Title
Steroids, Hyaluronic Acid or Platelet Rich Plasma Versus Placebo for the Knee Osteoarthritis
Intraarticular Injections of Steroids, Hyaluronic Acid or Platelet Rich Plasma Versus Placebo for the Knee Osteoarthritis
Phase
Phase 2Lead Sponsor
Balgrist UniversitaetsStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Osteoarthritis, KneeIntervention/Treatment
platelet-rich plasma hyaluronic acid triamcinolone ...Study Participants
120This 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.)
Fluoroscopic guided injection in the knee joint
30 patients receive intraarticular injection with steroids (and contrast media Iopamiro 200)
30 patients receive intraarticular injection with platelet-rich-plasma (PRP) (and contrast media Iopamiro 200)
30 patients receive intraarticular injection with hyaluronic acid (and contrast media Iopamiro 200)
30 patients receive intraarticular injection with contrast media only
Inclusion criteria: gonarthritis Kellgren 1,2,3 with symptoms german speaking informed consent Exclusion criteria: -age under 18, gonarthritis, Kellgren 4, anticoagulation therapy, known inflammatory disease or infection, cardiovascular disease NYHA IV, immunosuppression, contraindication for MRI, pregnancy, no informed consent, NSAR 3 days before injection, etc.