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

Karatay 2004.

Methods Randomised
 Controlled
 Trial
 Parallel group
 Singel centre
Participants Country: Turkey
 Mean age: 61.5
 % Female: 70
 Mean disease duration: NR
 Duration: 3 wk
 Number randomised: 40
 (Orthovisc 20, Hylan G‐F 20 20)
 Inclusion:
 fulfill ACR criteria for knee OA,
 Kellgren‐Lawrence grade II or III
 Exclusion:
 use of analgesic or NSAID,
 pts with concomitant rheumatological disease, active synovitis, surgical or arthroscopic interventions or ia steroid or HA treatment during the past 6 mth
 Baseline values:
 WOMAC pain:
 OR: 11.2
 GF: 10.8
 WOMAC stiffness
 OR: 3.8
 GF: 3.6
 WOMAC function
 OR: 35
 GF: 31.9
 ICAM‐1
 OR: 19.2
 GF: 17.8
 VCAM‐1
 OR: 40.5
 GF: 37.8
Interventions Orthovisc
 2 ml, 30 mg
 (Anika Therapeutics)
 3 weekly injections;
 Hylan G‐F 20
 Synvisc 
 2 ml, 16 mg
 (Wyeth)
 3 weekly injections
 Concurrent therapy: None permitted as per exclusion criteria
Outcomes WOMAC OA Index
 pain (0‐20),
 stiffness (0‐8),
 physical function (0‐68)
 biochemical measurements:
 sICAM‐1 and sVCAM‐1 in SF samples
Notes Jadad's: 1/5
 R‐1, B‐0, W‐0
 No baseline differences between groups of demographic features, clinical indices or lab values.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear