<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2017-1-62-65</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-740</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Применение высокомолекулярных препаратов гиалуроновой кислоты в терапии остеоартрита</article-title><trans-title-group xml:lang="en"><trans-title>The use of highmolecular-weight hyaluronic acid in the treatment of osteoarthritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аникин</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Anikin</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow 115522</p></bio><email xlink:type="simple">artos2000@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>24</day><month>03</month><year>2017</year></pub-date><volume>11</volume><issue>1</issue><fpage>62</fpage><lpage>65</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Аникин С.Г., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Аникин С.Г.</copyright-holder><copyright-holder xml:lang="en">Anikin S.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/740">https://mrj.ima-press.net/mrj/article/view/740</self-uri><abstract><p>Остеоартрит (ОА) является одним из самых распространенных заболеваний скелетно-мышечной системы, поражающих преимущественно лиц старших возрастных групп. Для лечения ОА применяют комбинированную терапию с использованием фармакологических и нефармакологических методов, включая препараты гиалуроновой кислоты. Гиланы представляют собой высокомолекулярные (ВМ) производные гиалуроновой кислоты (ГНК). Применение гиланов сопровождается уменьшением боли, скованности и улучшением функциональной активности. Их эффективность сопоставима с таковой низкомолекулярных препаратов ГНК. Внутрисуставное введение ВМ производных ГНК является безопасным и эффективным методом лечения ОА.</p></abstract><trans-abstract xml:lang="en"><p>Osteoarthritis (OA) is one of the most common diseases of the musculoskeletal system, affecting mainly people of old age. The management of OA requires combined therapy using pharmaceutical and nonpharmacological modalities, including hyaluronic acid (HA). Hylans are highmolecular-weight (HMW) HA derivatives. The use of hylans results in reducing pain and stiffness and in improving functional activity. Their efficacy is comparable with that of lowmolecular-weight HA. Intraarticular injection of HMW HA derivatives is safe and effective for treating OA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеоартрит</kwd><kwd>лечение</kwd><kwd>гиалуроновая кислота</kwd><kwd>высокомолекулярные препараты гиалуроновой кислоты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoarthritis</kwd><kwd>treatment</kwd><kwd>hyaluronic acid</kwd><kwd>highmolecular-weight hyaluronic acid</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lane NE, Brandt K, Hawker G, et al. OARSI-FDA initiative: defining the disease state of osteoarthritis. Osteoarthritis Cartilage. 2011 May;19(5):478-82. doi: 10.1016/j.joca.2010.09.013. Epub 2011 Mar 23.</mixed-citation><mixed-citation xml:lang="en">Lane NE, Brandt K, Hawker G, et al. OARSI-FDA initiative: defining the disease state of osteoarthritis. Osteoarthritis Cartilage. 2011 May;19(5):478-82. doi: 10.1016/j.joca.2010.09.013. Epub 2011 Mar 23.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Насонова ВА. Проблема остеоартроза в начале ХХI века. Consilium Medicum. 2000;2(6):61-4. [Nasonova VA. The problem of osteoarthritis in the early twenty-first century. Consilium Medicum. 2000;2(6):61–4. (In Russ.)]</mixed-citation><mixed-citation xml:lang="en">Насонова ВА. Проблема остеоартроза в начале ХХI века. Consilium Medicum. 2000;2(6):61-4. [Nasonova VA. The problem of osteoarthritis in the early twenty-first century. Consilium Medicum. 2000;2(6):61–4. (In Russ.)]</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Галушко ЕА. Медико-социальная значимость ревматических заболеваний. Автореф. дисс. докт. мед. наук. Москва; 2011. 47 с. [Galushko EA. Medical and social importance of rheumatic diseases. Autoref. diss. doct. med. sci. Moscow; 2011. 