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

Grecomoro 1987.

Methods Randomised
 Controlled
 Trial
 Double‐blind
 Parallel‐group
 Placebo‐ controlled
 Single centre,
 ITT analysis
Participants Country: Italy
 Mean age:65
 % Female:56
 Mean disease duration: NR
 Duration:60 days
 Number randomised:34
 [40 jts: HA 20, PL 20]
 Inclusion:
 gonarthrosis
 pain with clinical signs, e.g. limitation of joint function and of unaided walking
 Exclusion:
 NR
Interventions Hyalgan (20mg/2ml)
 3 weekly injections
 Placebo: phosphate buffer
 2 ml 3 weekly injections
 Concurrent therapy:
 not reported
Outcomes spontaneous pain intensity VAS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐
 pain on touch
 pain under load
 pain while walking (1=none,
 2=mild,3=moder‐
 ate,4=severe,5=
 very severe)
Notes Jadad's:3/5
 R‐1,B‐1,W‐1
 6 pts had bilateral disease each knee ran‐
 domised
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear