Abstract:
Purpose:This study aimed to review and pool the current literature on intra-articular ozone injection in knee osteoarthritis (OA) patients. Methods:A systematic review of three big databases was performed to identify all English-language randomized clinical trials (RCTs) that evaluated the efficacy of intra-articular ozone injection vs a control injection for knee OA sufferers, using the following two measuring tools: pain VAS and Western Ontario and McMaster Universities Arthritis Index (WOMAC). Results:A total of 428 patients in five RCTs were included, from which 53% (n=225) were in the ozone group and 47% in the control (hyaluronic acid [HA], dextrose, and air injection) group (n=203). The mean age of the patients in both groups was 64 years. Females were the majority. All studies had at least 2 months of follow-up (F/U). Mean difference (MD) between the groups for VAS in the first month was -0.23 with a P-value of 0.71 (negative value was in favor of ozone), whereas this difference in the third and sixth months reached 1.04 and 1.31, respectively, favoring the control group. These data demonstrated that control injection had a more prolonged pain relief period. A similar trend was seen regarding WOMAC scores; pooled results showed that ozone was slightly better than the control injections during the first month (MD =-7.84 [P=0.15]), but it declined to MD=2.55 and 8.23 at 2- to 3- and 4- to 6-month F/U, respectively, again in favor of control injections. Also, adverse events occurred homogeneously in both ozone (6/150 cases, 4%) and control groups (7/129 cases, 5.4%; P-value=0.31). Conclusion:Based on the current meta-analysis, intra-articular ozone injection efficacy was significantly superior to placebo and slightly lower to other control injections with non-significant difference. Therefore, ozone could be recommended as an efficient non-surgical treatment, durable for at least 3-6 months, in mild or moderate knee OA management.
journal_name
J Pain Resjournal_title
Journal of pain researchauthors
Raeissadat SA,Tabibian E,Rayegani SM,Rahimi-Dehgolan S,Babaei-Ghazani Adoi
10.2147/JPR.S175441subject
Has Abstractpub_date
2018-10-25 00:00:00pages
2537-2550issn
1178-7090pii
jpr-11-2537journal_volume
11pub_type
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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更新日期:2013-01-01 00:00:00
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journal_title:Journal of pain research
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journal_title:Journal of pain research
pub_type: 杂志文章
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更新日期:2020-12-30 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
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更新日期:2017-12-08 00:00:00
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journal_title:Journal of pain research
pub_type: 杂志文章
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更新日期:2017-01-13 00:00:00
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更新日期:2018-02-19 00:00:00
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journal_title:Journal of pain research
pub_type:
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更新日期:2020-05-05 00:00:00
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journal_title:Journal of pain research
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