47 p.]</mixed-citation><mixed-citation xml:lang="en">Галушко ЕА. Медико-социальная значимость ревматических заболеваний. Автореф. дисс. докт. мед. наук. Москва; 2011. 47 с. [Galushko EA. Medical and social importance of rheumatic diseases. Autoref. diss. doct. med. sci. Moscow; 2011. 47 p.]</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bruyere O, Cooper C, Pelletier JP, et al. A consensus statement on the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) algorithm for the management of knee osteoarthritis- From evidence-based medicine to the real-life setting. Semin Arthritis Rheum. 2016 Feb;45 (4 Suppl):S3-11. doi: 10.1016/j.semarthrit.2015. 11.010. Epub 2015 Dec 2.</mixed-citation><mixed-citation xml:lang="en">Bruyere O, Cooper C, Pelletier JP, et al. A consensus statement on the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) algorithm for the management of knee osteoarthritis- From evidence-based medicine to the real-life setting. Semin Arthritis Rheum. 2016 Feb;45 (4 Suppl):S3-11. doi: 10.1016/j.semarthrit.2015. 11.010. Epub 2015 Dec 2.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Bellamy N, Campbell J, Robinson V, et al. Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD005321.</mixed-citation><mixed-citation xml:lang="en">Bellamy N, Campbell J, Robinson V, et al. Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD005321.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014 Mar;22(3):363-88. doi: 10.1016/j.joca.2014.01.003. Epub 2014 Jan 24.</mixed-citation><mixed-citation xml:lang="en">McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014 Mar;22(3):363-88. doi: 10.1016/j.joca.2014.01.003. Epub 2014 Jan 24.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Espallargues M, Pons JM. Efficacy and safety of viscosupplementation with Hylan G-F 20 for the treatment of knee osteoarthritis: a systematic review. Int J Technol Assess Health Care. 2003 Winter;19(1):41-56.</mixed-citation><mixed-citation xml:lang="en">Espallargues M, Pons JM. Efficacy and safety of viscosupplementation with Hylan G-F 20 for the treatment of knee osteoarthritis: a systematic review. Int J Technol Assess Health Care. 2003 Winter;19(1):41-56.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Pai SK, Allgar V, Giannoudis PV. Are intraarticular injections of Hylan G-F 20 efficacious in painful osteoarthritis of the knee? A systematic review &amp; meta-analysis. Int J Clin Pract. 2014 Aug;68(8):1041-7. doi: 10.1111/ijcp.12430. Epub 2014 May 5.</mixed-citation><mixed-citation xml:lang="en">Pai SK, Allgar V, Giannoudis PV. Are intraarticular injections of Hylan G-F 20 efficacious in painful osteoarthritis of the knee? A systematic review &amp; meta-analysis. Int J Clin Pract. 2014 Aug;68(8):1041-7. doi: 10.1111/ijcp.12430. Epub 2014 May 5.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Migliore A, Bizzi E, Herrero-Beaumont J, et al. The discrepancy between recommendations and clinical practice for viscosupplementation in osteoarthritis: mind the gap! Eur Rev Med Pharmacol Sci. 2015 Apr;19(7):1124-9.</mixed-citation><mixed-citation xml:lang="en">Migliore A, Bizzi E, Herrero-Beaumont J, et al. The discrepancy between recommendations and clinical practice for viscosupplementation in osteoarthritis: mind the gap! Eur Rev Med Pharmacol Sci. 2015 Apr;19(7):1124-9.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Petrella RJ, Wakeford C. Pain relief and improved physical function in knee osteoarthritis patients receiving ongoing hylan G-F 20, a highmolecular- weight hyaluronan, versus other treatment options: data from a large real-world longitudinal cohort in Canada. Drug Des Devel Ther. 2015 Oct 15;9:5633-40. doi: 10.2147/DDDT.S88473. eCollection 2015.</mixed-citation><mixed-citation xml:lang="en">Petrella RJ, Wakeford C. Pain relief and improved physical function in knee osteoarthritis patients receiving ongoing hylan G-F 20, a highmolecular- weight hyaluronan, versus other treatment options: data from a large real-world longitudinal cohort in Canada. Drug Des Devel Ther. 2015 Oct 15;9:5633-40. doi: 10.2147/DDDT.S88473. eCollection 2015.