PMID- 30813181 OWN - NLM STAT- MEDLINE DCOM- 20190311 LR - 20200225 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 98 IP - 8 DP - 2019 Feb TI - Therapeutic efficacy of extracorporeal shock wave combined with hyaluronic acid on knee osteoarthritis. PG - e14589 LID - 10.1097/MD.0000000000014589 [doi] LID - e14589 AB - This retrospective study investigated the efficacy and safety of extracorporeal shock wave (EPSW) combined with hyaluronic acid (HA) for patients with knee osteoarthritis (KOA).This retrospective study included 70 patients with KOA. Of those subjects, 35 of them received EPSW combined HA, and were allocated to a treatment group, while the other 35 participants received HA alone and were allocated to a control group. Patients in both groups were treated for a total of 8 weeks. The primary outcome was measured by visual analog scale (VAS). The secondary outcomes were measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and knee injury and osteoarthritis outcome score (KOOS). In addition, adverse events (AEs) were also evaluated. All outcomes were measured before and after the treatment.After the treatment, patients in the treatment group exhibited better efficacy in VAS (P < .01), WOMAC scale (pain, P < .01; function, P < .01; and stiffness, P < .01), and KOOS scores (pain, P < .01; function in daily living, P < .01; symptoms, P < .01; sport and recreation, P < .01; and quality of life, P < .01), than patients in the control group. In addition, no significant differences regarding the AEs were found between 2 groups.The findings of this study demonstrated that the efficacy of EPSW combined with HA is superior to the HA alone for patients with KOA. FAU - Liu, Shi-Chen AU - Liu SC AD - First Ward of Orthopedics Department. FAU - Qiao, Xiao-Feng AU - Qiao XF AD - First Ward of Orthopedics Department. FAU - Tang, Qing-Xi AU - Tang QX AD - Department of Emergency Surgery, First Affiliated Hospital of Jiamusi University. FAU - Li, Xiao-Guang AU - Li XG AD - Department of Orthodonitics, Affiliated Stomatological Hospital of Jiamusi University, Jiamusi. FAU - Yang, Jian-Hua AU - Yang JH AD - Department of Orthopedics, People's Hospital of Longgang District, Shenzhen, Guangdong, China. FAU - Wang, Tian-Qi AU - Wang TQ AD - First Ward of Orthopedics Department. FAU - Xiao, Ya-Jie AU - Xiao YJ AD - First Ward of Orthopedics Department. FAU - Qiao, Jian-Min AU - Qiao JM AD - First Ward of Orthopedics Department. LA - eng PT - Journal Article PT - Observational Study PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Viscosupplements) RN - 9004-61-9 (Hyaluronic Acid) SB - IM MH - Aged MH - Aged, 80 and over MH - Combined Modality Therapy MH - Extracorporeal Shockwave Therapy/adverse effects/*methods MH - Female MH - Humans MH - Hyaluronic Acid/*administration & dosage/adverse effects MH - Injections, Intra-Articular MH - Knee Joint/physiopathology MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/*therapy MH - Pain Measurement MH - Quality of Life MH - Retrospective Studies MH - Severity of Illness Index MH - Treatment Outcome MH - Viscosupplements/*administration & dosage/adverse effects PMC - PMC6408132 COIS- The authors have no conflicts of interest to disclose. EDAT- 2019/03/01 06:00 MHDA- 2019/03/12 06:00 PMCR- 2019/02/22 CRDT- 2019/03/01 06:00 PHST- 2019/03/01 06:00 [entrez] PHST- 2019/03/01 06:00 [pubmed] PHST- 2019/03/12 06:00 [medline] PHST- 2019/02/22 00:00 [pmc-release] AID - 00005792-201902220-00061 [pii] AID - MD-D-19-00235 [pii] AID - 10.1097/MD.0000000000014589 [doi] PST - ppublish SO - Medicine (Baltimore). 2019 Feb;98(8):e14589. doi: 10.1097/MD.0000000000014589.