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normal saline + Hyruan is a combination therapy consisting of normal saline (0.9% sodium chloride) and Hyruan (a brand of sodium hyaluronate), administered via intra-articular injection. In clinical research conducted by Taipei Medical University, this combination was utilized as a control and comparative arm to evaluate the therapeutic efficacy of adding agents such as triamcinolone or dextrose to a standard hyaluronic acid regimen for knee osteoarthritis. Hyruan functions as a viscosupplement, restoring the viscoelastic properties of the synovial fluid to provide lubrication, reduce friction, and improve shock absorption within the joint. The normal saline component serves as a neutral diluent or volume-matched placebo in the context of clinical trials. Beyond mechanical effects, the hyaluronic acid component interacts with cellular receptors like CD44 to modulate inflammatory responses and support chondrocyte health.
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