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Bannuru RR, Schmid CH, Kent DM, et al. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med. 2015 Jan 6;162(1):46-54. doi: 10.7326/M14-1231.</mixed-citation><mixed-citation xml:lang="en">Bannuru RR, Schmid CH, Kent DM, et al. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med. 2015 Jan 6;162(1):46-54. doi: 10.7326/M14-1231.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Waddell D. Viscosupplementation: Evidence for a Mechanism of Action. Paper Presented at: Annual Meeting of the Academy of Orthopedic Surgeons; March 10-14. San Francisco; 2004.</mixed-citation><mixed-citation xml:lang="en">Waddell D. Viscosupplementation: Evidence for a Mechanism of Action. Paper Presented at: Annual Meeting of the Academy of Orthopedic Surgeons; March 10-14. San Francisco; 2004.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Waddell DD, Marino AA. Chronic knee effusions in patients with advanced osteoarthritis: implications for functional outcome of viscosupplementation. J Knee Surg. 2007 Jul;20(3):181-4.</mixed-citation><mixed-citation xml:lang="en">Waddell DD, Marino AA. Chronic knee effusions in patients with advanced osteoarthritis: implications for functional outcome of viscosupplementation. J Knee Surg. 2007 Jul;20(3):181-4.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Waddell BS, Waddell WH, Waddell DD. Comparison of Efficacy and Tolerability of Hylan G-F 20 in Patients with and without Effusions at the Time of Initial Injection. J Knee Surg. 2015 Jun;28(3):213-22. doi: 10.1055/s-0034-1376328. Epub 2014 May 7.</mixed-citation><mixed-citation xml:lang="en">Waddell BS, Waddell WH, Waddell DD. Comparison of Efficacy and Tolerability of Hylan G-F 20 in Patients with and without Effusions at the Time of Initial Injection. J Knee Surg. 2015 Jun;28(3):213-22. doi: 10.1055/s-0034-1376328. Epub 2014 May 7.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Reichenbach S, Blank S, Rutjes AW, et al. Hylan versus hyaluronic acid for osteoarthritis of the knee: a systematic review and meta-analysis. Arthritis Rheum. 2007 Dec 15;57(8):1410-8.</mixed-citation><mixed-citation xml:lang="en">Reichenbach S, Blank S, Rutjes AW, et al. Hylan versus hyaluronic acid for osteoarthritis of the knee: a systematic review and meta-analysis. Arthritis Rheum. 2007 Dec 15;57(8):1410-8.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Zhao H, Liu H, Liang X, et al. Hylan G-F 20 Versus Low Molecular Weight Hyaluronic Acids for Knee Osteoarthritis: A Meta-Analysis. BioDrugs. 2016 Oct;30(5):387-96.</mixed-citation><mixed-citation xml:lang="en">Zhao H, Liu H, Liang X, et al. Hylan G-F 20 Versus Low Molecular Weight Hyaluronic Acids for Knee Osteoarthritis: A Meta-Analysis. BioDrugs. 2016 Oct;30(5):387-96.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Lussier A, Cividino AA, McFarlane CA, et al. Viscosupplementation with hylan for the treatment of osteoarthritis: findings from clinical practice in Canada. J Rheumatol. 1996 Sep;23(9):1579-85.</mixed-citation><mixed-citation xml:lang="en">Lussier A, Cividino AA, McFarlane CA, et al. Viscosupplementation with hylan for the treatment of osteoarthritis: findings from clinical practice in Canada. J Rheumatol. 1996 Sep;23(9):1579-85.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Conrozier T, Chevalier X. Long-term experience with hylan GF-20 in the treatment of knee osteoarthritis. Expert Opin Pharmacother. 2008 Jul;9(10):1797-804. doi: 10.1517/14656566.9.10.1797.</mixed-citation><mixed-citation xml:lang="en">Conrozier T, Chevalier X. Long-term experience with hylan GF-20 in the treatment of knee osteoarthritis. Expert Opin Pharmacother. 2008 Jul;9(10):1797-804. doi: 10.1517/14656566.9.10.1797.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
