A Comparison of Three Different Methods of Measurement of Knee Deformity in Osteoarthritis

Deep, Kamal; Nunag, Perrico; Willcox, Nadine; Deakin, A.H.; Picard, F.

doi:10.19104/jorm.2016.107

Cited by 2 publications

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“…On examination these patients revealed positive Lachman and Pivot Shift tests. Clinically knee varus was calculated by angle between imaginary line from mid inguinal point to centre of patella and centre of patella to midpoint of intermalleolar line at ankle joint 7 . The varus deformity in these patients varied from primary varus with no lateral joint laxity to double or triple varus according to Noyes' classification [4] .…”

Section: Resultsmentioning

confidence: 99%

Outcome of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction in anterior cruciate ligament deficient varus knee

Mondal¹,

Saha²,

Mondal³

et al. 2019

Int. J. Orthop. Sci.

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For patients with concomitant genu varum deformity and anterior cruciate ligament deficiency, there is constant adduction moment at knee joint during weight bearing leading to increased load over medial compartment. In this prospective cohort study we treated these patients by anatomical single bundle ACL reconstruction and medial open wedge high tibial osteotomy and evaluated their clinical and radiological outcomes. The mean follow up period was 25 months. The mean International Knee Documentation Committee score improved from pre-oprerative 45 to post-operative 77. Range of motion was near normal in all cases. Lachman test and Pivot-shift test showed significant improvement post-operatively. The femorotibial mechanical axis was significantly corrected from 7.0° varus to 1.2° valgus and tibial posterior slope was not significantly changed. Thus to conclude although the procedure requires long learning curve, it decreases load on medial compartment, preserving articular cartilage and reduces adduction moment thereby lessening tension on the graft, both of which are important for future of these knees.

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Section: Resultsmentioning

confidence: 99%

Outcome of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction in anterior cruciate ligament deficient varus knee

Mondal¹,

Saha²,

Mondal³

et al. 2019

Int. J. Orthop. Sci.

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“…The patient was viewed from the side, and the long axis of the thigh and the leg were determined, and the angle between them was measured with the goniometer [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Screening Clinical Changes for the Diagnosis of Early Knee Osteoarthritis: A Cross-Sectional Observational Study

et al. 2022

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Background: The main objective was to evaluate differences in the clinical, motor, or functional variables in patients with Early Osteoarthritis (EOA) and individuals at risk of developing osteoarthritis (OA). Methods: A cross-sectional study was performed. All the participants were divided into two groups: EOA patients and healthy subjects (HS) at risk of developing OA. The main outcomes were clinical tests, such as those of knee morphology, instability, or proprioception; motor and functional variables, such as knee strength, range of motion, walking speed, and the sit-to-stand test; pain and disability, assessed through the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) and Knee injury and Osteoarthritis Outcome Score (KOOS) scales; and knee alignment and leg length inequality, assessed via X-ray images. Results: A total of 97 participants were included (54 EOA and 43 HS). Patients with EOA showed a greater presence of knee pain (p < 0.01). In addition, more EOA patients showed instability both in the left (p < 0.01) and right legs (p < 0.05). Regarding the knee alignment variable, significant differences were found (p < 0.04), with more patients with EOA diagnosed as possessing a varus alignment. In addition, EOA patients showed lower knee strength, since statistically significant differences were found regarding flexion and extension strength in the left leg (Mean Difference (MD): 12.92; p = 0.03; d = −0.46 and MD:7.81; p = 0.04; d = −0.39). Differences were found for the sit-to-stand test scores, showing lower results for the EOA group (MD: −1.91; p < 0.01; d = 0.54). Conclusions: The results of this research show statistically significant differences between patients with EOA and HS at risk of developing OA with respect to pain, disability, instability, knee strength, and the sit-to-stand test. Our results suggest that the evaluation of clinical, motor, and functional features could contribute to an early management of knee OA.

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A Comparison of Three Different Methods of Measurement of Knee Deformity in Osteoarthritis

Cited by 2 publications

References 0 publications

Outcome of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction in anterior cruciate ligament deficient varus knee

Outcome of simultaneous high tibial osteotomy and anterior cruciate ligament reconstruction in anterior cruciate ligament deficient varus knee

Screening Clinical Changes for the Diagnosis of Early Knee Osteoarthritis: A Cross-Sectional Observational Study

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