Efficacy of acupotomy combined with sodium hyaluronate versus sodium hyaluronate alone in the treatment of knee osteoarthritis: A meta-analysis.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(4):23 Medicine (Baltimore) . 2023 Sep 15;102(37):e34930.What this means for my practice?
The results of this meta-analysis found that adding Chinese acupotomy to hyaluronic acid provided significantly lower pain, better function, and improved clinical effectiveness compared to hyaluronic acid alone. The combination of Western and Chinese medicine approaches could provide new clinical solutions for knee osteoarthritis. The results of this meta-analysis were limited by the lack of long-term assessment of outcomes and the small number of included studies.
Study Summary
Nine randomized controlled trials (644 patients) comparing the use of hyaluronic sodium acid plus acupotomy versus hyaluronic sodium acid alone were included in this systematic review and meta-analysis. The primary outcome of interest was clinical effectiveness. Secondary outcomes were pain on a Visual Analog Scale (VAS) and Lysholm scores. All outcomes favored the acupotomy plus hyaluronic acid group.
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