PMID- 16603113 OWN - NLM STAT- MEDLINE DCOM- 20060613 LR - 20061115 IS - 1548-825X (Print) IS - 1548-825X (Linking) VI - 15 IP - 1 DP - 2006 Spring TI - Hylan G-F 20 tolerability with repeat treatment in a large orthopedic practice: a retrospective review. PG - 53-9 AB - The objective of this study was to determine the incidence of local adverse events (AEs) with repeat treatment of hylan G-F 20 for osteoarthritis (OA) knee pain relief in the authors' practice. Prospectively collected patient data (5-year period) was retrospectively reviewed from patients who initiated multiple courses of three weekly hylan G-F 20 injections. All local AEs (knee pain and swelling) were qualitatively and quantitatively assessed. The incidence of treatment-related local AEs was 3.4% of patients (0.8% of injections) at course 1, 13.1% of patients (4.3% of injections) at course 2, and 17.3% of patients (5.4% of injections) at course 3. The majority of related local AEs were mild to moderate and persisted for < or = 48 hours. The number of patients who discontinued injections because of local AEs was low. While the incidence of local AEs with hylan G-F 20 tends to slightly increase with subsequent courses of therapy, physicians should educate patients regarding this possibility rather than preclude them from the benefit of continued OA pain relief with repeat hylan G-F 20 therapy. FAU - Waddell, David D AU - Waddell DD AD - Orthopedic Specialists of Louisiana, 2900 Hearne Avenue, Shreveport, LA 71103, USA. oslresearch@aol.com FAU - Bricker, Dewayne C AU - Bricker DC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Surg Orthop Adv JT - Journal of surgical orthopaedic advances JID - 101197881 RN - 125935-84-4 (hylan) RN - 9004-61-9 (Hyaluronic Acid) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Humans MH - Hyaluronic Acid/administration & dosage/adverse effects/*analogs & derivatives MH - Injections, Intra-Articular MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/*drug therapy MH - Retreatment MH - Retrospective Studies EDAT- 2006/04/11 09:00 MHDA- 2006/06/14 09:00 CRDT- 2006/04/11 09:00 PHST- 2006/04/11 09:00 [pubmed] PHST- 2006/06/14 09:00 [medline] PHST- 2006/04/11 09:00 [entrez] AID - 15-1-8.pdf?T=open_article,920234 [pii] PST - ppublish SO - J Surg Orthop Adv. 2006 Spring;15(1):53-9.