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11 The importance of osteoarthritis (OA) is undeniable in equine medicine, with a high occurrence in the routine, several studies have been carried out to understand the pathophysiology of the disease and to seek more efficient methods of prevention and treatment [1,2]. Among the most frequent approaches in the management of this condition, viscosupplementation (VS) with hyaluronic acid (HA) is widely spread and performed [3]. However, there are many doubts about the mechanisms and protocols of treatment using this resource, which calls into question its real benefit [4].

Viscosupplementation in Horses: What do We Really Know?