Intra-articular hyaluronan therapy.
Viscosupplementation, in which hyaluronan derivatives are injected into the intra-articular space of osteoarthritic joints, is now widely used to treat knee osteoarthritis (OA). No viscosupplements have been approved for osteoarthritic joints other than the knee. To date, no clinical trials using viscosupplements to treat ankle or foot OA have been published. However, the mechanisms thought to be responsible for viscosupplementation's therapeutic effects would likely apply in any synovial joint. A goal of this article is to stimulate interest in research to assess the potential role of viscosupplementation in treating foot and ankle OA.
Marshall
K Wayne
KW
Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada. wmarshall@chondrogene.com
D000818:Animals; D002986:Clinical Trials as Topic; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage / Q000493:pharmacokinetics / Q000627:therapeutic use*; D007270:Injections, Intra-Articular; D007596:Joints / Q000187:drug effects / Q000378:metabolism; D010003:Osteoarthritis / Q000188:drug therapy* / Q000378:metabolism; D012107:Research Design
D006820:Hyaluronic Acid