Harwood, P., Pandit, H. orcid.org/0000-0001-7392-8561, Lineham, B. et al. (1 more author) (2023) The Feasibility of Hinged Knee Arthrodiastasis for Cartilage Regeneration: A Systematic Review of the Literature. Strategies in Trauma and Limb Reconstruction, 18 (1). pp. 37-43. ISSN 1828-8936
Abstract
Introduction: Knee joint distraction (KJD) is a potential technique for cartilage regeneration in young patients with osteoarthritis of the knee. Static distraction has been utilised typically; however, a significant proportion of patients complain of knee stiffness post-distractor removal. The use of a hinged distractor may reduce the duration and severity of post-treatment knee stiffness by maintaining the range of motion during distraction. Furthermore, improved cartilage regeneration has been demonstrated in hinged ankle joint distraction as compared to static, and this may also be demonstrated at the knee. An evidence review was undertaken to inform further research and a potential change in practice.
Aim: A systematic review of all primary research on hinged knee joint distraction for cartilage regeneration.
Methods: An online systematic search of citation databases was conducted. Quality assessment and data extraction were undertaken by two separate researchers.
Results: The literature search returned a small number of relevant studies, of which 7 were included. Three of these were animal studies, two cadaveric and two case series. The study quality was low or very low. There was significant methodological heterogeneity with difficulties encountered in the transfer of constructs from animal and cadaveric studies to humans. Issues faced included difficulties with hinge placement and pin site pain in motion.
Conclusion: The feasibility of hinged knee joint distraction has yet to be proven. Any further research attempting to establish the benefits of hinged-over static knee distraction will have to take construct design considerations into account.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s). 2023 Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-share alike license (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as original. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
Keywords: | Arthrodiastasis, Arthrodistraction, Cartilage, Knee joint distraction, Range of motion |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Orthopaedics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 02 Aug 2023 15:06 |
Last Modified: | 02 Aug 2023 15:06 |
Published Version: | https://www.stlrjournal.com/abstractArticleContent... |
Status: | Published |
Publisher: | Jaypee Brothers Medical Publishing |
Identification Number: | 10.5005/jp-journals-10080-1578 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:201832 |
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