Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000300162 |
Resumo: | OBJECTIVE: To assess whether joint lavage, viscosupplementation and triamcinolone improve joint pain, function and quality of life in patients with severe hemophilic arthropathy. METHODS: Fourteen patients with knee and/or ankle hemophilic arthritis with and without involvement of other joints underwent joint lavage and subsequent injection of hylan G-F20 and triamcinolone in all affected joints. The patients answered algo-functional questionnaires (Lequesne and WOMAC), visual analog scale for pain (VAS) and SF-36 preoperatively, and at one, three, six and twelve months postoperatively. RESULTS: Sixteen knees, 15 ankles, 8 elbows and one shoulder were treated in 14 patients. Six patients had musculoskeletal bleeding [ankle (1), leg muscle (2) and knees (4)] at 3 months affecting the results. Pain did not improve significantly. Function improved (WOMAC p=0.02 and Lequesne p=0.01). The physical component of SF-36 improved at all time points except at 3 months, with best results at one-year follow-up (baseline = 33.4; 1 month = 39.6; 3 months= 37.6; 6 months 39.6 and 1 year = 44.6; p < 0.001). CONCLUSION: Joint lavage followed by injection of triamcinolone and hylan G-F20 improves function and quality of life progressively up to a year, even in severe hemophilic arthropathy. Level of Evidence IV, Case Series. |
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Acta Ortopédica Brasileira (Online) |
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Subjective results of joint lavage and viscosupplementation in hemophilic arthropathyHemophiliaOsteoarthritis, kneeHyaluronic acid/administration & dosageHyaluronic acid/therapeutic use OBJECTIVE: To assess whether joint lavage, viscosupplementation and triamcinolone improve joint pain, function and quality of life in patients with severe hemophilic arthropathy. METHODS: Fourteen patients with knee and/or ankle hemophilic arthritis with and without involvement of other joints underwent joint lavage and subsequent injection of hylan G-F20 and triamcinolone in all affected joints. The patients answered algo-functional questionnaires (Lequesne and WOMAC), visual analog scale for pain (VAS) and SF-36 preoperatively, and at one, three, six and twelve months postoperatively. RESULTS: Sixteen knees, 15 ankles, 8 elbows and one shoulder were treated in 14 patients. Six patients had musculoskeletal bleeding [ankle (1), leg muscle (2) and knees (4)] at 3 months affecting the results. Pain did not improve significantly. Function improved (WOMAC p=0.02 and Lequesne p=0.01). The physical component of SF-36 improved at all time points except at 3 months, with best results at one-year follow-up (baseline = 33.4; 1 month = 39.6; 3 months= 37.6; 6 months 39.6 and 1 year = 44.6; p < 0.001). CONCLUSION: Joint lavage followed by injection of triamcinolone and hylan G-F20 improves function and quality of life progressively up to a year, even in severe hemophilic arthropathy. Level of Evidence IV, Case Series. ATHA EDITORA2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000300162Acta Ortopédica Brasileira v.23 n.3 2015reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220152302145885info:eu-repo/semantics/openAccessRezende,Márcia Uchoa deRosa,Thiago Bittencourt CarvalhoPasqualin,ThiagoFrucchi,RenatoOkazaki,EricaVillaça,Paula Ribeiroeng2015-07-27T00:00:00Zoai:scielo:S1413-78522015000300162Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2015-07-27T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
title |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
spellingShingle |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy Rezende,Márcia Uchoa de Hemophilia Osteoarthritis, knee Hyaluronic acid/administration & dosage Hyaluronic acid/therapeutic use |
title_short |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
title_full |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
title_fullStr |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
title_full_unstemmed |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
title_sort |
Subjective results of joint lavage and viscosupplementation in hemophilic arthropathy |
author |
Rezende,Márcia Uchoa de |
author_facet |
Rezende,Márcia Uchoa de Rosa,Thiago Bittencourt Carvalho Pasqualin,Thiago Frucchi,Renato Okazaki,Erica Villaça,Paula Ribeiro |
author_role |
author |
author2 |
Rosa,Thiago Bittencourt Carvalho Pasqualin,Thiago Frucchi,Renato Okazaki,Erica Villaça,Paula Ribeiro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rezende,Márcia Uchoa de Rosa,Thiago Bittencourt Carvalho Pasqualin,Thiago Frucchi,Renato Okazaki,Erica Villaça,Paula Ribeiro |
dc.subject.por.fl_str_mv |
Hemophilia Osteoarthritis, knee Hyaluronic acid/administration & dosage Hyaluronic acid/therapeutic use |
topic |
Hemophilia Osteoarthritis, knee Hyaluronic acid/administration & dosage Hyaluronic acid/therapeutic use |
description |
OBJECTIVE: To assess whether joint lavage, viscosupplementation and triamcinolone improve joint pain, function and quality of life in patients with severe hemophilic arthropathy. METHODS: Fourteen patients with knee and/or ankle hemophilic arthritis with and without involvement of other joints underwent joint lavage and subsequent injection of hylan G-F20 and triamcinolone in all affected joints. The patients answered algo-functional questionnaires (Lequesne and WOMAC), visual analog scale for pain (VAS) and SF-36 preoperatively, and at one, three, six and twelve months postoperatively. RESULTS: Sixteen knees, 15 ankles, 8 elbows and one shoulder were treated in 14 patients. Six patients had musculoskeletal bleeding [ankle (1), leg muscle (2) and knees (4)] at 3 months affecting the results. Pain did not improve significantly. Function improved (WOMAC p=0.02 and Lequesne p=0.01). The physical component of SF-36 improved at all time points except at 3 months, with best results at one-year follow-up (baseline = 33.4; 1 month = 39.6; 3 months= 37.6; 6 months 39.6 and 1 year = 44.6; p < 0.001). CONCLUSION: Joint lavage followed by injection of triamcinolone and hylan G-F20 improves function and quality of life progressively up to a year, even in severe hemophilic arthropathy. Level of Evidence IV, Case Series. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000300162 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522015000300162 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-785220152302145885 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.23 n.3 2015 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122275155410944 |