Do foot &amp; ankle assessments assist the explanation of 1 year knee arthroplasty outcomes?

Gates, Lucy; Bowen, Catherine; Sanchez‐Santos, Maria T; Delmestri, Antonella; Arden, N K

doi:10.1016/j.joca.2016.12.022

Cited by 6 publications

(10 citation statements)

References 48 publications

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“…Hallux valgus is associated with both knee and foot pain as well as the presence of nodal OA [11] and an increase in disability levels in women with knee OA [12]. A recent study showed that approximately 13–39% of individuals with knee OA, or at-risk of knee OA, have concurrent foot pain that adversely affects their functional status [13], knee symptoms [14], and clinical outcomes 1 year following total knee arthroplasty (TKA) [15]. …”

Section: Introductionmentioning

confidence: 99%

Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis

Ohi

Iijima

Aoyama

et al. 2017

BMC Musculoskelet Disord

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BackgroundTo examine the association of radiographic frontal plane knee alignment with three-dimensional foot posture in patients with medial knee osteoarthritis (OA).MethodsParticipants in orthopedic clinics with Kellgren/Lawrence (K/L) grade ≥1 (88 patients and 88 knees; age, 61–91 years; 65.9% female) were enrolled. An anteroposterior radiographic view was used to assess the anatomical axis angle (AAA) after subtracting a sex-specific correction factor. The three-dimensional foot posture was also evaluated.ResultsMultiple regression analyses showed that increased corrected AAA (i.e., valgus direction) was independently associated with a decrease in the hallux valgus angle (regression coefficient: −0.40 per degree, 95% confidence interval [CI]: −0.72, −0.09; P = 0.013) and increase in the pronation angle of the calcaneus relative to floor (regression coefficient: 0.33 per degree, 95% CI: 0.10, 0.56; P = 0.005) adjusted for age, sex, and body mass index. The relationship between the corrected AAA and hallux valgus angle strengthened (regression coefficient: −0.60 per degree, 95% CI: −1.08, −0.13; P = 0.014) in varus-aligned knees examined separately (63 knees). The other foot postures (navicular height, navicular height/foot length, and rearfoot angle) were not significantly associated with corrected AAA.ConclusionsRadiographic frontal plane knee alignment was associated with hallux valgus angle and calcaneus angle relative to the floor in patients with medial knee OA, particularly in varus-aligned knees. These results indicate a connection between altered frontal knee alignment and foot posture, which may be helpful in understanding the pathogenesis of altered foot posture observed in patients with knee OA.

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Section: Introductionmentioning

confidence: 99%

Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis

Ohi

Iijima

Aoyama

et al. 2017

BMC Musculoskelet Disord

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show abstract

“…This highlights the importance of including foot pain measures within the clinical assessment of knee and hip symptoms, particularly in those with a diagnosis of OA. Given that it is known that people with pre-operative foot pain are more likely to have poorer clinically important outcomes following knee arthroplasty (13), the potential for foot pain to negatively impact concurrent knee and hip symptoms and vice versa should therefore be considered.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of foot pain and association with baseline characteristics in people participating in education and supervised exercise for knee or hip osteoarthritis: a cross-sectional study of 26,003 participants from the GLA:D® registry

Gates

Cherry

Grønne

et al. 2023

Preprint

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Background Osteoarthritis (OA) affecting the knee or hip is highly prevalent in the general population and has associated high disease burden. Early identification of modifiable risk factors that prevent, limit, or resolve disease symptoms is critical. Foot pain may represent a potentially modifiable factor however little is known about the prevalence of foot pain in people with knee or hip OA nor whether foot pain is associated with clinical characteristics. The main aim of this study was therefore to determine the prevalence of foot pain in people with knee or hip OA attending an education and supervised exercise-based intervention in Denmark (GLA:D®) and determine if baseline demographic or clinical characteristics are associated with foot pain. Methods Analysis was conducted on baseline data of 26,003 people with symptomatic knee or hip OA completing a body mannequin as part of the Good Life with osteoArthritis in Denmark (GLA:D®) primary care programme. Odds Ratios (OR) and 95% confidence intervals (CI) were calculated to estimate the strength of association between baseline clinical characteristics (including pain severity in worst knee/hip joint, number of painful knee/hip joints, pain medication use and physical activity level) and the presence of baseline foot pain. Results Twelve percent of participants (n = 3,049) reported foot pain. In those people with index knee OA (n = 19,391), knee pain severity (OR 1.01 CI 1.00, 1.01), number of painful knee/hip joints (OR 1.67 CI 1.58, 1.79), and use of pain medication (OR 1.23 CI 1.12, 1.36) were statistically associated with foot pain. Excluding use of pain medication, similar associations were seen in those with index hip OA. Conclusion Twelve percent of people with knee or hip OA participating in GLA:D® had foot pain. Those with worse knee/hip pain, and greater number of painful joints were more likely to report foot pain. This study is the first to demonstrate a significant relationship between clinical characteristics and foot pain in people with knee or hip OA participating in education and supervised exercise. Future investigation should consider the role that foot pain may play on knee and hip related outcomes following therapeutic intervention.

