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Effects of Herbal Medicine after Total Knee Arthroplasty: A Systematic Review and Meta-Analysis

슬관절 전치환술 후 한약 치료의 효과: 체계적 문헌고찰과 메타분석

  • Lee, Sang-Jin (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University) ;
  • Ko, You-Me (National Agency for Development of Innovative Technologies in Korean Medicine, National Institute for Korean Medicine Development) ;
  • Park, Jung-Sik (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University) ;
  • Park, Tae-Yong (Department of Korean Medicine, International St. Mary's Hospital, Catholic Kwandong University) ;
  • Lee, Jung-Han (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University) ;
  • Cho, Jae-Heung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyunghee University) ;
  • Hwang, Eui-Hyoung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Pusan National University) ;
  • Kim, Kyoung-Ja (Department of Nursing, College of Medicine, Inha University) ;
  • Choi, Mi-Young (National Evidence-based Healthcare Collaborating Agency) ;
  • Song, Yun-Kyung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University)
  • 이상진 (가천대학교 한의과대학 한방재활의학교실) ;
  • 고유미 (한국한의약진흥원 한의약혁신기술개발사업단) ;
  • 박정식 (가천대학교 한의과대학 한방재활의학교실) ;
  • 박태용 (가톨릭관동대학교 국제성모병원 한의학교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실) ;
  • 조재흥 (경희대학교 한의과대학 한방재활의학교실) ;
  • 황의형 (부산대학교 한의과대학 한방재활의학교실) ;
  • 김경자 (인하대학교 의과대학 간호학교실) ;
  • 최미영 (한국보건의료원) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학교실)
  • Received : 2021.09.02
  • Accepted : 2021.09.24
  • Published : 2021.10.31

Abstract

Objectives This study was conducted to evaluate the therapeutic effect of herbal medicine after total knee arthroplasty. Methods Key words such as total knee arthroplasty and herbal medicine were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected. Results 8 RCTs were finally selected, and herbal medicine showed positive results for pain relief and functional recovery after total knee arthroplasty. However, the analyzed 8 RCTs showed a high overall risk of bias. Conclusions In the future, RCTs with a higher level of evidence on the effect of herbal medicine after total knee arthroplasty need to be continuously conducted.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술 연구개발사업 지원에 의하여 이루어진 것임(과제고유번호: HB16C0011).

References

  1. Health Insurance Review & Assessment Service. Medical practice (examination/surgery, etc.) statistics [Internet] 2021 [cited 2021 Aug 14]. Available from: URL: http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.
  2. Healthline. Clinical outcomes and statistics of knee replacement [Internet] 2021 [cited 2021 Aug 14]. Available from: URL: http://www.healthline.com/health/total-knee -replacement-surgery/statistics-infographic.
  3. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 5th ed. Paju:Koonja Publishing. 2020:3, 104-6, 155-7.
  4. Lee SH, Kim DH, Lee YS. Is there an optimal age for total knee arthroplasty?: a systematic review. Knee Surgery & Related Research. 2020;32:60. https://doi.org/10.1186/s43019-020-00080-1
  5. Park JS, Kim NK, Song YK. A comparative analysis on medical and Korean medical service tendency of total knee arthroplasty patients using Patients Sample Data of Health Insurance Review and Assessment Service. J Korean Med Rehabil. 2019;29(1):31-9. https://doi.org/10.18325/jkmr.2019.29.1.31
  6. Lee KJ, Park CH, Lee YJ, Lee JH, Cho JH, Park TY, Yang NR, Hwang EH, Song YK. Trends of Korean medicine treatment after musculoskeletal disorder surgery: a literatural review. J Korean Med Rehabil. 2017; 27(3):61-70. https://doi.org/10.18325/JKMR.2017.27.3.61
  7. Lee SJ, Lee KJ, Park JS, Song YK. Clinical application status analysis of Chuna manual therapy after musculoskeletal disorder surgery. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2019;14(2):123-34. https://doi.org/10.30581/jkcmm.2019.14.2.123
  8. Song MY, Jo HG, Sul JU, Leem JT. Proposal of east-west integrative medicine manual for rehabilitation after knee surgery. J Korean Med Rehabil. 2018;28(1):97-107. https://doi.org/10.18325/jkmr.2018.28.1.97
  9. Guideline Center for Korean Medicine. Korean medicine clinical practice guideline for post-operative treatment of total knee arthroplasty [Internet] 2017 [cited 2021 Jul 23]. Available from: URL: http://www.nckm.or.kr/main/module/practiceGuide/view.do?guide_idx=100&progress=&mds_code=&disease_code=&gubun=INT&code_gubun=mds&agency=%ED%95%9C%EB%B0%A9%EC%9E%AC%ED%99%9C%EC%9D%98%ED%95%99%EA%B3%BC%ED%95%99%ED%9A%8C&continent=&search_type=all&search_text=&sortField=add_date&sortType=DESC&viewPage=1&menu_idx=14.
  10. Kim CG, Lee JH, Jo DC, Moon SJ, Park TY, Ko YS, Song YS, Lee JH. Korean medical rehabilitation for total knee replacement. J Korean Med Rehabil. 2014; 24(1):111-8.
  11. Han SY, Kim MH, Park ES, Kang JH, Kim DY. The clinical effect of Korean medical rehabilitation protocol for total knee replacement: a report of 4 cases. J Korean Med Rehabil. 2020;30(4):219-31. https://doi.org/10.18325/jkmr.2020.30.4.219
  12. Xu H, Zhang HN, Wang CY, Lv CY, Yin ZY, Wang YZ. Local phonophoresis of traditional Chinese herbs: a good assistant for analgesia after total knee arthroplasty. Int J Clin Exp Med. 2017;10(8):12426-32.
  13. Zhu X. Self-made Shujing Huoxue Tongluo Decoction combined with CPM machine exercise to treat 60 patients after total knee arthroplasty. China Traditional Chinese Medicine Technology. 2015;22(5):568.
  14. Guo Z, Zhang N, Cheng Y, Lu L, Duan X. Effect of Yiqi Huoxue decoction on early rehabilitation after total knee arthroplasty. Clinical Rational Use of Drugs. 2016;9(4A):67-9.
  15. Yang Y, Zhao L, Huang J. Clinical efficacy of knee arthroplasty combined with traditional Chinese medicine on knee osteoarthritis. Chinese Journal of Osteoporosis. 2016;22(7):837-41.
  16. Yi J, Liang Z, Jiang T, Liang G, Xu K. Effect of traditional Chinese medicine combined with multimodal analgesia on total knee arthroplasty pain. Journal of Human University of Chinese Medicine. 2017;37(10):1116-20.
  17. Jin R, Liu Y, Yao Y, Liu YF, Tao H, Du SS, Chen H, Liu J. Rehabilitation satisfaction of Taohong Siwu Decoction combined with acupoint moxibustion applied in older adults after total knee arthroplasty. Chinese Journal of Tissue Engineering Research. 2018;22(27):4271-6.
  18. Li Z. Clinical effect observation of knee joint replacement surgery combined with traditional Chinese medicine therapy on knee osteoarthritis. Henan Medical Research. 2018;27(20):3759-60.
  19. Chai W. The effect of knee joint replacement combined with traditional Chinese medicine on knee osteoarthritis. Capital Food and Medicine. 2019;26(4):175.
  20. Mcgrory BJ, Weber KL, Jevsevar DS, Sevarino K. Surgical management of osteoarthritis of the knee: evidence-based guideline. J Am Acad Orthop Surg. 2016; 24(8):e87-e93. https://doi.org/10.5435/JAAOS-D-16-00159