Intra-articular Injection in Arthroscopic Management of Temporomandibular Diseases

Sohag University

Status: Completed

Conditions: Temporomandibular Joint Disorders

Treatments: Procedure: Temporomandibular joint arthroscopy plus intra-articular injection

Study type: Interventional

Funder types: Other

Identifiers

NCT04936945

Soh-Med-21-06-15

Details and patient eligibility

About

The aim of this study is to evaluate the efficacy of intra-articular injection of platelet rich plasma versus hyaluronic acid following diagnostic arthroscopy in the management of patients suffering from degenerative temporomandibular joint (TMJ).

This is a prospective randomized study of 20 patients with TMJ degenerative joint diseases Wilkes IV, V.

Patients will be divided into two groups; Group A: will be treated with operative arthroscopy plus intra-articular platelet rich plasma.

Group B: will be treated with operative arthroscopy plus intra-articular hyaluronic acid.

Enrollment: 20 patients

Sex: All

Ages: 5+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • All patients with reduced mouth opening and/or painful maximum mouth opening.
• Joint pain.
• Patients with radiological evidence of degenerative joint disease.
• Patients with unsuccessful medical conservative treatment for at least two months.
• Unilateral or bilateral temporomandibular joint involvement.
• Wilkes stages IV and V

Exclusion criteria

• • Patients with bony ankylosis .
• Patients with advanced resorption of the glenoid fossa.
• Patients with infection or tumors around joint area
• Patients unfit for intervention medically.
• Patients who refused to share in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

arthroscopy plus platelet rich plasma.

Active Comparator group

Description:

Group A: will be treated with operative arthroscopy plus intra-articular injection of platelet rich plasma

Treatment:

Procedure: Temporomandibular joint arthroscopy plus intra-articular injection

arthroscopy plus hyaluronic acid.

Active Comparator group

Description:

Group B: will be treated with operative arthroscopy plus intra-articular injection of hyaluronic acid

Treatment:

Procedure: Temporomandibular joint arthroscopy plus intra-articular injection