic acid injection was used as viscosupplementation. The 100 mm visual analogue scale (VAS) for pain assessment was measured at baseline and at 1 day, 2 weeks, 6 weeks, and 3 months post-surgery. The International Knee Documentation Committee (IKDC), Tegner, Lysholm, and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores and range of motion (ROM) of the knee were measured at baseline, 2 weeks, 6 weeks, and 3 months. Results: The 100 mm VAS score for pain was significantly lower in the viscosupplementation group at 2 weeks post-surgery (27.5 mm vs. 40.7 mm, P = 0.047). ROM was significantly greater in the viscosupplementation group than in the control group at 2 weeks (131.5° vs. 121.0°, P = 0.044) post-surgery. No significant differences were observed in the IKDC or in the Tegner, Lysholm, and WOMAC scores between the two groups. Conclusions: Viscosupplementation after arthroscopic partial meniscectomy significantly reduced pain at 2 weeks post-surgery and improved ROM of the knee at 2 weeks post-surgery. There might be some benefits in terms of pain and functional recovery of viscosupplementation after arthroscopic surgery. Study design: Randomized controlled trial; Level of evidence, 1. Trial registration: This randomized controlled trial was registered at cris.nih.go.kr # KCT0004921 . |
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| MeSH term(s) | Arthroscopy ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Meniscectomy/adverse effects ; Osteoarthritis, Knee/drug therapy ; Osteoarthritis, Knee/surgery ; Treatment Outcome ; Viscosupplementation |
| Language | English |
| Publishing date | 2022-01-04 |
| Publishing country | England |
| Document type | Journal Article ; Randomized Controlled Trial |
| ISSN | 1471-2474 |
| ISSN (online) | 1471-2474 |
| DOI | 10.1186/s12891-021-04990-3 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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