Comparison of three knee braces in the treatment of medial knee osteoarthritis

Dessery, Yoann; Belzile, Étienne L.; Turmel, Sylvie; Corbeil, Philippe

doi:10.1016/j.knee.2014.07.024

Cited by 44 publications

(52 citation statements)

References 38 publications

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“…This is less than the mean decreases in KAM with medial HTO of 47.8% and 57.6% 6 months after surgery. This magnitude is however comparable to the magnitude of change in KAM for some other interventions: 20% reduction in response to a 6 weeks toe‐in gait modification, 10% reduction in response to 10 weeks toe‐out gait modification and about 10% in response to valgus braces with a three point bending force mechanism . Miyazaki et al have shown that an approximate 25% increase in overall peak magnitude of the KAM at baseline was associated with 6.6 times the risk of radiographic medial compartment disease progression over 6 years.…”

Section: Discussionmentioning

confidence: 61%

“…This study showed that pain from the medial knee was greatly relieved or even gone immediately (one day) after the upper partial fibulectomy and continuously improved during the 6 months of follow‐up. The VAS pain score decreased by 96.9% compared with decreases of 42.4%, 40.4%, 9.0%, and 44.4% reported for treatment with lateral wedge insoles, acupuncture, knee braces and toe‐out gait modification, respectively. This finding supports the only other published report of upper partial fibulectomy for those with knee OA …”

Section: Discussionmentioning

confidence: 83%

“…A valgus knee brace is another treatment recommended to manage medial KOA. It uses a three‐point bending system and generally reduces medial knee load and pain during weight bearing on the affected leg . Another conservative treatment, lateral wedge insoles, are reported to be effective in the treatment of medial KOA in some studies but their efficacy has not been supported by a high quality, 12‐month, randomized controlled clinical trial …”

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confidence: 99%

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Evidence and mechanism by which upper partial fibulectomy improves knee biomechanics and decreases knee pain of osteoarthritis

Huang

Shen

et al. 2018

Journal Orthopaedic Research

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To investigate the change in short-term clinical outcomes and biomechanical properties of the knee in response to upper partial fibulectomy and to probe into the biomechanical mechanism underlying the clinical benefits of upper partial fibulectomy for medial compartment knee osteoarthritis (KOA). A total of 29 patients with medial compartment KOA underwent upper partial fibulectomy. Visual analog scale (VAS) pain, the hospital for special surgery knee score (HSS), hip-knee-ankle (HKA) angle (measured in the frontal plane), and flexion/extension range of motion of the knee were assessed before and up to 6 months after surgery. Patients and 20 healthy controls were evaluated by 3D gait analysis and dynamic lower limb musculoskeletal analysis. Both VAS pain and HSS score were significantly improved (p < 0.001) one day after surgery and steadily improved during the subsequent 6 months. HKA angle improved (p = 0.025) immediately and remained stable by 3 months after surgery. The decreased overall peak KAM (decreased by 11.1%) and increased HKA angle (increased by 1.80 degrees from a more varus to more neutral alignment) of affected and operated side by 6 months after surgery were observed. Muscle activity of biceps femoris caput longum of affected and operated side increased immediately and was equivalent to healthy controls by 6 months after surgery (p = 0.007). This pilot study provides biomechanical evidence of benefit from partial upper fibulectomy and indicates a plausible rationale for the improvement in clinical symptoms. Long-term clinical outcomes and precise biomechanical mechanism of partial upper fibulectomy should be further investigated. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 9999:1-10, 2018.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 83%

mentioning

confidence: 99%

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Evidence and mechanism by which upper partial fibulectomy improves knee biomechanics and decreases knee pain of osteoarthritis

Huang

Shen

et al. 2018

Journal Orthopaedic Research

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“…Baseline scores are associated with improvements in WOMAC scores due to bracing 5 Kinematics and kinetics Related to severity 33 and progression 1,34 of knee osteoarthritis and often used to assess brace performance 35,36…”

Section: Womac Scoresmentioning

confidence: 99%

Identification of good candidates for valgus bracing as a treatment for medial knee osteoarthritis

Clouthier

Hassan

Brandon

et al. 2017

Journal Orthopaedic Research

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“…Auf Basis des 3-Punkt-Entlastungsmechanismus soll durch seitlichen Druck auf das laterale Kniekompartiment eine funktionelle Achskorrektur der frontalen Kniegelenkachse erreicht werden. Andere Orthesen sollen eine Außenro-tation des Beins bewirken, um dadurch eine erhöhte Stabilität im Kniegelenk zu erreichen [8]. Die Verwendung von Orthesen bei Patienten mit Gonarthrose führt zu einer biomechanisch nachweisbaren Entlastung des Kniegelenkes.…”

Section: Kniegelenkorthesen Zur Gonarthrosebehandlungunclassified