Valgus Bracing for Knee Osteoarthritis: A Meta‐Analysis of Randomized Trials

Moyer, R.; Birmingham, Trevor B.; Bryant, Dianne; Giffin, J. Robert; Marriott, Kendal; Leitch, Kristyn M.

doi:10.1002/acr.22472

Cited by 62 publications

(45 citation statements)

References 48 publications

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“…In a randomized study in patients with patellofemoral OA, bracing was associated with pain relief and a decreased volume of bone marrow lesions in the affected compartment. 90 These strategies could be used to prevent future OA, but poor compliance is currently a problem, 88,89 and further development of devices and clinical studies are needed.…”

Section: Reviewsmentioning

confidence: 98%

“…This combination, or the brace alone, decreases pain and somewhat shifts the load in the knee from the medial to the lateral side. [83][84][85][86][87][88][89] This change in load or contact stress might delay or prevent the onset of OA. In a randomized study in patients with patellofemoral OA, bracing was associated with pain relief and a decreased volume of bone marrow lesions in the affected compartment.…”

Section: Reviewsmentioning

confidence: 99%

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Strategies for the prevention of knee osteoarthritis

2015

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Osteoarthritis (OA) has been thought of as a disease of cartilage that can be effectively treated surgically at severe stages with joint arthroplasty. Today, OA is considered a whole-organ disease that is amenable to prevention and treatment at early stages. OA develops slowly over 10-15 years, interfering with activities of daily living and the ability to work. Many patients tolerate pain, and many health-care providers accept pain and disability as inevitable corollaries of OA and ageing. Too often, health-care providers passively await final 'joint death', necessitating knee and hip replacements. Instead, OA should be viewed as a chronic condition, where prevention and early comprehensive-care models are the accepted norm, as is the case with other chronic diseases. Joint injury, obesity and impaired muscle function are modifiable risk factors amenable to primary and secondary prevention strategies. The strategies that are most appropriate for each patient should be identified, by selecting interventions to correct--or at least attenuate--OA risk factors. We must also choose the interventions that are most likely to be acceptable to patients, to maximize adherence to--and persistence with--the regimes. Now is the time to begin the era of personalized prevention for knee OA.

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Section: Reviewsmentioning

confidence: 98%

Section: Reviewsmentioning

confidence: 99%

Strategies for the prevention of knee osteoarthritis

2015

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“…Modal analysis had conducted on four different layouts of knee brace in steel frame [7][8][9]. The five lowest order on natural vibration period of each scheme (T) was presented in Tab.1,and five lowest order on natural vibration period of each scheme was shown in Tab.…”

Section: A Results Of Modal Analysismentioning

confidence: 99%

Seismic Performance for Steel Frames with Different Layouts of Knee Brace

Xu¹,

Wang²,

Wang³

2017

Proceedings of the 2016 International Conference on Architectural Engineering and Civil Engineering

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Abstract-The different layouts of knee braces will affect the mechanical performance of the structure to some extent. Nevertheless, an extensive review of related literature indicates that the effect of different layouts of knee brace in steel frame structure is not considered. Typical models of multi-storey building (six-storey) were set up, whose seismic properties were analyzed (including modal analysis and time-history analysis) by finite element software ABAQUS. The effect of layout of braces to internal force, displacement, energy-dissipating capability was observed through comparison. According to the calculation analysis, it was found that lateral displacement and inner forces of the knee braced frame structure were all changed with different degrees, especially for the layer shear force, the effection was the strongest. The layer shear force decreased greatly when the bracing location was in the midspan compared with the bracing location which was in the sidespan. Thus, it was suggested that the bracing location was preferentially considered to arrange in the midspan of the structure under the precondition of meeting the usable function on the structure.

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“…Hafiforta gonoartroz için lateral kamalı tabanlık tavsiye edilebilir. Randomize çalışmaların metanalizi valgus breyslerinin diz OA'da hafiforta derecedeki ağrıyı azalttığını göstermiştir (31).…”

Section: Konservatif Tedaviunclassified

Pathophysiology and Clinical evaulation of Gonarthrosis

Koç¹,

Boyraz²,

Sarman³

2015

Turk J Bioch

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Osteoartrit (OA) tüm eklemi tutan kıkırdak dejenerasyonu, sinovit, subkondral kemik oluşumu, kapsül hipertrofisi ve yumuşak doku rüptürlerinin yanında enflamatuar mediatörlerin de rol oynadığı kompleks bir süreçtir. Hastaların ekleminde genellikle dizilim ve mekanik dengesizlik gelişir. Tüm bu sürece aralıklı sinovit ve lokal inflamasyonda eşlik eder. OA'lı hastalarda kemiğin yeniden yapımı sonucu oluşan periost inflamasyonu ile çıplak kemik oluşur. Radyografik olarak OA hastalarında ağrı kaynağı tam olarak açıklanamamıştır. Yapılan araştırmalarda radyografik bulgularla ağrı arasında doğrudan bir korelasyon bulunamamıştır. OA tedavisinin primer amacı ağrıyı azaltmaktır. İlk yapılacak öneriler, hasta bilgilendirilmesi ve eğitimi, obez ise kilo verilmesi ve egzersizlerdir. Medikal tedavi olarak parasetamol ve nonsteroid anti-İnflamatuar İlaçlar (NSAİİ) en çok tavsiye edilen ilaçlardır. Koruyucu tedaviler yeterli gelmediğinde cerrahi tedavi düşünülebilir ama sonuçlar her zaman yüz güldürücü değildir.Osteoarthritis is a complex process that involves whole joint cartilage degeneration, synovitis, osteophytes, capsular hypertrophy and rupture of soft tissue elements besides playing a role inflammatory mediators. Alignment and mechanical instability of the joints usually develops. All this process is accompanied by intermittent synovitis and local inflammation. Bare bones occur with periost inflammation caused by reconstruction in patients with OA. Source of pain in patients in terms of radiologically was not fully explained. Studies emerged that a direct correlation between radiographic findings and pain were found. One of the primary goals of treatment is to reduce pain. First recommendations for the patients are giving information and education of the patients, losing weight if being obesity and exercise. Paracetamol and non-steroidal antiinflammatory agents (NSAIDs) are the most recommended drugs as medical treatment. If conservative treatment was not enough, surgery can be considered but the results is not always satisfactory.Anahtar Kelimeler: Osteoartrit diz, patofizyoloji, tedavi.

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Valgus Bracing for Knee Osteoarthritis: A Meta‐Analysis of Randomized Trials

Cited by 62 publications

References 48 publications

Strategies for the prevention of knee osteoarthritis

Strategies for the prevention of knee osteoarthritis

Seismic Performance for Steel Frames with Different Layouts of Knee Brace

Pathophysiology and Clinical evaulation of Gonarthrosis

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