Background: Medial open-wedge high tibial osteotomy (MOWHTO) is an effective and safe treatment method in medial osteoarthritis of knee. However, it may accompany unintended change of posterior tibial slope (PTS). Several factors are known to cause PTS change after MOWHTO. However, there is a lack of research on the sagittal plane osteotomy inclination (SPOI). The purpose of this study was to evaluate that SPOI affected the change in PTS. The hypothesis was that parallel SPOI causes no PTS change after MOWHTO. Methods:A square column model with a 10° posterior slope was produced by two 3D programs and a 3D printer. A series of MOWHTO was performed on a square column model through virtual simulation using two 3D programs and an actual simulation using a 3D printer, a testing machine and a measurement system. The SPOI was divided into 4 types: ① parallel SPOI plus 10° (SPOI: 20°), ② parallel SPOI (SPOI: 10°), ③ perpendicular SPOI (SPOI: 0°), and ④ perpendicular SPOI minus 10° (SPOI: -10°). The correction angle was increased by 5° from 0° to 30°. The change of the posterior slope was measured in sagittal plane.Results: The posterior slope was increased in the parallel SPOI plus 10° (SPOI: 20°). It was maintained in the parallel SPOI (SPOI: 10°) and decreased in the perpendicular SPOI (SPOI: 0°) and perpendicular SPOI minus 10° (SPOI: -10°).Conclusion: SPOI affected the change in PTS. Parallel SPOI causes no PTS change after MOWHTO.
Background
This study aimed to investigate the effects of weight change and physical activity on the level of knee pain and health-related quality of life in East Asian women with knee osteoarthritis using population-based data.
Methods
A total of 564 women (mean age, 68.2 years, standard deviation, 8.9 years) aged 50 years or older with knee osteoarthritis (Kellgren-Lawrence grade ≥2) were included in the data analyses from the fifth Korea National Health and Nutrition Examination Survey. Data regarding the radiographic grade, weight change during the past year, physical activity, level of knee pain, and health-related quality of life (EuroQOL five-dimension [EQ-5D] index) were collected. Multiple regression analysis was performed to identify factors significantly affecting the level of knee pain and health-related quality of life in subgroups according to the body mass index (BMI) range (≤22.5, between 22.6 and 27.5, and >27.5 kg/m2).
Result
In women with 22.5 kg/m227.5 kg/m2, weekly hours of moderate-intensity activity showed significant negative correlation with EQ-5D.
Conclusions
The effects of weight change and physical activity on knee pain and health-related quality of life could be different according to BMI ranges. Well-designed interventions to improve both knee pain and health-related quality of life need to be investigated in future studies that would assess physical activity, diet, and weight changes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.