Place des gestes intra articulaires dans la coxarthrose ?

Abstract

Osteoarthritis is responsible for pain and joint stiffness that cause significant functional impairment. To date, the only curative treatment is the surgery with total hip prosthesis. Nevertheless, this therapeutic option is only used in last course, when all of the other available therapies have been exhausted, including medical ones. The intra articular injection is often used to treat osteoarthritis. Several injectable therapeutic agents have been evaluated; the most commonly used are corticosteroids and hyaluronic acids. Intra-articular infiltration of corticoids provides a modest benefit on pain and only in the short term. Visco-supplementation at the hip is not superior to placebo in hip osteoarthritis, but studies evaluating its efficacy lacked of power. Its interest can be reconsidered with the results of complementary and better-designed therapeutic trials.