Table 1 Inclusion and exclusion criteria.
Inclusion criteria |
Aged 20–75 years |
Symptomatic knee OA ≥ 6 months despite conservative treatment such as oral analgesics, NSAIDs and/or physical therapy |
Kellgren-Lawrence grades 2 knee OA on radiographs taken within the previous 6 months |
Average pain at walking ≥ 30 mm on a 100-mm visual analog scale (VAS) |
Radiological evidence of bilateral knee OA was accepted if global pain VAS in the contralateral knee < 30 mm |
Exclusion criteria |
Previous orthopedic surgery on the spine or lower limbs |
Disabling OA of either hip or foot |
Knee instability, apparent joint effusion or marked valgus/varus deformity |
Known allergy to hyaluronan products |
Women ascertained or suspected pregnancy or lactating |
Intraarticular injections into the knee in the past 6 months |
Any specific medical conditions (rheumatoid arthritis, active infections, severe cardiovascular diseases, autoimmune diseases, hemiparesis, neoplasm, etc.) that would interfere with the assessments |