## Abstract ## Objective To compare the effectiveness and safety of intraarticular highβmolecular hylan with standard preparations of hyaluronic acids in osteoarthritis of the knee. ## Methods We performed a systematic review and metaβanalysis of randomized controlled trials comparing hylan with
Gel-Like Structure of a Hexadecyl Derivative of Hyaluronic Acid for the Treatment of Osteoarthritis
β Scribed by Ivana Finelli; Ester Chiessi; Devis Galesso; Davide Renier; Gaio Paradossi
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 282 KB
- Volume
- 9
- Category
- Article
- ISSN
- 1616-5187
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β¦ Synopsis
Abstract
Hyaluronic acid is a polysaccharide with viscoelastic and mechanical properties that are crucial for the normal functioning of osteoarticular junctions. It is demonstrated that introduction of a hexadecyl side chain into HA yields an injectable polysaccharide capable of forming physical hydrogels, which are stable at very low polymer concentrations, whereas native hyaluronic acid forms viscous solutions at concentrations that are ten times higher. Characterization of this system showed that the driving force for its gelβlike behavior is the occurrence of hydrophobic interactions involving aliphatic side chains, despite the low degree of substitution, as confirmed by molecular dynamics simulations of HYADD4 and HA hydrogels.
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