Effects of Hyaluronic Acid, Mesenchymal Stem Cells, and Growth Hormones in Knee Osteoarthritis .
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Evaluating Synergistic Effects of Hyaluronic Acid, Human Umbilical Cord-Derived Mesenchymal Stem Cells, and Growth Hormones in Knee Osteoarthritis: A Multi-Arm Randomized Trial.
Biomedicines . 2024 Oct 14;12(10):2332.Fifty-one knees from 28 patients with Kellgren–Lawrence Grade I-II knee osteoarthritis were randomized to receive one of four treatments: HA alone (n=13), HA with hUC-MSCs (n=12), HA with somatotropin (n=12), or a combination of all three (n=14). The primary outcomes assessed were changes in VAS, WOMAC, and IKDC scores, with secondary outcomes including cartilage regeneration evaluated using MRI T2 mapping. Assessments were conducted at baseline, six months, and 12 months. Overall, all groups showed improvement in pain and functional outcomes over 12 months, with no statistically significant differences in cartilage regeneration between groups. These findings suggest the combined treatment provides symptom relief but does not significantly enhance cartilage regeneration.
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