A pilot study exploring the use of hyaluronic acid in treating insertional achilles tendinopathy

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2024-04-09 DOI:10.1177/10225536241242086

Nissim Ohana, David Segal, Eugene Kots, Viktor Feldman, Meir Nyska, Ezequiel Palmanovich, Omer Slevin

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Abstract

PurposeThis study explores the use of ultrasound-guided Hyaluronic Acid (HA) injections for Insertional Achilles Tendinopathy (IAT).MethodsA cohort of 15 ankles diagnosed with IAT received three weekly ultrasound-guided HA injections. The Victorian Institute of Sport Assessment – Achilles (VISA-A) questionnaire scored the severity of symptoms and functional impairment before treatment, and at one and six months post-treatment.ResultsSignificant improvement was observed in VISA-A scores post-treatment, rising from an average baseline of 34.8 ± 15.2 (11-63) to 53.6 ± 20.9 (15-77) after one month, and then to 50.7 ± 18.6 (20-75) after six months. No adverse reactions were noted, underscoring the safety of the intervention.ConclusionThe pilot study presents HA injections as a potentially effective treatment for IAT, while interpretation of these findings must take into account the variability in results, indicating a range of patient responses. It encourages further research to confirm these findings and to explore HA’s full potential in managing IAT, despite the limitations of a small sample size and lack of control group.

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探索使用透明质酸治疗插入性跟腱病的试点研究

目的本研究探讨了在超声波引导下注射透明质酸（HA）治疗插入性跟腱病（IAT）的方法。方法一组 15 个被诊断为 IAT 的脚踝每周接受三次超声波引导下的透明质酸注射。结果治疗后VISA-A评分显著改善，从平均基线34.8±15.2（11-63）分上升到一个月后的53.6±20.9（15-77）分，再上升到六个月后的50.7±18.6（20-75）分。结论这项试验研究表明，HA 注射是治疗 IAT 的一种潜在有效方法，但在解释这些研究结果时必须考虑到结果的可变性，因为这表明患者的反应各不相同。尽管样本量较少且缺乏对照组，但该研究鼓励进一步研究以证实这些发现，并探索 HA 在治疗 IAT 方面的全部潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery Medicine-Surgery

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期刊介绍： Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.