Comparison the effect of 3 point valgus stress knee support and lateral wedge insoles in medial compartment knee osteoarthritis.
Comparison the effect of 3 point valgus stress knee support and lateral wedge insoles in medial compartment knee osteoarthritis.
复制标题
DOI：
10.5812/kowsar.20741804.2252
复制
发表时间：
2011-09
影响因子：
0.4
通讯作者：
Ashraf AR
中科院分区：
文献类型：
--
作者：
Sattari S;Ashraf AR
关于外侧楔形鞋垫和外翻应力三点护膝治疗内侧间室膝骨关节炎（OA）的效果存在许多观点和争议。在这项研究中，我们比较了外侧楔形鞋垫和三点膝关节支撑在治疗膝关节内侧骨关节炎中的效果。将 60 名患有膝关节疼痛和膝内翻以及中度至重度内侧间室 DJD 的患者（35-65 岁）分为三组。第一组接受定制模制 3 点外翻应力膝盖支撑。第二组应用侧向楔形鞋垫，第三组作为对照。根据疼痛严重程度、步行距离和放射学变化，对所有组进行 9 个月的随访。与对照组相比，侧向楔形支架组和膝关节支架组的疼痛均显着减轻，其中支架组的疼痛减轻更显着。仅支架组的步行距离明显更长。与中度 DJD 患者相比，支具对重度 DJD 患者的步行距离有更显着的影响，但对疼痛严重程度没有影响。与外侧楔形鞋垫相比，三点外翻应力膝关节支撑对中度至重度内侧间室 DJD 患者的疼痛减轻、步行距离和放射学改善具有更显着的效果，甚至可以逆转放射学结果。
There are many opinions and controversies regard the effect of lateral wedge insoles and valgus stress 3point knee braces in treatment of medial compartment knee osteoarthritis (OA). In this study we compared the effect of lateral wedge insoles and 3 point knee supports in treatment of medial compartment knee OA. Sixty patients (35-65 years), with knee pain and genu varum and moderate to severe medial compartment DJD were divided into three groups. The first group received a custom molded 3 point valgus stress knee support. Lateral wedge insoles were applied for the second group and the third group served as control. All groups were followed for 9 months according to pain severity, walking distance, and radiologic changes. Pain reduced significantly in both lateral wedge and knee brace groups compared to control group with more significant reduction in the brace group. The walking distance was significantly longer only in the brace group. There was more pronounced effect of brace in patients with severe DJD in walking distance compared to moderate DJD, but not in severity of pain. Three point valgus stress knee support had more significant effect on pain reduction, walking distance and also radiologic improvement of patients with moderate to severe medial compartment DJD compared to lateral wedge insoles and could even reverse radiologic findings.
登录
查看更多内容
DOI：
10.2106/00004623-199904000-00012
发表时间：
1999-04-01
影响因子：
5.3
作者：
Kirkley, A;Webster-Bogaert, S;Fowler, P
通讯作者：
Fowler, P
影响因子：
7
作者：
Maillefert, JF;Hudry, C;Dougados, M
通讯作者：
Dougados, M
影响因子：
--
作者：
Hinman, RS;Crossley, KM;Bennell, KL
通讯作者：
Bennell, KL
影响因子：
7
作者：
Brouwer, R. W.;van Raaij, T. M.;Bierma-Zeinstra, S. M. A.
通讯作者：
Bierma-Zeinstra, S. M. A.
影响因子：
--
作者：
Sharma, L;Cahue, S;Dunlop, D
通讯作者：
Dunlop, D