Improvement in function after valgus bracing of the knee - An analysis of gait symmetry

被引:75
作者
Draper, ERC
Cable, JM
Sanchez-Ballester, J
Hunt, N
Robinson, JR
Strachan, RK
机构
[1] Ealing Hosp, Dept Orthopaed, Southall UB1 3HW, Middx, England
[2] Univ London Imperial Coll Sci Technol & Med, London, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2000年 / 82B卷 / 07期
关键词
D O I
10.1302/0301-620X.82B7.10638
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The use of a valgus brace can effectively relieve the symptoms of unicompartmental osteoarthritis of the knee. This study provides an objective measurement of function by analysis of gait symmetry. This was measured in 30 patients on four separate occasions: immediately before and after initial fitting and then again at three months with the brace on and off. All patients reported immediate symptomatic improvement with less pain on walking. After fitting the brace, symmetry indices of stance and the swing phase of gait showed a consistent and immediate improvement at 0 and 3 months, respectively, of 3.92% (p = 0.030) and 3.40% (p = 0.025) in the stance phase and 11.78% (p = 0.020) and 9.58% (p = 0.005) in the swing phase. This was confirmed by a significant improvement at three months in the mean Hospital for Special Surgery (HSS) knee score from 69.9 to 82.0 (p < 0.001). Thus, wearing a valgus brace gives a significant and immediate improvement in the function of patients with unicompartmental osteoarthritis of the knee, as measured by analysis of gait symmetry.
引用
收藏
页码:1001 / 1005
页数:5
相关论文
共 11 条
[1]
[Anonymous], 1993, Clinical Journal of Sport Medicine
[2]
BROOKS PJ, 1984, CLIN ORTHOP RELAT R, P302
[3]
COVENTRY MB, 1979, ORTHOP CLIN N AM, V10, P191
[4]
DRAPER ERC, 2000, IN PRESS MED ENG PHY
[5]
HIGH TIBIAL OSTEOTOMY FOR VARUS GONARTHROSIS - A LONG-TERM FOLLOW-UP-STUDY [J].
INSALL, JN ;
JOSEPH, DM ;
MSIKA, C .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (07) :1040-1048
[6]
The effect of bracing on varus gonarthrosis [J].
Kirkley, A ;
Webster-Bogaert, S ;
Litchfield, R ;
Amendola, A ;
MacDonald, S ;
McCalden, R ;
Fowler, P .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1999, 81A (04) :539-548
[7]
Lindenfeld TN, 1997, CLIN ORTHOP RELAT R, P290
[8]
HIGH TIBIAL OSTEOTOMY AND LIGAMENT RECONSTRUCTION IN VARUS ANGULATED, ANTERIOR CRUCIATE LIGAMENT-DEFICIENT KNEES - A 2-YEAR TO 7-YEAR FOLLOW-UP-STUDY [J].
NOYES, FR ;
BARBER, SD ;
SIMON, R .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1993, 21 (01) :2-12
[9]
NOYES FR, 1993, ORTHOPAEDIC SPORTS M, P1401
[10]
Pollo F E, 1998, Am J Knee Surg, V11, P47