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Acupuncture for Post-Operative Pain Relief and Functional Improvement in Tibial Fracture: A Systematic Review and
Whisung Cho1, Woo-Chul Shin1, Hyungsuk Kim1
1Department of Korean Rehabilitation Medicine, College of Korean Medicine, Kyung Hee University Korean Medicine Hospital, Kyung Hee University, Seoul 02447, Republic of Korea.
Healthcare (Basel, Switzerland)
|November 27, 2025
Summary
Acupuncture significantly reduces post-operative pain and improves knee function after tibial fracture surgery when combined with conventional rehabilitation or medication. This approach enhances recovery and lowers complication rates.
Area of Science:
- Orthopedics
- Integrative Medicine
- Pain Management
Background:
- Acupuncture is a traditional therapy for managing fractures.
- Post-operative recovery after tibial fracture surgery often involves pain and functional limitations.
Purpose of the Study:
- To systematically evaluate the effectiveness of acupuncture in managing post-operative pain and improving function following tibial fracture surgery.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted.
- Searched eight databases from inception to August 2024, analyzing 16 RCTs involving 1315 patients.
Main Results:
- Acupuncture combined with conventional rehabilitation (CR) or medication significantly improved pain scores (MD -1.03) and Hospital for Special Surgery (HSS) scores (MD 13.21).
- It also enhanced knee joint range of motion (ROM) (SMD 1.80), increased the effective rate (OR 4.92), and reduced complications (OR 0.13).
Conclusions:
- Acupuncture, when integrated with CR or medication, is effective in the rehabilitation phase after tibial fracture surgery.
- This therapeutic combination reduces pain, improves knee function and ROM, and minimizes post-operative complications.
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