Evidence map›Paper›PMID 41920453›Full record

ReviewAging clinical and experimental research2026

Expert consensus on hyaluronic acid injections for knee osteoarthritis: a patient-centered approach.

Nicholas Fuggle, François Rannou, Emmanuel Maheu, Alberto Migliore, Nasser Al-Daghri, Majed Alokail, Patrick Ammann, Francis Berenbaum, Angie Botto-van Bemden, Maria Luisa Brandi and 19 more

Abstract readConsensus StatementReview
In one paragraph

Review in Aging clinical and experimental research, 2026. 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
–field-weighted citation impact
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.

  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

29 authors.

Nicholas FuggleMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
François RannouFaculté de santé, Université Paris Cité, UFR de Médecine, Paris, 75006, France.
Emmanuel MaheuService de rhumatologie, Hôpital St Antoine, AP-HP, et cabinet médical, Paris, France.
Alberto MiglioreRheumatology Unit, San Pietro Fatebenefratelli Hospital, Rome, 00189, Italy.
Nasser Al-DaghriChair for Biomarkers of Chronic Diseases, Biochemistry Department, College of Science, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Majed AlokailProtein Research Chair, Biochemistry Department, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia.
Patrick AmmannDivision of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Francis BerenbaumSorbonne University, AP-HP Saint-Antoine Hospital, INSERM, Paris, France.
Angie Botto-van BemdenMusculoskeletal Research International, Key Biscayne, FL, USA.
Maria Luisa BrandiUniversity Vita-Salute San Raffaele, Milan and FIRMO Foundation, Florence, Italy.
Nansa BurletDivision of Epidemiology, Public Health and Health Economics, University of Liège, Liège, Belgium.
Roland ChapurlatINSERM UMR 1033, Université Claude Bernard-Lyon 1, Hôpital E Herriot, Lyon, France.
Cyrus CooperMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Elaine DennisonMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Nicholas C HarveyMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
Gun-Il ImDepartment of Orthopedics, Dongguk University Ilsan Hospital, 32 Dongguk- Ro, Goyang Gyeonggi-Do , 10326, Goyang-si, Republic of Korea.
Andreas KurthOrthopaedic Institute Dres. Baron & Colleagues and Johann Wolfgang Goethe University, Frankfurt, Germany.
Radmila MatijevicFaculty of Medicine, University of Novi Sad, University Clinical Center of Vojvodina, Novi Sad, Serbia.
Daniel MessinaIRO Investigaciones Reumatologicas y Osteologicas SRL Collaborating Centre WHO, University of Buenos Aires, Buenos Aires, Argentina.
Jordi Monfort FaureServei de Reumatologia, Hospital del Mar, Universitat Pompeu Fabra, Barcelona, Spain.
Régis P RadermeckerDepartment of Diabetes, Nutrition and Metabolic Disorders, Clinical Pharmacology, CHU Liege, Liege University, Liege, Belgium.
Ralf SchmidmaierDepartment of Medicine IV, LMU University Hospital, LMU Munich, Munich , Germany.
Stuart SilvermanOMC Clinical Research Center and Cedars-Sinai Medical Center, 8641 Wilshire Blvd, Suite 301, Beverly Hills, CA, 90211, USA.
Julien WegrzynService universitaire d'orthopédie et de traumatologie, Hôpital orthopédique, Centre hospitalier universitaire vaudois et Université de Lausanne, Lausanne, Switzerland.
Leith ZakraouiUniversity of Tunis El Manar, Tunis, Tunisia.
René RizzoliDivision of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Jean-Yves ReginsterProtein Research Chair, Biochemistry Department, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia.
Olivier BruyèreResearch Unit in Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.
Ali MobasheriResearch Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, P.O. Box 5000, Oulu, FI-90014, Finland. ali.mobasheri@oulu.fi.ORCID http://orcid.org/0000-0001-6261-1286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyaluronic acid (HA) is a linear polysaccharide which occurs naturally as a constituent of synovial fluid. The HA concentration in the joint decreases inexorably during the progression of knee osteoarthritis (OA) and so, for nearly five decades, HA has been trialled and used in the treatment of knee OA. There are strong data from clinical trials, meta-analyses and umbrella reviews to support the use of intra-articular hyaluronic acid (IAHA) in the treatment of patients with knee OA, though not in patients with acute, active OA experiencing a flare. The majority of the literature suggests that IAHA has a positive safety profile despite a few meta-analyses suggesting an increased risk of serious adverse effects. Further qualitative analysis integrating patient preferences for multi-modal and/or non-surgical management is required in order to further explore these findings. IAHA has been combined with a number of additional agents, including mannitol, sorbitol, chondroitin sulphate, tranexamic acid, polynucleotides and hybrid IAHA formulations. These show variable performance beyond the baseline effect of their constituents. It is crucial to consider the patient’s preference when considering treatments for knee OA. Specific to IAHA, patients seek minimally invasive, lower-risk, and non-steroidal options with at least moderate efficacy and advantageous safety profiles.

Indexed as

Hyaluronic AcidOsteoarthritis, KneeViscosupplementsHumansInjections, Intra-ArticularPatient-Centered CareHyaluronic AcidViscosupplementsHyaluronic AcidIAHAInjectionKneeOsteoarthritis

Identifiers

PMID41920453
PMCPMC13061766

What OpenQuestion holds

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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.