Xing L, Xu HR, Wang QL, Kong H, Zhang H, Tian J, Ding Y, Yang RX, Zhang L, Jiang B. Traditional Chinese medicine ointment combined with tuina therapy in treatment of pain and swelling after total knee arthroplasty. World J Orthop 2022; 13(10): 932-939 [PMID: 36312520 DOI: 10.5312/wjo.v13.i10.932]
Corresponding Author of This Article
Bo Jiang, MD, Attending Doctor, Department of Arthroscopy and Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, No. 6 Zhonghuan South Road, Wangjing, Chaoyang District, Beijing 100102, China. arthrostudent@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Oct 18, 2022; 13(10): 932-939 Published online Oct 18, 2022. doi: 10.5312/wjo.v13.i10.932
Table 1 Comparison of general data between the treatment and control groups
Group
Sex, M/F
Age (yr)
BMI in kg/m2
Educational level, illiterate/primary school/senior high school/ junior college/college and university
Surgical limb, L/R
Treatment, n = 40
6/34
67.28 ± 5.51
24.44 ± 2.37
2/1/23/12/2/0
22/18
Control, n = 40
10/30
69.07 ± 6.54
24.92 ± 2.24
0/1/26/11/0/2
25/15
χ2/t
1.250
1.332
1.020
6.227
0.464
P value
0.264
0.187
0.310
0.285
0.496
Table 2 Comparison of visual analog scale scores between the two groups
Group
-3rd d
3rd d
7th d
14th d
Treatment, n = 40
6.75 ± 0.92
5.30 ± 0.79
2.57 ± 0.84
0.80 ± 0.93
Control, n = 40
6.60 ± 0.84
5.65 ± 0.80
4.00 ± 0.85
2.70 ± 1.04
t
0.758
1.965
7.536
8.563
P value
0.451
0.053
0.000
0.000
Table 3 Comparison of skin temperature between the two groups (°C)
Group
-3rd d
3rd d
7th d
14th d
Treatment, n = 40
37.34 ± 0.28
37.21 ± 0.26
36.93 ± 0.21
36.63 ± 0.31
Control, n = 40
37.29 ± 0.34
37.24 ± 0.32
37.09 ± 0.27
36.94 ± 0.32
t
0.755
0.422
2.968
4.423
P value
0.452
0.674
0.004
0.000
Table 4 Comparison of lower limb swelling between the two groups
Group
t
P value
Treatment, n = 40
Control, n = 40
Upper circumference in cm
-3 d
53.35 ± 4.94
51.83 ± 4.34
1.461
0.148
3 d
52.83 ± 4.91
51.51 ± 4.29
1.274
0.206
7 d
48.32 ± 4.57
50.53 ± 3.97
2.315
0.023
14 d
45.68 ± 4.69
47.96 ± 3.89
2.374
0.020
Lower circumference in cm
-3 d
39.59 ± 3.58
38.16 ± 3.78
1.734
0.087
3 d
38.96 ± 3.55
37.50 ± 3.85
1.768
0.081
7 d
36.71 ± 2.95
39.21 ± 6.86
2.121
0.037
14 d
34.96 ± 2.96
36.70 ± 4.35
2.095
0.039
Table 5 Comparison of knee range of motion and knee injury and Osteoarthritis Outcome score between the two groups of patients
Group
Knee range of motion in degrees
KOOS score
-3rd d
14th d
-3rd d
14th d
Treatment, n = 40
95.23 ± 2.11
115.32 ± 2.12
65.83 ± 1.39
85.52 ± 0.82
Control, n = 40
95.14 ± 2.24
113.34 ± 2.16
65.73 ± 1.33
80.32 ± 1.13
t
0.185
4.138
0.329
23.556
P value
0.854
0.000
0.743
0.000
Citation: Xing L, Xu HR, Wang QL, Kong H, Zhang H, Tian J, Ding Y, Yang RX, Zhang L, Jiang B. Traditional Chinese medicine ointment combined with tuina therapy in treatment of pain and swelling after total knee arthroplasty. World J Orthop 2022; 13(10): 932-939