The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial
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...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-021-04990-3 |
| _version_ | 1798033297314414592 |
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| author | Kyoung Ho Yoon Woo Seung Wan Yoon-Seok Kim Jae-Young Park |
| author_facet | Kyoung Ho Yoon Woo Seung Wan Yoon-Seok Kim Jae-Young Park |
| author_sort | Kyoung Ho Yoon |
| collection | DOAJ |
| description | 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 . |
| first_indexed | 2024-04-11T20:27:01Z |
| format | Article |
| id | doaj.art-5071a77de2494d52b1ced217ae426593 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T20:27:01Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-5071a77de2494d52b1ced217ae4265932022-12-22T04:04:37ZengBMCBMC Musculoskeletal Disorders1471-24742022-01-012311710.1186/s12891-021-04990-3The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trialKyoung Ho Yoon0Woo Seung Wan1Yoon-Seok Kim2Jae-Young Park3Department of Orthopaedic Surgery, Kyung Hee University HospitalDepartment of Orthopaedic Surgery, Kyung Hee University HospitalDepartment of Orthopaedic Surgery, Kyung Hee University HospitalDepartment of Orthopaedic Surgery, Uijeongbu Eulji Medical Center, Eulji University School of MedicineAbstract 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 .https://doi.org/10.1186/s12891-021-04990-3ViscosupplementationHyaluronic acidArthroscopyMeniscectomy |
| spellingShingle | Kyoung Ho Yoon Woo Seung Wan Yoon-Seok Kim Jae-Young Park The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial BMC Musculoskeletal Disorders Viscosupplementation Hyaluronic acid Arthroscopy Meniscectomy |
| title | The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial |
| title_full | The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial |
| title_fullStr | The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial |
| title_full_unstemmed | The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial |
| title_short | The efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy: a randomized controlled trial |
| title_sort | efficacy of intraarticular viscosupplementation after arthroscopic partial meniscectomy a randomized controlled trial |
| topic | Viscosupplementation Hyaluronic acid Arthroscopy Meniscectomy |
| url | https://doi.org/10.1186/s12891-021-04990-3 |
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