Abstract:

BACKGROUND: Artificial joint replacement is not the best choice for younger patients and patients with early and middle stage of acetabular dysplastic coxarthrosis. Sodium hyaluronate lubricates joints, nourishes and promotes healing and regeneration of the articular cartilage. It can inhibit the degeneration of cartilage when the cartilage early damage and osteoarthritis form.
OBJECTIVE: To verify the clinical efficacy of kinesitherapy in combination with sodium hyaluronate injected into the articular cavity in the treatment of acetabular dysplastic coxarthrosis.
METHODS: Thirty-eight patients with acetabular dysplastic coxarthrosis were randomly divided into an experimental group (n=20) receiving therapeutic exercise combined with sodium hyaluronate treatment, and a control group (n=18) undergoing comprehensive physical therapy only. The patient’s hip joint function was evaluated by Harris hip scoring and the clinical efficacy was assessed before and after one course of treatment.
RESULTS AND CONCLUSION: The Harris hip scoring of the experimental group ranged from preoperative (48.8±8.4) points to postoperative (90.6±5.2) points. The remarkable effective rate was 90.0%. The Harris hip scoring of the control group ranged from preoperative (49.6±9.3) points to postoperative (76.2±4.8) points. The remarkable effective rate was 50.0%. There was a significant difference in Harris hip scoring and remarkable effective rate between two groups (P < 0.05). Kinesitherapy in combination with sodium hyaluronate is efficacious in improving joint function of acetabular dysplastic coxarthrosis patients.