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. 2006 Apr 19;2006(2):CD005321. doi: 10.1002/14651858.CD005321.pub2

Comparison 36. Orthovisc versus 6‐methylprednisolone acetate.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Pain on weight bearing (0‐100 mm VAS) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.1 1 to 4 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) 5.03 [‐4.94, 15.00]
1.2 5 to 13 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐15.64 [‐24.51, ‐6.77]
1.3 14 to 26 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐15.40 [‐25.91, ‐4.89]
2 Pain at rest (0‐100 mm VAS) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 1 to 4 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) 3.53 [‐2.09, 9.15]
2.2 5 to 13 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐7.70 [‐13.50, ‐1.90]
2.3 14 to 26 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐2.90 [‐9.47, 3.67]
3 Pain on walking (0‐100 mm VAS) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 1 to 4 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐11.46, 10.66]
3.2 5 to 13 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐18.43 [‐29.19, ‐7.67]
3.3 14 to 26 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐14.90 [‐25.91, ‐3.89]
4 Lequesne Index (0‐24) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 1 to 4 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.91, 0.71]
4.2 5 to 13 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐1.40 [‐2.13, ‐0.67]
4.3 14 to 26 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) ‐1.14 [‐2.16, ‐0.12]
5 Flexion (active range in degrees) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 1 to 4 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) 2.16 [‐2.58, 6.90]
5.2 5 to 13 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) 2.36 [‐1.82, 6.54]
5.3 14 to 26 weeks post‐injection 1 55 Mean Difference (IV, Fixed, 95% CI) 5.0 [0.19, 9.81]
6 Safety: total withdrawals overall 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
7 Safety: number of patients withdrawn due to increased pain 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8 Safety: number of patients reporting musculoskeletal adverse events 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9 Safety: number of patients reporting skin adverse events 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10 Safety: number of patients reporting gastrointestinal adverse events 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11 Safety: number of patients reporting general adverse events 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
12 Safety: number of patients reporting knee pain after injection 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only