Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Systematic Reviews
Published in: Systematic Reviews 1/2018

Open Access 01-12-2018 | Protocol

Joint distraction for knee osteoarthritis: protocol for a systematic review and meta-analysis

Authors: En Lin Goh, Winston Choong Ngan Lou, Swathikan Chidambaram, Shaocheng Ma

Published in: Systematic Reviews | Issue 1/2018

Login to get access

Abstract

Background

Osteoarthritis is a degenerative joint disease that is highly prevalent worldwide. Knee osteoarthritis is the most common form of osteoarthritis and is a major cause of pain and disability. However, there remains a lack of treatments available that have demonstrated effectiveness in stopping or reversing the degenerative process. Joint distraction has emerged as a viable alternative in the treatment of knee osteoarthritis to delay the need for knee arthroplasty.

Methods

An electronic search will be conducted on MEDLINE, EMBASE, Web of Science, CINAHL, Cochrane and EBSCO databases. Clinical studies investigating joint distraction for knee osteoarthritis, which reported clinical or structural outcomes including ∆WOMAC index, ∆VAS pain score and ∆joint space width will be included. Risk of bias will be assessed using the Newcastle-Ottawa Scale for observational studies and Cochrane Collaboration tool for randomised controlled trials. Quality of studies will be assessed using the modified Coleman methodology score.

Discussion

This systematic review will summarise the short- and long-term clinical and structural outcomes following joint distraction for knee osteoarthritis. The findings from this review will establish the quality of currently available evidence, which will determine the need for further studies to establish the true effect size of this procedure.

