矫形器在膝关节骨关节炎中的作用。
The role of orthoses in knee osteoarthritis.
作者信息
Rodriguez-Merchan E Carlos, De La Corte-Rodriguez Hortensia
机构信息
a Department of Orthopaedic Surgery , La Paz University Hospital-IdiPaz , Madrid , Spain.
b Department of Physical Medicine and Rehabilitation , La Paz University Hospital-IdiPaz , Madrid , Spain.
出版信息
Hosp Pract (1995). 2019 Feb;47(1):1-5. doi: 10.1080/21548331.2018.1527168. Epub 2018 Sep 29.
OBJECTIVES
Taking into account that the role of orthoses in patients with knee osteoarthritis (OA) is unclear and controversial, the purpose of this article is to review recent literature with the aim of answering the following question: What is the current role of orthoses in the treatment of knee OA?
METHODS
A Cochrane Library and PubMed (MEDLINE) search related to the role of orthoses in knee OA was performed.
RESULTS
Unloader braces decrease the adduction moment of the knee. In patients with varus medial compartment knee OA bracing is beneficial for pain, stiffness, function and quality of life (low grade of evidence). Lateral wedge arch support insoles seem not to decrease knee load. Lateral wedge insoles appear inefficacious at attenuating structural changes in patients with medial knee OA.
CONCLUSIONS
The ideal option for an orthosis in patients with knee OA keeps on indeterminate, and long-run inferences are lacking.
目的
鉴于矫形器在膝关节骨关节炎（OA）患者中的作用尚不明确且存在争议，本文旨在回顾近期文献，以回答以下问题：矫形器在膝关节OA治疗中的当前作用是什么？
方法
对Cochrane图书馆和PubMed（MEDLINE）进行了与矫形器在膝关节OA中的作用相关的检索。
结果
卸载支具可降低膝关节的内收力矩。对于内翻型内侧间室膝关节OA患者，使用支具对疼痛、僵硬、功能和生活质量有益（证据等级低）。外侧楔形足弓支撑鞋垫似乎不会降低膝关节负荷。外侧楔形鞋垫在减轻内侧膝关节OA患者的结构变化方面似乎无效。
结论
膝关节OA患者矫形器的理想选择仍不确定，且缺乏长期推论。
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