Knee Joint Distraction (Arthrodiastasis) in Knee Osteoarthritis

2020 ◽  
pp. 57-61
Author(s):  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Joint Distraction

scholarly journals Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0227975 ◽  
Author(s):  
Mylène P. Jansen ◽  
Simon C. Mastbergen ◽  
Ronald J. van Heerwaarden ◽  
Sander Spruijt ◽  
Michelle D. van Empelen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Clinical Trial Data ◽  
Trial Data ◽  
Regular Care ◽  
Joint Distraction

scholarly journals Knee joint distraction as standard of care treatment for knee osteoarthritis: a comparison with clinical trial patients

2019 ◽  
Vol 27 ◽  
pp. S515-S516 ◽  
Author(s):  
M. Jansen ◽  
S.C. Mastbergen ◽  
M.D. Van Empelen ◽  
E.C. Kester ◽  
F.P. Lafeber ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Standard Of Care ◽  
Care Treatment ◽  
Joint Distraction ◽  
Standard Of Care Treatment

Clinical outcomes of knee joint distraction combined with marrow stimulation procedures for patients with advanced knee osteoarthritis

The Knee ◽  
2021 ◽  
Vol 33 ◽  
pp. 342-350
Author(s):  
Nobuo Adachi ◽  
Seiju Hayashi ◽  
Atsuo Nakamae ◽  
Masakazu Ishikawa ◽  
Goki Kamei ◽  
...  
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Clinical Outcomes ◽  
Marrow Stimulation ◽  
Joint Distraction

scholarly journals Changes in Cartilage Thickness and Denuded Bone Area after Knee Joint Distraction and High Tibial Osteotomy—Post-Hoc Analyses of Two Randomized Controlled Trials

2021 ◽  
Vol 10 (2) ◽  
pp. 368
Author(s):  
Mylène P. Jansen ◽  
Susanne Maschek ◽  
Ronald J. van Heerwaarden ◽  
Simon C. Mastbergen ◽  
Wolfgang Wirth ◽  
...  
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
High Tibial Osteotomy ◽  
Cartilage Thickness ◽  
Effect Sizes ◽  
Tibial Osteotomy ◽  
Bone Area ◽  
Cartilage Restoration ◽  
Joint Distraction ◽  
Post Hoc

High tibial osteotomy (HTO) and knee joint distraction (KJD) are joint-preserving treatments that unload the more affected compartment (MAC) in knee osteoarthritis. This post-hoc study compares two-year cartilage-thickness changes after treatment with KJD vs. HTO, and identifies factors predicting cartilage restoration. Patients indicated for HTO were randomized to KJD (KJDHTO) or HTO treatment. Patients indicated for total knee arthroplasty received KJD (KJDTKA). Outcomes were the MRI mean MAC cartilage thickness and percentage of denuded bone area (dABp) change two years after treatment, using radiographic joint space width (JSW) as the reference. Cohen’s d was used for between-group effect sizes. Post-treatment, KJDHTO patients (n = 18) did not show significant changes. HTO patients (n = 33) displayed a decrease in MAC cartilage thickness and an increase in dABp, but an increase in JSW. KJDTKA (n = 18) showed an increase in MAC cartilage thickness and JSW, and a decrease in dABp. Osteoarthritis severity was the strongest predictor of cartilage restoration. Kellgren–Lawrence grade ≥3 showed significant restoration (p < 0.01) after KJD; grade ≤2 did not. Effect sizes between severe KJD and HTO patients were large for MAC MRI cartilage thickness (d = 1.09; p = 0.005) and dABp (d = 1.13; p = 0.003), but not radiographic JSW (d = 0.28; p = 0.521). This suggests that in knee osteoarthritis patients with high disease severity, KJD may be more efficient in restoring cartilage thickness.

scholarly journals Long-term benefit and survival of knee joint distraction as treatment of severe knee osteoarthritis

2018 ◽  
Vol 26 ◽  
pp. S282-S283 ◽  
Author(s):  
M.P. Jansen ◽  
G.S. Van der Weiden ◽  
R.J. Custers ◽  
S.C. Mastbergen ◽  
F.P. Lafeber
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Joint Distraction ◽  
Term Benefit

scholarly journals THU0434 KNEE JOINT DISTRACTION AS STANDARD OF CARE TREATMENT FOR KNEE OSTEOARTHRITIS: A COMPARISON WITH CLINICAL TRIAL PATIENTS

2019 ◽  
Author(s):  
Mylène Jansen ◽  
Simon Mastbergen ◽  
Michelle Van Empelen ◽  
Esmee Kester ◽  
Floris Lafeber ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Standard Of Care ◽  
Care Treatment ◽  
Joint Distraction ◽  
Standard Of Care Treatment

scholarly journals Initial tissue repair predicts long-term clinical success of knee joint distraction as treatment for knee osteoarthritis

2018 ◽  
Vol 26 (12) ◽  
pp. 1604-1608 ◽  
Author(s):  
M.P. Jansen ◽  
G.S. van der Weiden ◽  
P.M. Van Roermund ◽  
R.J.H. Custers ◽  
S.C. Mastbergen ◽  
...  
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Tissue Repair ◽  
Clinical Success ◽  
Joint Distraction
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