Análise da eficácia analgésica e articular da viscosuplementação com Hialuronato de Sódio na osteoartrite de joelho

Abstract

OBJECTIVE: To analyze the analgesic efficacy and joint function within one year after viscousuplementation with sodium hyaluranate and its association with obesity and physiotherapy treatment in patients with knee osteoarthritis, through the visual pain analogue scale and WOMAC (Western Ontario and McMaster Universities) questionnaire for the Portuguese language. METHODS: Longitudinal, almost experimental, prospective study of the type before and after that included 32 adult patients with knee osteoarthritis grades II and III according to the ALBACH classification treated consecutively at the Orthopedics and Traumatology Clinic of the Regional Hospital of Paranóa, Brasilia, Federal District, and at the Orthopedics Clinic of Brasilia (COBRA), Brasilia, Federal District, Brazil, from February 2019 to September 2020. Patients with previous arthroplasty, carriers of rheumatologic and inflammatory diseases, autoimmune and with post-traumatic osteoarthritis were excluded. All patients included were submitted to viscossuplementation with sodium hyaluronate, and randomly allocated to perform physiotherapies or not after the procedure and subdivided into obese and non-obese according to BMI. The Visual Analog Pain Scale (VAS) and the Western Ontario and McMaster (womac) questionnaire were used to evaluate joint function. Measurements were taken at the initial moment (before treatment), as BMI and FLEXO-EXTENSION, using simple goniometry, then at one month, three months, six months and twelve months.