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Barbed Filament Insertion Improves Pain and Strength in Knee OA
November 2025
Barbed Filament Insertion Improves Pain and Strength in Knee OA
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Bidirectional barbed polydioxanone filament insertion in vastus medialis oblique muscle for knee osteoarthritis improvement.
Knee . 2025 Aug:55:1-11.Synopsis
One hundred thirty-one patients with moderate knee osteoarthritis (OA) were randomized to receive bidirectional barbed polydioxanone filament (BBPF) insertion into the vastus medialis obliquus (VMO) (muscle enhancement and support therapy, MEST; n=88) or a sham needle procedure without filament insertion (n=43). The primary outcomes were pain on a 100-mm VAS during weight-bearing and walking. Seco...
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