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Prolotherapy for knee osteoarthritis using hypertonic dextrose vs other interventional treatments: systematic review of clinical trials
Arias-Vázquez, Pedro Iván; Tovilla-Zárate, Carlos Alfonso; Legorreta-Ramírez, Blanca Gabriela; Fonz, Wajid Burad; Magaña-Ricardez, Dory; González-Castro, Thelma Beatriz; Juárez-Rojop, Isela Esther; López-Narváez, María Lilia.
Afiliação
  • Arias-Vázquez, Pedro Iván; Universidad Juárez Autónoma de Tabasco. División Académica Multidisciplinaria de Comalcalco. Comalcalco. MX
  • Tovilla-Zárate, Carlos Alfonso; Universidad Juárez Autónoma de Tabasco. División Académica Multidisciplinaria de Comalcalco. Comalcalco. MX
  • Legorreta-Ramírez, Blanca Gabriela; Centro de Rehabilitación Infantil Teletón. Subdirección Médica de Clínica. MX
  • Fonz, Wajid Burad; Centro Médico Olympia. Cancún. MX
  • Magaña-Ricardez, Dory; Universidad Juárez Autónoma de Tabasco. División Académica Multidisciplinaria de Comalcalco. Comalcalco. MX
  • González-Castro, Thelma Beatriz; Universidad Juárez Autónoma de Tabasco. División Académica de Ciencias de la Salud. Villahermosa. MX
  • Juárez-Rojop, Isela Esther; Universidad Juárez Autónoma de Tabasco. División Académica de Ciencias de la Salud. Villahermosa. MX
  • López-Narváez, María Lilia; Hospital General de Yajalón "Dr. Manuel Velazco Suarez". Secretaría de Salud. Yajalón. MX
Adv Rheumatol ; 59: 39, 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1088635
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Background:

To evaluate the efficacy and safety of prolotherapy with hypertonic dextrose in patients with knee osteoarthritis. A systematic search was performed in electronic databases including PUBMED, SCIELO, DIALNET and Google Scholar. Main body We searched for randomized clinical trials that evaluated therapeutic interventions in patients with knee osteoarthritis. These trials compared the effect of intra-articular and / or extra-articular infiltrations of hypertonic dextrose vs the effect of intra-articular and / or extra-articular infiltrations of other substances or some interventional procedure application, via assessing pain, physical function and secondary effects and / or adverse reactions. Ten randomized clinical trials were included in this systematic review, the total sample size comprised 328 patients treated with hypertonic dextrose (prolotherapy) vs 348 controls treated with other infiltrations such as local anesthetics, hyaluronic acid, ozone, platelet-rich plasma or interventional procedures like radiofrequency.

Conclusions:

In terms of pain reduction and function improvement, prolotherapy with hypertonic dextrose was more effective than infiltrations with local anesthetics, as effective as infiltrations with hyaluronic acid, ozone or radiofrequency and less effective than PRP and erythropoietin, with beneficial effect in the short, medium and long term. In addition, no side effects or serious adverse reactions were reported in patients treated with hypertonic dextrose. Although HDP seems to be a promising interventional treatment for knee OA, more studies with better methodological quality and low risk of bias are needed to confirm the efficacy and safety of this intervention.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Osteoartrite do Joelho / Proloterapia / Solução Hipertônica de Glucose Tipo de estudo: Ensaio clínico controlado / Revisão sistemática Aspecto: Preferência do paciente Limite: Humanos Idioma: Inglês Revista: Adv Rheumatol Assunto da revista: Artrite / Reumatologia Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: México / Uruguai Instituição/País de afiliação: Centro Médico Olympia/MX / Centro de Rehabilitación Infantil Teletón/MX / Hospital General de Yajalón "Dr. Manuel Velazco Suarez"/MX / Universidad Juárez Autónoma de Tabasco/MX

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Osteoartrite do Joelho / Proloterapia / Solução Hipertônica de Glucose Tipo de estudo: Ensaio clínico controlado / Revisão sistemática Aspecto: Preferência do paciente Limite: Humanos Idioma: Inglês Revista: Adv Rheumatol Assunto da revista: Artrite / Reumatologia Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: México / Uruguai Instituição/País de afiliação: Centro Médico Olympia/MX / Centro de Rehabilitación Infantil Teletón/MX / Hospital General de Yajalón "Dr. Manuel Velazco Suarez"/MX / Universidad Juárez Autónoma de Tabasco/MX
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