TY  - JOUR
T1  - A Firmer Base for Clinical Judgment About Hyaluronic Acid InjectionCommentary on an article by Henry DeGroot III, MD, et al.: “Intra-Articular Injection of Hyaluronic Acid Is Not Superior to Saline Solution Injection for Ankle Arthritis. A Randomized, Double-Blind, Placebo-Controlled Study”
AU  - Daniels, Timothy R.
AU  - Pinsker, Ellie
Y1  - 2012/01/04
N1  - 10.2106/JBJS.K.01335
JO  - The Journal of Bone & Joint Surgery
SP  - e4 1
EP  - 2
VL  - 94
IS  - 1
N2  - 
For most patients, the natural history of osteoarthritis of a lower extremity joint is one of insidious onset and gradual deterioration. The symptoms wax and wane over time, with the frequency of the painful episodes gradually increasing in both intensity and duration. It takes time and personal reflection for patients to decide that a surgical opinion is necessary. The primary role of the treating surgeon is not only to identify the best mode of treatment but also to discuss the limitations of the proposed interventions. With many surgical options, the recovery time can be substantial and the outcomes variable. The entire process can take years by the time the patient decides to proceed with surgery.

SN  - 0021-9355
M3  - doi: 10.2106/JBJS.K.01335
UR  - http://dx.doi.org/10.2106/JBJS.K.01335
ER  -