Patient with knee osteoarthritis demonstrates improved knee adduction moment after knee joint distraction: a case report

• Published in: Acta orthopaedica belgica Vol. 90; no. 1; pp. 147 - 153
• Main Authors: Eijking, H M, Verlaan, L, Emans, P, Boymans, T, Meijer, K, Senden, R
• Format: Journal Article
• Language: English
• Published: Belgium 01.03.2024
• Subjects: Arthroplasty, Replacement, Knee - methods; Female; Gait - physiology; Gait Analysis; Humans; Knee Joint - physiopathology; Knee Joint - surgery; Male; Middle Aged; Osteoarthritis, Knee - surgery; Range of Motion, Articular
• ISSN: 0001-6462
• DOI: 10.52628/90.1.11515

In this article we report a case of a 53-year-old patient diagnosed with end-stage osteoarthritis (OA) of the knee. The patient underwent treatment with knee joint distraction (KJD) with the aim to postpone total knee arthroplasty and prevent potential revision surgery. To assess the effect of KJD, a 3D gait analysis was performed preoperative and one year postoperative. In this patient, preoperative 3D gait analysis revealed an increased knee adduction moment (KAM) compared to healthy levels. Postoperative the KAM decreased, approaching healthy levels, suggesting potential improvements in disease status or in gait. Consequently, further investigation into the effectiveness of Knee Joint Distraction (KJD) as a treatment option for relatively young patients with knee OA is warranted. Gait analysis has emerged as an effective tool for assessing treatment outcomes of innovative treatment such as KJD at the individual level.