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Clinical Outcomes of Intra-Articular Ozone Injections in Hip Osteoarthritis: A Retrospective Study Comparing
Burcu Ozalp1, Argun Pire1, Meltem Uyar1
1Department of Anesthesiology and Reanimation, Division of Algology, School of Medicine, Ege University, Izmir 35040, Turkey.
Intra-articular ozone injections show promise for hip osteoarthritis (OA) pain relief and improved function. A three-session treatment may offer greater benefits than fewer sessions, warranting further study.
Area of Science:
- Orthopedics
- Regenerative Medicine
- Pain Management
Background:
- Hip osteoarthritis (OA) is a debilitating condition with limited treatment options.
- Intra-articular injections are a common therapeutic approach for OA.
- Ozone therapy is an emerging treatment modality for various musculoskeletal conditions.
Purpose of the Study:
- To evaluate the association between the number of intra-articular ozone injection sessions and clinical outcomes in patients with hip OA.
- To determine if a higher number of ozone sessions correlates with improved pain reduction and functional status.
- To assess the safety and efficacy of intra-articular ozone injections for hip OA.
Main Methods:
- Retrospective analysis of 54 patients (65 hips) with Tönnis grade 1-2 hip OA.
- Patients received 1, 2, or 3 intra-articular ozone injection sessions.
- Pain and function assessed using Visual Analog Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index at multiple follow-up points.
Main Results:
- All treatment groups showed significant improvements in VAS and WOMAC scores compared to baseline (p < 0.001).
- The three-session group exhibited numerically greater improvements in pain and function at early and late follow-ups.
- Intergroup differences in outcomes did not consistently reach statistical significance.
Conclusions:
- Intra-articular ozone injections are associated with positive clinical outcomes in hip OA patients.
- A three-session ozone regimen may lead to more pronounced pain relief and functional recovery.
- Further randomized controlled trials are needed to confirm these findings and establish optimal treatment protocols.
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