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Presented by OrthoEvidence |
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OSTEOARTHRITIS |
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Knee osteoarthritis is one of the most prevalent and problematic conditions seen in the orthopaedic clinic. Foot progression angle (i.e., toeing-in or toeing out) has been found to provide some pain relief, however, its efficacy is not well-established and protocols appear to need to be personalized to have the greatest effect. This randomized trial, published in Lancet Rheumatology, aimed to evaluate the efficacy of personalized foot progression angle modifications compared with sham gait training in patients with medial knee osteoarthritis.
68 patients with symptomatic medial compartment knee osteoarthritis were randomized to receive gait retraining using personalized foot progression angles, or a sham training group in which patients targeted a natural foot progression angle. The primary outcomes of interest were medial knee pain and medial knee loading at 1 year post-treatment.
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The personalized gait training group had greater reductions in medial knee pain (p=0.0013) and knee adduction moment peak (p=0.0003) compared to the sham group.
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There was significantly less change in cartilage microstructure in the medial compartment in the personalized gait training group.
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No differences in serious adverse events were reported.
Bottom line. Personalized foot angle modifications were found to significantly improve pain, reduce knee loading and slow osteoarthritis progression compared to sham treatment for patients with medial compartment knee osteoarthritis.
Read the full ACE Report on this study here.
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OE ORIGINAL |
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Artificial intelligence (AI) has taken world – and the medical profession – by storm. Driven by the development and diffusion of generative AI chatbots like OpenAI’s ChatGPT, physicians, researchers, and even patients themselves are increasingly looking for ways to integrate the technology to improve efficiency and patient care.
There’s plenty of talk about how AI will revolutionize clinical research – but where exactly are we seeing benefits, and what are some of the risk and limitations of AI use in clinical research? In this OE Original, we scope the current literature on AI use in clinical research, with a specific focus on use-cases, clinical trials, areas of promise, and risks!
Read the full OE Original here. |
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OE PODCASTS |
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In this episode of OrthoJoe, we sat down with Dr Rock Patel, a Clinical Professor and orthopaedic surgeon at the University of Michigan.
Dr Rock Patel has had quite an amazing life journey -- in addition to being an orthopaedic surgeon and academic, he is an avid climber who has summited snow caps in Antartica and Mount Everest, among a host of other amazing feats.
Dr Rock Patel believes that "growth comes from being uncomfortable"-- in this episode he shares his advice and wisdom on how to create a life of meaning and continue to grow.
Watch the full podcast here.
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OE X JBJS COLLABORARATION |
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Advance your clinical and surgical expertise with this brand new diploma in Knee Surgery, delivered by JBJS and MRC Oxford.
You’ll gain an invaluable foundation across all key domains of knee surgery, from anatomy and biomechanics to decision-making and surgical planning.
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Confidently assess the full spectrum of knee pathology
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Understand surgical options from deformity correction to arthroplasty
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Strengthen clinical decision-making across trauma, degenerative, inflammatory & sports conditions
Whether you’re preparing for exams or consolidating clinical knowledge, this diploma provides an invaluable foundation across all key domains of knee surgery.
Enroll now: Knee Surgery Diploma Online Course 2026 - JBJS MRC Oxford
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MORE ORTHOPAEDIC RESEARCH |
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Community-based Diet & Exercise Program for Knee Pain In Obese/Overweight Osteoarthritis Patients – In overweight/obese osteoarthritis patients ≥50 years or older, is a diet and exercise intervention effective in the reduction in knee osteoarthritis pain compared with an attention control group? (Read) (New Exclusive Interview!)
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Metformin Reduces the Incidence of Shoulder Stiffness After Arthroscopic Rotator Cuff Repair –In adults undergoing arthroscopic rotator cuff repair, does three months of postoperative placebo or metformin therapy reduce the incidence of shoulder stiffness? (Read)
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Impact of Utilizing Both Sides Up Ball Training Combined With Resistance Training in ACL Surgery – Does BOSU ball training combined with resistance-based rehabilitation compared with standard rehabilitation alone improve knee joint stability, balance, muscle strength, and readiness to return to sport over 12 months in adolescent athletes undergoing primary unilateral ACL reconstruction? (Read)
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