Knee joint loadings are related to tibial torsional alignments in people with radiographic medial knee osteoarthritis

Huang, Chia‐Ying; Chan, Ping Keung; Chiu, Kwong Yuen; Yan, Chun Hoi; Yeung, Desmond Shun Shing; Lai, Christopher; Fu, Sau Chung

doi:10.1371/journal.pone.0255008

Cited by 6 publications

(2 citation statements)

References 37 publications

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“…Loss of such mechanism and having inadequate knee flexion is harmful to knee joint, since it had been discussed that larger knee flexion at early stance phase can facilitate impact absorption and loads transmission [ 25 , 26 ]. In our previous report, we found that higher external tibial rotation was associated with greater external knee adduction moment in early stance phase in moderate knee OA, which indicated possible overload of knee joint medial compartment because of the high external tibial torsion [ 27 ]. When external tibial torsion was more likely associated with smaller knee flexion excursion, the external tibial torsion might be a potential harmful factor to knee OA mechanically.…”

Section: Discussionmentioning

confidence: 99%

The association between tibial torsion, knee flexion excursion and foot progression during gait in people with knee osteoarthritis: a cross-sectional study

Huang,

Chan,

Chiu

et al. 2023

BMC Sports Sci Med Rehabil

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Background Lower limb malalignment is associated with gait kinematics, but there is limited information on the relationship between gait kinematics and tibial torsion in individuals with knee osteoarthritis (OA). This study aimed to investigate possible associations between tibial torsion and early stance kinematics during gait in people with mild and moderate medial knee OA. Methods Forty-seven participants (age: 62.1 ± 6.0 years; female/male: 37/10) diagnosed with medial knee OA were recruited from a regional hospital. Thirty of them had mild and seventeen had moderate knee OA. Lower limb alignment including tibial torsion and valgus/varus alignment were assessed by an EOS biplaner X-ray system with participants in weight-bearing position. Lower limb kinematics during gait was captured using the Vicon motion analysis system. The associations were estimated by partial Pearson correlation coefficient test. Results Our results indicated that external tibial torsion was related to early stance knee flexion excursion in participants with moderate knee OA (r = -0.58, p = 0.048), but not in participants with mild knee OA (r = 0.34, p = 0.102). External tibial torsion was associated with external foot progression angle (r = 0.48, p = 0.001), and knee varus/valgus alignment was associated with knee flexion excursion (r = -0.39, p = 0.010) in all participants. Conclusions Both horizontal and frontal lower limb alignments were associated with knee flexion excursion at early stance of gait cycle in participants with medial knee OA. The distal rotational profile of lower limb would likely affect knee motion in sagittal plane. It implies that people with moderate knee OA could possibly benefit from correction of rotational alignment of lower limb.

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Section: Discussionmentioning

confidence: 99%

The association between tibial torsion, knee flexion excursion and foot progression during gait in people with knee osteoarthritis: a cross-sectional study

Huang,

Chan,

Chiu

et al. 2023

BMC Sports Sci Med Rehabil

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“…Varus alignment may be a cause or result of gonarthrosis, which will result in the overload of medial compartment and cartilage wear [ 6 , 7 ]. If the intervention and therapy are not taken, the total knee arthroplasty (TKA) will be the only option due to the deterioration of gonarthrosis.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Effect of Valgus Knee Braces on the Treatment of Medial Gonarthrosis: A Systematic Review

Yan

Liu

Zhang

et al. 2022

Applied Bionics and Biomechanics

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Background. Valgus braces are prescribed as a common conservative treatment option for patients with medial gonarthrosis to improve their quality of life. Many studies had reviewed the effects of the valgus braces on patients with medial gonarthrosis, while they mainly focused on the knee adduction moment (KAM), with less attention paid to other parameters such as spatiotemporal and morphological parameters. Objectives. The purpose of this study was to review the effects of valgus braces on the spatiotemporal, kinematic/kinetic, morphological, and muscle parameters. Methods. Based on the selected keywords, a survey of literatures was performed in Web of Science, PubMed, Scopus, and Google Scholar using the PRISMA methods, and the search period was established from January 2000 to March 2022. Results. Thirty-four articles were included. According to the conclusion of these articles, the valgus brace can be used to relieve the symptoms of patients with medial gonarthrosis by decreasing the varus angle, decreasing the KAM, and redistributing the knee compartment loads. However, the effects of valgus braces on other biomechanical parameters (e.g., walking speed, cadence, joint angle, and joint space) had not reached a consensus. Conclusions. The valgus knee brace can effectively relieve the symptoms of medial gonarthrosis through multiple mechanisms, while there is still some confusion about the effectiveness of the valgus brace on the other biomechanical parameters.

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Correlation of lower limb alignment with medial mensical extrusion in knee osteoarthritis

Shen,

Sun,

Song

et al. 2024

Arch Orthop Trauma Surg

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Knee joint loadings are related to tibial torsional alignments in people with radiographic medial knee osteoarthritis

Cited by 6 publications

References 37 publications

The association between tibial torsion, knee flexion excursion and foot progression during gait in people with knee osteoarthritis: a cross-sectional study

The association between tibial torsion, knee flexion excursion and foot progression during gait in people with knee osteoarthritis: a cross-sectional study

Biomechanical Effect of Valgus Knee Braces on the Treatment of Medial Gonarthrosis: A Systematic Review

Correlation of lower limb alignment with medial mensical extrusion in knee osteoarthritis

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