Systematic review registration

Literature
1.
Glyn-Jones S, Palmer AJR, Agricola R, Price AJ, Vincent TL, Weinans H, Carr AJ. Osteoarthritis. Lancet. 9991;386:376–87.CrossRef
2.
Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. Lancet. 2011;377(9783):2115–26.CrossRef
3.
Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355–69.CrossRef
4.
McAlindon TE, Bannuru RR, Sullivan M, Arden N, Berenbaum F, Bierma-Zeinstra S, Hawker G, Henrotin Y, Hunter D, Kawaguchi H. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthr Cartil. 2014;22(3):363–88.CrossRef
5.
Nelson AE, Allen KD, Golightly YM, Goode AP, Jordan JM. A systematic review of recommendations and guidelines for the management of osteoarthritis: the chronic osteoarthritis management initiative of the US bone and joint initiative. Seminars in arthritis and rheumatism. 2014: Elsevier;2014:701–12.CrossRef
6.
Newberry SJ, FitzGerald J, SooHoo NF, Booth M, Marks J, Motala A, Apaydin E, Chen C, Raaen L, Shanman R: Treatment of osteoarthritis of the knee: an update review. 2017.CrossRef
7.
Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster J-Y. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. JBJS. 2004;86(5):963–74.CrossRef
8.
Callahan CM, Drake BG, Heck DA, Dittus RS. Patient outcomes following tricompartmental total knee replacement: a meta-analysis. Jama. 1994;271(17):1349–57.CrossRef
9.
Callahan CM, Drake BG, Heck DA, Dittus RS. Patient outcomes following unicompartmental or bicompartmental knee arthroplasty: a meta-analysis. J Arthroplast. 1995;10(2):141–50.CrossRef
10.
Kurtz SM, Lau E, Ong K, Zhao K, Kelly M, Bozic KJ. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res®. 2009;467(10):2606–12.CrossRef
11.
W-Dahl A, Robertsson O, Lidgren L. Surgery for knee osteoarthritis in younger patients: a Swedish register study. Acta Orthop. 2010;81(2):161–4.CrossRef
12.
Flouzat-Lachaniette C-H, Roubineau F, Heyberger C, Bouthors C. Distraction to treat knee osteoarthritis. Joint Bone Spine. 2017;84(2):141–4.CrossRef
13.
Intema F, Van Roermund PM, Marijnissen AC, Cotofana S, Eckstein F, Castelein RM, Bijlsma JW, Mastbergen SC, Lafeber FP. Tissue structure modification in knee osteoarthritis by use of joint distraction: an open 1-year pilot study. Ann Rheum Dis. 2011;70(8):1441–6.CrossRef
14.
Wiegant K, Van Roermund P, Intema F, Cotofana S, Eckstein F, Mastbergen S, Lafeber F. Sustained clinical and structural benefit after joint distraction in the treatment of severe knee osteoarthritis. Osteoarthr Cartil. 2013;21(11):1660–7.CrossRef
15.
Van Valburg A, Van Roermund P, Marijnissen A, Wenting M, Verbout A, Lafeber F, Bijlsma J. Joint distraction in treatment of osteoarthritis (II): effects on cartilage in a canine model. Osteoarthr Cartil. 2000;8(1):1–8.CrossRef
16.
Van Valburg A, Van Roermund P, Lammens J, Van Melkebeek J, Verbout A, Lafeber E, Bijlsma J. Can Ilizarov joint distraction delay the need for an arthrodesis of the ankle? A preliminary report. Bone Joint J. 1995;77(5):720–5.
17.
Van Valburg A, Van Roermund P, Marijnissen A, Van Melkebeek J, Lammens J, Verbout A, Lafeber F, Bijlsma J. Joint distraction in treatment of osteoarthritis: a two-year follow-up of the ankle. Osteoarthr Cartil. 1999;7(5):474–9.CrossRef
18.
van der Woude J, van Heerwaarden R, Spruijt S, Eckstein F, Maschek S, van Roermund P, Custers R, van Spil W, Mastbergen S, Lafeber F. Six weeks of continuous joint distraction appears sufficient for clinical benefit and cartilaginous tissue repair in the treatment of knee osteoarthritis. Knee. 2016;23(5):785–91.CrossRef
19.
van der Woude J, Wiegant K, van Heerwaarden R, Spruijt S, van Roermund P, Custers R, Mastbergen S, Lafeber F. Knee joint distraction compared with high tibial osteotomy: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2017;25(3):876–86.CrossRef
20.
van der Woude J-TA, Wiegant K, Van Roermund PM, Intema F, Custers RJ, Eckstein F, van Laar JM, Mastbergen SC, Lafeber FP. Five-year follow-up of knee joint distraction: clinical benefit and cartilaginous tissue repair in an open uncontrolled prospective study. Cartilage. 2017;8(3):263–71.CrossRef
21.
van der Woude J, Wiegant K, van Heerwaarden R, Spruijt S, Emans P, Mastbergen S, Lafeber F. Knee joint distraction compared with total knee arthroplasty. Bone Joint J. 2017;99(1):51–8.CrossRef
22.
Waller C, Hayes D, Block JE, London NJ. Unload it: the key to the treatment of knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2011;19(11):1823–9.CrossRef
23.
Lethaby A, Temple J, Santy‐Tomlinson J. Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database Syst Rev. 2013(12).
24.
Hunziker E. Articular cartilage repair: basic science and clinical progress. A review of the current status and prospects. Osteoarthr Cartil. 2002;10(6):432–63.CrossRef
25.
26.
Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, Savović J, Schulz KF, Weeks L, Sterne JA. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.CrossRef
27.
Coleman B, Khan K, Maffulli N, Cook J, Wark J. Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Scand J Med Sci Sports. 2000;10(1):2–11.CrossRef
28.
Turkiewicz A, Petersson IF, Björk J, Hawker G, Dahlberg LE, Lohmander LS, Englund M. Current and future impact of osteoarthritis on health care: a population-based study with projections to year 2032. Osteoarthr Cartil. 2014;22(11):1826–32.CrossRef
29.
Chen Y, Sun Y, Pan X, Ho K, Li G. Joint distraction attenuates osteoarthritis by reducing secondary inflammation, cartilage degeneration and subchondral bone aberrant change. Osteoarthr Cartil. 2015;23(10):1728–35.CrossRef
30.
Baboolal TG, Mastbergen SC, Jones E, Calder SJ, Lafeber FPJG, McGonagle D. Synovial fluid hyaluronan mediates MSC attachment to cartilage, a potential novel mechanism contributing to cartilage repair in osteoarthritis using knee joint distraction. Ann Rheum Dis. 2016;75(5):908.CrossRef
Metadata
Title
Joint distraction for knee osteoarthritis: protocol for a systematic review and meta-analysis
Authors
En Lin Goh
Winston Choong Ngan Lou
Swathikan Chidambaram
Shaocheng Ma
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2018
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-018-0837-z

Other articles of this Issue 1/2018

Systematic Reviews 1/2018 Go to the issue

Protocol

Protocol for treatment of Achilles tendon ruptures; a systematic review with network meta-analysis

Protocol

Effects of hypercapnia in sepsis: protocol for a systematic review of clinical and preclinical data

Protocol

The prevalence of Lynch syndrome in women with endometrial cancer: a systematic review protocol

Protocol

Antibiotic therapy for skin and soft tissue infections: a protocol for a systematic review and network meta-analysis

Research

Herceptin® (trastuzumab) in HER2-positive early breast cancer: a systematic review and cumulative network meta-analysis

Protocol

The relationship between a trusted adult and adolescent outcomes: a protocol of a scoping review