Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis

Aim: The objective of this study is comparing the effects of intra-articular hyaluronic acid (HA) and tenoxicam aplications on joint range of motion (ROM) and pain in patients with gonarthrosis.Patients and Method: This study was designed as prospective, non-randomized controlled, and single-blinded...

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Main Authors: Recai Özkılıç, Tolgahan Kuru, Serdar İpek, Ekrem Keski̇n, Cengiz Işık, Yasin Emre Kaya
Format: Article
Language:English
Published: Alanya Alaaddin Keykubat University 2018-11-01
Series:Acta Medica Alanya
Subjects:
Online Access:https://dergipark.org.tr/en/pub/medalanya/issue/39772/419286?publisher=alku
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author Recai Özkılıç
Tolgahan Kuru
Serdar İpek
Ekrem Keski̇n
Cengiz Işık
Yasin Emre Kaya
author_facet Recai Özkılıç
Tolgahan Kuru
Serdar İpek
Ekrem Keski̇n
Cengiz Işık
Yasin Emre Kaya
author_sort Recai Özkılıç
collection DOAJ
description Aim: The objective of this study is comparing the effects of intra-articular hyaluronic acid (HA) and tenoxicam aplications on joint range of motion (ROM) and pain in patients with gonarthrosis.Patients and Method: This study was designed as prospective, non-randomized controlled, and single-blinded trial. 60 patients diagnosed with Grade II and Grade III osteoarthritis (OA) according to the American College of Rheumatology (ACR) criteria were consecutively enrolled. Patients were divided into two groups whereby the first group received intra-articular HA three times a week and the other group received a single dose intra-articular tenoxicam. Pre-treatment and after-treatment VAS and ROM values of the groups were compared.Results: In the HA Group, 20 patients (66.6%) were female, 10 patients (33.3%) were male and the mean age of them was 59.6 years (range 45-75 years). In the Tenoxicam Group, 24 patients (80%) were female, 6 (20%) patients were male, and the average age of this group was 61.5 years (range 45-75 years). VAS scores knee flexion and extension ROM values on the 1st day, the 15th day, the 1st month,the2nd month, and the 3rd month after the treatment, significantly improved in both groups (p <0.05). When the change levels in the groups were compared, the changes in the Tenoxicam Group were more prominent in the early period, but there was no difference between the two groups in terms of the 3rd-month values after the treatment (p> 0.05). Conclusion: It was seen that intra-articular HA and tenoxicam administration seem to be effective and reliable methods in Grade 2-3 knee OA patients; but tenoxicam was more effective in reducing pain and relieving joint movements compared to HA injection in the early periods.
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spelling doaj.art-1e57fc2ac58a49c69cff22c4365a05a82023-02-15T16:21:49ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192018-11-012314915810.30565/medalanya.419286727Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee OsteoarthritisRecai ÖzkılıçTolgahan KuruSerdar İpekEkrem Keski̇nCengiz IşıkYasin Emre KayaAim: The objective of this study is comparing the effects of intra-articular hyaluronic acid (HA) and tenoxicam aplications on joint range of motion (ROM) and pain in patients with gonarthrosis.Patients and Method: This study was designed as prospective, non-randomized controlled, and single-blinded trial. 60 patients diagnosed with Grade II and Grade III osteoarthritis (OA) according to the American College of Rheumatology (ACR) criteria were consecutively enrolled. Patients were divided into two groups whereby the first group received intra-articular HA three times a week and the other group received a single dose intra-articular tenoxicam. Pre-treatment and after-treatment VAS and ROM values of the groups were compared.Results: In the HA Group, 20 patients (66.6%) were female, 10 patients (33.3%) were male and the mean age of them was 59.6 years (range 45-75 years). In the Tenoxicam Group, 24 patients (80%) were female, 6 (20%) patients were male, and the average age of this group was 61.5 years (range 45-75 years). VAS scores knee flexion and extension ROM values on the 1st day, the 15th day, the 1st month,the2nd month, and the 3rd month after the treatment, significantly improved in both groups (p <0.05). When the change levels in the groups were compared, the changes in the Tenoxicam Group were more prominent in the early period, but there was no difference between the two groups in terms of the 3rd-month values after the treatment (p> 0.05). Conclusion: It was seen that intra-articular HA and tenoxicam administration seem to be effective and reliable methods in Grade 2-3 knee OA patients; but tenoxicam was more effective in reducing pain and relieving joint movements compared to HA injection in the early periods.https://dergipark.org.tr/en/pub/medalanya/issue/39772/419286?publisher=alkuosteoartrittenoksikamhyalüronik asitosteoarthritistenoxicamhyaluronic acid
spellingShingle Recai Özkılıç
Tolgahan Kuru
Serdar İpek
Ekrem Keski̇n
Cengiz Işık
Yasin Emre Kaya
Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
Acta Medica Alanya
osteoartrit
tenoksikam
hyalüronik asit
osteoarthritis
tenoxicam
hyaluronic acid
title Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
title_full Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
title_fullStr Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
title_full_unstemmed Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
title_short Comparison of the Effects of Intra-articular Hyaluronic Acid and Tenoxicam on Pain and Knee Joint Functions in Knee Osteoarthritis
title_sort comparison of the effects of intra articular hyaluronic acid and tenoxicam on pain and knee joint functions in knee osteoarthritis
topic osteoartrit
tenoksikam
hyalüronik asit
osteoarthritis
tenoxicam
hyaluronic acid
url https://dergipark.org.tr/en/pub/medalanya/issue/39772/419286?publisher=alku
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AT serdaripek comparisonoftheeffectsofintraarticularhyaluronicacidandtenoxicamonpainandkneejointfunctionsinkneeosteoarthritis
AT ekremkeskin comparisonoftheeffectsofintraarticularhyaluronicacidandtenoxicamonpainandkneejointfunctionsinkneeosteoarthritis
AT cengizisık comparisonoftheeffectsofintraarticularhyaluronicacidandtenoxicamonpainandkneejointfunctionsinkneeosteoarthritis
AT yasinemrekaya comparisonoftheeffectsofintraarticularhyaluronicacidandtenoxicamonpainandkneejointfunctionsinkneeosteoarthritis