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BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE HIP (COBRAVI-Q).

Eduardo Branco DE Sousa¹, Paulo César Hamdan², Zartur José Barcelos Menegassi²

¹Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brazil.

Acta Ortopedica Brasileira

|December 1, 2022

Summary

Hip viscosupplementation is a safe and effective treatment for mild to severe hip osteoarthritis. This therapy, when combined with other measures and guided by imaging, offers a cost-effective solution for joint pain management.

Keywords:

Hip Injections, Intra-Articular Osteoarthritis Viscosupplementation

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Area of Science:

Orthopedics
Rheumatology
Sports Medicine

Background:

Hip osteoarthritis is a common degenerative joint disease.
Viscosupplementation is a therapeutic option for managing hip osteoarthritis symptoms.

Purpose of the Study:

To establish a consensus among Brazilian specialists on hip viscosupplementation.
To provide evidence-based guidance on the application of hip viscosupplementation.

Main Methods:

A multidisciplinary panel of 15 specialists was convened.
12 statements regarding hip viscosupplementation were developed, discussed, and voted on using a Likert scale.

Main Results:

Consensus was reached on key aspects, including indications for mild to severe osteoarthritis.
The effectiveness of viscosupplementation can depend on the specific product used.
Viscosupplementation should be integrated with rehabilitation and pharmacological treatments.
Anatomical references combined with imaging guidance are recommended for optimal injection technique.
The procedure is considered cost-effective.

Conclusions:

Hip viscosupplementation is a safe and effective treatment for hip osteoarthritis, applicable even in severe cases.
Image-guided injections are recommended for improved outcomes.