Intra-articular corticosteroids are an effective treatment for equine osteoarthritis, however, there is increasing evidence for the effectiveness of other treatments such as biologics. Whilst current evidence does support biologics and their use in patients diagnosed with osteoarthritis, there remains to be a lack of evidence regarding their long-term outcomes and the efficacy of their use as a treatment, especially when compared to corticosteroids. This paper reviewed the evidence comparing intra-articular corticosteroids and biologics in the treatment of equine osteoarthritis and found that whilst they are both effective treatments, more evidence directly comparing them is required.

中文翻译：

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对于骨关节炎的关节内治疗，生物制剂是否比皮质类固醇更有效？

关节内皮质类固醇是治疗马骨关节炎的有效方法，但是，越来越多的证据表明其他治疗方法（如生物制剂）的有效性。虽然目前的证据确实支持生物制剂及其在诊断为骨关节炎的患者中的使用，但仍然缺乏关于其长期结果和作为治疗的疗效的证据，尤其是与皮质类固醇相比时。本文回顾了比较关节内皮质类固醇和生物制剂治疗马骨关节炎的证据，发现虽然它们都是有效的治疗方法，但需要更多的证据直接比较它们。