BACKGROUND 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. METHOD Sixty patients (35-65 years), with knee pain and genu varum an...

Introduction The frontal plane projection angle (FPPA) is a measure of the degree of dynamic knee valgus during functional tasks such as the single leg squat. An increased FPPA is associated with patellofemoral pain and is indicative of knee valgus during other tasks such as running. Therefore, it is important to determine factors that can contribute to FPPA in order to develop treatment strate...

BACKGROUND For large scale epidemiological studies clinical assessments and radiographs can be impractical and expensive to apply to more than just a sample of the population examined. The study objectives were to develop and validate two novel instruments for self-reported knee malalignment and foot rotation suitable for use in questionnaire studies of knee pain and osteoarthritis. METHODS T...

Total knee arthroplasty is a successful operation that significantly improves patient's quality of life. However, studies demonstrated as only 82% to 89% of patients are satisfied with their surgery, being the other disappointed with regard to their expectations. Two to 5.7% of total knee arthroplasties (TKAs) require revision within 5 years. Both complex primary cases and revision TKA often ne...

BACKGROUND Unloading knee braces often are used after tibiofemoral articular cartilage repair. However, the experimental basis for their use in patients with normal tibiofemoral alignment such as those undergoing cartilage repair is lacking. QUESTIONS/PURPOSES The purpose of this study was to investigate the effect of varus and valgus adjustments to one commercially available unloader knee br...

BACKGROUND Dynamic alignment of "knee-in & toe-out" is a risk factor for anterior cruciate ligament injury and is possibly influenced by static knee alignment, range of tibial rotation and tibial plateau geometry. METHODS Twenty-eight healthy women were classified into valgus, neutral and varus groups based on static alignment of their knees. A 3-dimensional motion analysis was carried out fo...

Total knee arthroplasty is a successful procedure to treat pain and functional disability due to osteoarthritis. However, precisely how a total knee arthroplasty changes the kinematics of an osteoarthritic knee is unknown. We used a surgical navigation system to measure normal passive kinematics from 7 embalmed cadaver lower extremities and in vivo intraoperative passive kinematics on 17 patien...

BACKGROUND Primary total knee arthroplasty (TKA) in severe valgus knees may prove challenging, and choice of implant depends on the severity of the valgus deformity and the extent of soft-tissue release. The purpose of this study was to review 8 to 11 years (mean, 10 years) follow-up results of primary TKA for varient-III valgus knee deformity with use of different type implants. METHODS Betw...

PURPOSE Anterior cruciate ligament (ACL) injuries often occur in women during cutting maneuvers to evade a defensive player. Gender differences in knee kinematics have been observed, but it is not known to what extent these are linked to abnormal neuromuscular control elsewhere in the kinetic chain. Responses to defense players, which may be gender-dependent, have not been included in previous ...