Abstract

We aimed to evaluate potential new treatments for knee osteoarthritis (OA). The National Institute of Health ClinicalTrials.gov database was searched for “Osteoarthritis, Knee”. We found 565 ongoing interventional studies with a total planned enrollment of 111,276 subjects. Ongoing studies for knee OA represent a very small fraction of the registered clinical trials, but they are over a quarter of all knee trials and over two thirds of all OA studies. The most researched topic was arthroplasty, with aspects such as implant design changes, cementless fixation, robotic guidance, pain management, and fast track recovery. Intraarticular injections focused on cell therapies with mesenchymal stem cells sourced from adipose tissue, bone marrow, or umbilical cord. We could see the introduction of the first disease modifying drugs with an impact on knee OA, as well as new procedures such as geniculate artery embolization and geniculate nerve ablation.

Highlights

  • Osteoarthritis (OA) is the end stage degeneration of synovial joints and the knee is the most common location, with a high prevalence especially in the elderly [1]

  • Ongoing studies for knee OA represent a very small fraction of the registered clinical trials, but they are over a quarter of all knee trials and over two thirds of all OA studies

  • We could see the introduction of the first disease modifying drugs with an impact on knee OA, as well as new procedures such as geniculate artery embolization and geniculate nerve ablation

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Summary

Introduction

Osteoarthritis (OA) is the end stage degeneration of synovial joints and the knee is the most common location, with a high prevalence especially in the elderly [1]. Recurrent joint effusions aggravated by physical activity, synovial hypertrophy, degenerative meniscal tears, and bone edema [1,4,7]. These changes may only be evident initially on magnetic resonance imaging (MRI), but as they progress, they can be observed on plain radiographs [1,4,7,8]. End stages lead to limb deformity especially in the coronal plane (varus), incomplete extension, decreased range of motion, instability, constant pain, and serious disability [1,4,7,8]

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