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A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients
OBJECTIVE: The purpose of this study is to assess the association between the presence and severity of flatfoot and symptoms of knee OA. METHODS: 95 participants with knee OA were recruited from a patient cohort at a regional hospital. Symptoms of knee OA, including knee degeneration, femorotibial a...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280043/ https://www.ncbi.nlm.nih.gov/pubmed/35846950 http://dx.doi.org/10.3389/fsurg.2022.936720 |
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author | Zhang, Min Nie, Mao-dan Qi, Xin-zheng Ke, Song Li, Jun-wei Shui, Yang-yang Zhang, Zhuo-yue Wang, Min Cheng, Cheng-Kung |
author_facet | Zhang, Min Nie, Mao-dan Qi, Xin-zheng Ke, Song Li, Jun-wei Shui, Yang-yang Zhang, Zhuo-yue Wang, Min Cheng, Cheng-Kung |
author_sort | Zhang, Min |
collection | PubMed |
description | OBJECTIVE: The purpose of this study is to assess the association between the presence and severity of flatfoot and symptoms of knee OA. METHODS: 95 participants with knee OA were recruited from a patient cohort at a regional hospital. Symptoms of knee OA, including knee degeneration, femorotibial alignment, pain, stiffness and dysfunction were assessed using the Kellgren-Lawrence (K-L) grading system, femoral-tibial angle (FTA), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Participants were divided into groups with flatfoot (mild, moderate and severe) and without flatfoot based on the Clarke's angle. Linear regression and ordinal logistic regression were used for statistical analysis, as appropriate. RESULTS: Having flatfoot was associated with a significantly increased risk of having a higher K-L grade (OR: 20.03; 95% CI, 5.88, 68.27; p < 0.001), smaller FTA (Beta: −2.96; 95% CI, −4.41, −1.50; p < 0.001), higher pain score (Beta: 0.47; 95% CI, 0.24, 0.69; p < 0.001) and greater loss of function (Beta: 0.25; 95% CI, 0.02, 0.48; p = 0.03). Severe grades of flat feet were associated with a higher K-L grade (OR: 0.19; 95% CI, 0.08, 0.44; p < 0.001), smaller FTA (Beta: 1.51; 95% CI, 0.66, 2.35; p = 0.001), higher pain score (Beta: −0.25; 95% CI, −0.39, −0.11; p = 0.001), greater stiffness (Beta: −0.24; 95% CI, −0.38, −0.09; p = 0.002) and greater loss of function (Beta: −0.27; 95% CI, −0.41, −0.14; p < 0.001). CONCLUSION: The results indicated that the severity of flattening is significantly associated with symptoms of knee OA. For the conservative management of knee OA, both flatfoot and its severity should be carefully considered. |
format | Online Article Text |
id | pubmed-9280043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92800432022-07-15 A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients Zhang, Min Nie, Mao-dan Qi, Xin-zheng Ke, Song Li, Jun-wei Shui, Yang-yang Zhang, Zhuo-yue Wang, Min Cheng, Cheng-Kung Front Surg Surgery OBJECTIVE: The purpose of this study is to assess the association between the presence and severity of flatfoot and symptoms of knee OA. METHODS: 95 participants with knee OA were recruited from a patient cohort at a regional hospital. Symptoms of knee OA, including knee degeneration, femorotibial alignment, pain, stiffness and dysfunction were assessed using the Kellgren-Lawrence (K-L) grading system, femoral-tibial angle (FTA), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Participants were divided into groups with flatfoot (mild, moderate and severe) and without flatfoot based on the Clarke's angle. Linear regression and ordinal logistic regression were used for statistical analysis, as appropriate. RESULTS: Having flatfoot was associated with a significantly increased risk of having a higher K-L grade (OR: 20.03; 95% CI, 5.88, 68.27; p < 0.001), smaller FTA (Beta: −2.96; 95% CI, −4.41, −1.50; p < 0.001), higher pain score (Beta: 0.47; 95% CI, 0.24, 0.69; p < 0.001) and greater loss of function (Beta: 0.25; 95% CI, 0.02, 0.48; p = 0.03). Severe grades of flat feet were associated with a higher K-L grade (OR: 0.19; 95% CI, 0.08, 0.44; p < 0.001), smaller FTA (Beta: 1.51; 95% CI, 0.66, 2.35; p = 0.001), higher pain score (Beta: −0.25; 95% CI, −0.39, −0.11; p = 0.001), greater stiffness (Beta: −0.24; 95% CI, −0.38, −0.09; p = 0.002) and greater loss of function (Beta: −0.27; 95% CI, −0.41, −0.14; p < 0.001). CONCLUSION: The results indicated that the severity of flattening is significantly associated with symptoms of knee OA. For the conservative management of knee OA, both flatfoot and its severity should be carefully considered. Frontiers Media S.A. 2022-06-30 /pmc/articles/PMC9280043/ /pubmed/35846950 http://dx.doi.org/10.3389/fsurg.2022.936720 Text en Copyright © 2022 Zhang, Nie, Qi, Ke, Li, Shui, Zhang, Wang and Cheng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Zhang, Min Nie, Mao-dan Qi, Xin-zheng Ke, Song Li, Jun-wei Shui, Yang-yang Zhang, Zhuo-yue Wang, Min Cheng, Cheng-Kung A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title | A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title_full | A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title_fullStr | A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title_full_unstemmed | A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title_short | A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients |
title_sort | strong correlation between the severity of flatfoot and symptoms of knee osteoarthritis in 95 patients |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280043/ https://www.ncbi.nlm.nih.gov/pubmed/35846950 http://dx.doi.org/10.3389/fsurg.2022.936720 |
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