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Titolo:
Degenerative disease of the knee joint: efficacy and contribution of localtreatment
Autore:
Ayral, X;
Indirizzi:
Hop Cochin, Serv Rhumatol B, F-75014 Paris, France Hop Cochin Paris France F-75014 , Serv Rhumatol B, F-75014 Paris, France
Titolo Testata:
PRESSE MEDICALE
fascicolo: 22, volume: 28, anno: 1999,
pagine: 1195 - 1200
SICI:
0755-4982(19990619)28:22<1195:DDOTKJ>2.0.ZU;2-B
Fonte:
ISI
Lingua:
FRE
Soggetto:
INTRA-ARTICULAR STEROIDS; OSTEO-ARTHRITIS; OSTEOARTHRITIC KNEES; CONTROLLED TRIAL; VISCOSUPPLEMENTATION; HYLAN; HYALGAN(R); LAVAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Ayral, X Hop Cochin, Serv Rhumatol B, 27 Rue Faubourg St Jacques, F-75014 Paris, France Hop Cochin 27 Rue Faubourg St Jacques Paris France F-75014 rance
Citazione:
X. Ayral, "Degenerative disease of the knee joint: efficacy and contribution of localtreatment", PRESSE MED, 28(22), 1999, pp. 1195-1200

Abstract

Indications: To relieve pain in patients with knee osteoarthritis, local treatments can be effective both for episodes of acute congestion, characterized by inflammatory pain, intraarticular effusion and risk of acute chondrolysis, and for slowly progressive disease (with a characteristic lack of effusion). Acute congestion: Local care is essential. Relief can be achieved by draining the effusion, associated with corticosteroid injections which may be repeated and followed by a 24 h rest. In case of failure or rapid developmentof chondrolysis, joint ravage (1 liter saline solution - two 2-mm needles)followed by cortico-steroid infiltration is indicated. Weight bearing should be avoided for 6 weeks (cane) until the effusion has been absorbed. In case of radiological evidence of chondrocalcinosis and chronic serous or bloody effusion, yttrium 90 synoviorthesis may be proposed as an alternative. Slowly progressive disease: In patients with no effusion who continue to suffer despite physical and medical treatment, intraarticular injections of hyaluronic acid can be helpful. They are particularly effective in case of moderate disease. Hyaluronic acid is an interesting alternative to non-steroidal antiinflammatory drugs and is especially indicated after a rapidly progressive period of chondrolysis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 12:58:58