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Article: Oral enzyme combination with bromelain, trypsin and the flavonoid rutoside reduces systemic inflammation and pain when used pre- and post-operatively in elective total hip replacement: a randomized exploratory placebo-controlled trial.

Vosáhlo, Jiří / Salus, Adam / Smolko, Michael / Němcová, Barbora / Nordmeyer, Veit / Mikles, Milos / Rau, Stefanie M / Erik Johansen, Odd

Therapeutic advances in musculoskeletal disease

2023  Volume 15, Page(s) 1759720X231186875

Abstract: Background: Early mobilization after total hip replacement (THR) is key for fast recovery but is often limited by pain. Oral enzyme combinations (OECs) have demonstrated anti-inflammatory and pain-relieving effects.: Objectives and design: This ... ...

Abstract Background: Early mobilization after total hip replacement (THR) is key for fast recovery but is often limited by pain. Oral enzyme combinations (OECs) have demonstrated anti-inflammatory and pain-relieving effects.
Objectives and design: This prospective, randomized, double-blind, placebo-controlled exploratory trial evaluated the effects of pre- and post-operative use of OEC (90 mg bromelain, 48 mg trypsin, 100 mg rutoside) following elective THR, on post-operative recovery.
Methods: Candidates for primary elective cementless THR owing to osteoarthritis were eligible for participation [age ⩾50 years, body mass index 25-35 kg/m
Results: Patients (
Conclusions: Pre- and post-operative use of OEC significantly reduced CRP levels and patient self-reported pain. OEC may be an efficacious and safe treatment option to facilitate post-operative recovery following THR.
Trial registration: EudraCT number 2016-003078-41.
Language English
Publishing date 2023-07-29
Publishing country England
Document type Journal Article
ZDB-ID 2516075-8
ISSN 1759-7218 ; 1759-720X
ISSN (online) 1759-7218
ISSN 1759-720X
DOI 10.1177/1759720X231186875
Database MEDical Literature Analysis and Retrieval System OnLINE

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