Joint Distraction for Knee Osteoarthritis: A Systematic Review of Randomized Controlled Trials .
A small body of randomized evidence has explored whether knee joint distraction (KJD) can serve as a joint-preserving option for patients with knee osteoarthritis, especially younger individuals hoping to delay arthroplasty. Across three trials comparing KJD with TKA, HTO, or physiotherapy, results were mixed but generally suggested non-inferiority to surgical comparators and short-term advantages when paired with physiotherapy. However, pin site infections were common after KJD surgery, and clinical benefits varied across outcomes and time points. Because sample sizes were small and protocols differed widely, the evidence is far too limited to support firm conclusions. Larger, well-designed RCTs are needed to clarify when, and for whom, KJD might be a meaningful alternative.
Unlock the Full original article
You have access to 4 more FREE articles this month.
Click below to unlock and view this original article
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!