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“…This highlights the importance of including foot pain measures within the clinical assessment of knee and hip symptoms, particularly in those with a diagnosis of OA. Given that it is known that people with pre-operative foot pain are more likely to have poorer clinically important outcomes following knee arthroplasty [18], the potential for foot pain to negatively impact concurrent knee and hip symptoms and vice versa should therefore be considered.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of foot pain and association with baseline characteristics in people participating in education and supervised exercise for knee or hip osteoarthritis: a cross‐sectional study of 26,003 participants from the GLA:D® registry

Gates,

Cherry,

Grønne

et al. 2023

Journal of Foot and Ankle Research

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Background Osteoarthritis (OA) affecting the knee or hip is highly prevalent in the general population and has associated high disease burden. Early identification of modifiable risk factors that prevent, limit, or resolve disease symptoms is critical. Foot pain may represent a potentially modifiable factor however little is known about the prevalence of foot pain in people with knee or hip OA nor whether foot pain is associated with clinical characteristics. The main aim of this study was therefore to determine the prevalence of foot pain in people with knee or hip OA attending an education and supervised exercise-based intervention in Denmark (GLA:D®) and determine if baseline demographic or clinical characteristics are associated with foot pain. Methods Analysis was conducted on baseline data of 26,003 people with symptomatic knee or hip OA completing a pain mannequin as part of the Good Life with osteoArthritis in Denmark (GLA:D®) primary care programme. Odds Ratios (OR) and 95% confidence intervals (CI) were calculated to estimate the strength of association between baseline clinical characteristics (including pain severity in worst knee/hip joint, number of painful knee/hip joints, pain medication use and physical activity level) and the presence of baseline foot pain. Results Twelve percent of participants (n = 3,049) reported foot pain. In those people with index knee OA (n = 19,391), knee pain severity (OR 1.01 CI 1.00, 1.01), number of painful knee/hip joints (OR 1.67 CI 1.58, 1.79), and use of pain medication (OR 1.23 CI 1.12, 1.36) were statistically associated with foot pain. Excluding use of pain medication, similar associations were seen in those with index hip OA. Conclusion Twelve percent of people with knee or hip OA participating in GLA:D® had foot pain. Those with worse knee/hip pain, and greater number of painful joints were more likely to report foot pain. This study is the first to demonstrate a significant relationship between clinical characteristics and foot pain in people with knee or hip OA participating in education and supervised exercise. Future investigation should consider the role that foot pain may play on knee and hip related outcomes following therapeutic intervention.

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Do foot & ankle assessments assist the explanation of 1 year knee arthroplasty outcomes?

Abstract: 12Objective: Whilst a number of risk factors for poor patient reported outcomes (PROMs) following do not further explain post-operative KA outcomes. Consideration should also be given to address 27 pre-operative foot pain when attempting to achieve a good clinical outcome for KA.

Cited by 6 publications

References 48 publications

Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis

Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis

The prevalence of foot pain and association with baseline characteristics in people participating in education and supervised exercise for knee or hip osteoarthritis: a cross-sectional study of 26,003 participants from the GLA:D® registry

The prevalence of foot pain and association with baseline characteristics in people participating in education and supervised exercise for knee or hip osteoarthritis: a cross‐sectional study of 26,003 participants from the GLA:D® registry

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