News

Dual ACL, tibial osteotomy surgery helped knee OA patients


 

References

Gait biomechanics in patients with medial knee osteoarthritis were significantly improved 5 years after concomitant high tibial osteotomy and anterior cruciate ligament reconstruction, according to a prospective cohort study conducted by Kendal Marriott and associates.

In the 33 patients who underwent the dual surgeries, three-dimensional gait analysis showed that the peak knee adduction moment had decreased significantly in the surgical limb 5 years after surgery, compared with a nonsignificant increase in the nonsurgical limb. A significant decrease in the peak knee flexion moment was seen in both the surgical and nonsurgical limbs. Progress plateaued 2-5 years post surgery, but improvements gained were maintained at the 5-year postsurgery mark.

As concomitant high tibial osteotomy and anterior cruciate ligament reconstruction is relatively rare, “longer term follow-up and comparisons with other treatment strategies are both warranted and required to better evaluate the clinical effect of this seemingly biomechanically efficacious procedure,” the investigators concluded.

Find the full study in the American Journal of Sports Medicine (doi: 10.1177/0363546515591995).

lfranki@frontlinemedcom.com

Recommended Reading

EULAR: Steroid injection accuracy may not matter for OA knee pain relief
MDedge Rheumatology
EULAR: Intra-articular Traumeel and Zeel injections offer ‘favorable’ knee OA pain relief
MDedge Rheumatology
FDA will strengthen heart attack, stroke risk warnings for all NSAIDs
MDedge Rheumatology
Erosive hand disease likely ‘more severe form of OA’
MDedge Rheumatology
Usual physiotherapy remains best approach in knee OA
MDedge Rheumatology
Evidence builds for lithium chloride’s ability to slow cartilage degradation
MDedge Rheumatology
Pain, quality of life measures improve more in OA than RA after knee arthroplasty
MDedge Rheumatology
Study reveals distinct forms of foot osteoarthritis
MDedge Rheumatology
New analysis suggests functional decline for most people with knee OA
MDedge Rheumatology
Optimized analgesia, exercise cut pain in severe knee OA
MDedge Rheumatology