1. Effectiveness of fluoroscopy-guided intra-articular steroid injection for hip osteoarthritis.
- Author
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Subedi, N., Chew, N.S., Chandramohan, M., Scally, A.J., and Groves, C.
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ANALYSIS of variance , *ANTI-inflammatory agents , *FLUOROSCOPY , *HIP joint diseases , *INTRA-articular injections , *LONGITUDINAL method , *MEDICAL care , *OSTEOARTHRITIS , *PATIENTS , *INTERVENTIONAL radiology , *STEROIDS , *TREATMENT effectiveness - Abstract
Aim: To demonstrate the benefits of fluoroscopy-guided intra-articular steroid injection in the hip with varying degrees of disease severity, and to investigate the financial aspects of the procedure and impact on waiting time.Materials and Methods: A prospective study was undertaken of patients who underwent fluoroscopic intra-articular steroid injection over the 9-month study period. Comparative analysis of the Oxford hip pain score pre- and 6-8 weeks post-intra-articular injection was performed. Hip radiographs of all patients were categorised as normal, mild, moderate, or severe disease (four categories) based on the modified Kellgren-Lawrence severity scale, and improvement on the Oxford hip pain score on each of these four severity categories were assessed.Results: Within the study cohort of 100 patients, the mean increase in post-procedure hip score of 7.32 points confirms statistically significant benefits of the therapy (p<0.001, 95% confidence interval: 5.55-9.09). There was no significant difference in pre-injection hip score or change in score between the four severity categories (p=0.51). Significant improvement in hip score (p<0.05) was demonstrated in each of the four severity categories 6-8 weeks post-injection. No associated complications were observed.Conclusion: The present study confirms that fluoroscopy-guided intra-articular steroid injection is a highly effective therapeutic measure for hip osteoarthritis across all grades of disease severity with significant cost savings and the potential to reduce waiting times. [ABSTRACT FROM AUTHOR]- Published
- 2015
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