Evidence map›Paper›PMID 35623121›Full record

ArticleInternational journal of surgery case reports2022

Treatment of grade III knee osteoarthritis with bone marrow stimulation and intraarticular injection of triamcinolone and hyaluronic acid combination; three case report and literature review.

Ariyanto Arief, Budu, Muhammad Andry Usman, Muhammad Sakti, Andri Maruli Tua Lubis, Agussalim Bukhari

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Ariyanto AriefMedical and Health Science Faculty of State Islamic Alauddin University Makassar, Indonesia; Department of Orthopedic and Traumatology, Hasri Ainun Habibie Hospital Parepare, Indonesia. Electronic address: ariyanto_ar@yahoo.com.
BuduMedical Faculty of Hasanuddin University Makassar, Indonesia.
Muhammad Andry UsmanMedical Faculty of Hasanuddin University Makassar, Indonesia; Department of Orthopedic and Traumatology, Wahidin Sudirohusodo Hospital, Makassar, Indonesia.
Muhammad SaktiMedical Faculty of Hasanuddin University Makassar, Indonesia; Department of Orthopedic and Traumatology, Wahidin Sudirohusodo Hospital, Makassar, Indonesia.
Andri Maruli Tua LubisDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusomo Hospital Jakarta, Indonesia.
Agussalim BukhariMedical Faculty of Hasanuddin University Makassar, Indonesia.
Hasanuddin University · IDUniversitas Muhammadiyah Parepare · IDUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceOsteoarthritis is a severe joint disease that affects more than 60% of the elderly and more common an idiopathic disease or unknown cause although there is also a secondary cause such as trauma, infection, neurological or metabolic disorders. The usual complaints that perceived by osteoarthritis patients is pain in the affected joint. Many patients and providers think of arthroplasty as the only surgical option for the treatment of osteoarthritis of the knee. However, there are several other surgical options for osteoarthritis which can be therapeutic alternatives. The role of bone marrow stimulation and intraarticular injection with triamcinolone and Hyaluronic acid combination on grade III knee osteoarthritis patient has not been reported. CASE PRESENTATION: Three patients who presented to orthopedic department with complaints of bilateral knee pain were identified with grade III osteoarthritis (Kellgren and Lawrence) receiving some kind of analgetic treatment for more than 1 year which provided pain relief for some time but not permanent. They underwent arthroscopic procedure (bone marrow stimulation) and then injected with triamcinolone and hyaluronic acid combination. Pre and post operation outcome scores (WOMAC score, Interleukin 15 and MRI) were assessed. At six-month follow-up, all patients reported improvement in pain and stiffness. WOMAC score and Interleukin 15 serum level decreases, MRI with Amadeus score showed improvement of cartilage defect. CLINICAL DISCUSSION: This case report showed that our three patients were successfully treated with bone marrow stimulation and intraarticular injection with triamcinolone and hyaluronic acid combination. All three patients have improved in their functional outcome, IL 15 and cartilage defect.

conclusionBone marrow stimulation and intraarticular injection with triamcinolone and hyaluronic acid combination can be a valuable treatment option for moderate active patients with grade III knee osteoarthritis.

Indexed as

Bone marrow stimulationCase reportHyaluronic acidInterleukin 15OsteoarthritisWomac score

Identifiers

PMID35623121
PMCPMC9136340
OpenAlexW4229444508

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.