Intra-articular injection of two different doses of autologous bone marrow mesenchymal stem cells versus hyaluronic acid in the treatment of knee osteoarthritis
Intra-articular Injections in the Treatment of Symptoms from Ankle Arthritis: A Systematic Review.
Article specifications
This review study was published in 2018 in Journal of Foot Ankle Int. (IF 2014:2.34) by Canadian specialists. A literature searches for observational and randomized controlled trials (RCTs). Treatments included corticosteroids (CS), hyaluronic acid (HA), platelet-rich plasma (PRP), and mesenchymal stem cells (MSC). 27 studies (1085 patients). Ankle OA, rheumatoid arthritis (RA), and hemophilic arthropathy populations were examined. The majority of studies were observational (20 studies); the only RCTs were those evaluating HA.
Result
Evidence from small trials favors HA and PRP injections for the treatment of pain associated with ankle osteoarthritis. However, the relative efficacy of all injectable therapies is far from definitive and warrants further high-quality comparative trials.
Tags: Canada systematic reviews 2018 Foot & Ankle International