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Bensa_2023_Springer_s40634-023-00674-0
Journal article

Intra‐articular injections in sport‐active patients with degenerative cartilage lesions or osteoarthritis of the knee : a systematic review

  • De Marziani, Luca Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
  • Sangiorgio, Alessandro Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
  • Bensa, Alessandro ORCID Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
  • Boffa, Angelo Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
  • Andriolo, Luca ORCID Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
  • Filardo, Giuseppe ORCID Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland - Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
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  • 2023
Published in:
  • Journal of Experimental Orthopaedics. - 2023, vol. 10, no. 1, p. 112
Sport
Athletes
Cartilage
Osteoarthritis
Knee
Injective
Hyaluronic Acid
HA
Platelet-rich Plasma
PRP
English PurposeThe aim of this systematic review was to analyse the available clinical evidence on intra‐articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis (OA) in sport‐active patients.MethodsA literature search was performed in July 2023 according to the PRISMA guidelines on three electronic databases (PubMed, Cochrane, Web of Science). Studies addressing intra‐articular injections for degenerative knee cartilage lesions or knee OA in sport‐active patients were included. The Downs and Black’s “checklist for measuring quality” was used to evaluate risk of bias and quality of the included studies.ResultsOnly 10 clinical studies for a total of 296 sport‐active patients were included, with a publication trend increasing over time. The studies were 9 case series and 1 RCT; 7 studies focused on hyaluronic acid (HA), 2 studies focused on platelet‐rich plasma (PRP), while 1 study compared HA and PRP. Overall, safety and positive clinical findings were for both HA and PRP, although not always with satisfactory results in terms of return to sport. The Downs and Black evaluation showed an overall poor quality of the included studies, with an average score of 21.1 points (range 19–25).ConclusionsThe available clinical evidence is still limited, with only a few studies published and an overall low‐quality of evidence, suggesting a potential role of HA and PRP injections to treat these patients. However, further high‐level trials are needed to confirm the real benefits of these treatments for the management of sport‐active patients affected by degenerative cartilage lesions or OA of the knee.
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Language
  • English
Classification
Medicine
License
CC BY
Open access status
gold
Identifiers
Persistent URL
https://n2t.net/ark:/12658/srd1335470
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