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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Osteoarthritic Knee Braces on the Market: A Literature Review
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Osteoarthritic Knee Braces on the Market: A Literature Review

机译：市场上的骨关节炎膝关节矫正术：文献综述

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The most common cause of disability in the United States is knee osteoarthritis (OA). This disease affects more than 27 million Americans commonly older than -40 years (Centers for Disease Control and Prevention [CDC],-2012). Osteoarthritis develops gradually over a period of years and results in the gradual deterioration of the hyaline cartilage that covers the articulating surfaces of the knee joint. In most people, the disease is idiopathic but can also be hereditary or the result of trauma, which causes pain, stiffness, limited range of motion, and localized swelling in the knee (Brandt and Slemenda. Osteoarthritis epidemiology, pathology and pathogenesis. In: Primer on the Rheumatic Diseases. 10th Ed. Atlanta, GA: Arthritis Foundation; 1993, p 18408). Knee OA cannot be cured, but there are interventions available to help manage the symptoms. An unloading knee orthosis is one course of action. The principle of the unloader knee brace is to create a varus or a valgus moment at the knee, creating additional space in the joint space, thus relieving pain caused by bone-on-bone contact and improving function within the knee for activities of daily living (ADLs) (Kirkley et al. JBone Joint Surg 1999;81[4]:539-547. Sharma et al. JAMA 2001;286[2]:188-195). After extensive research, 42 custom and off-the-shelf OA knee braces are currently available within the United States for patients with varus and valgus gonarthrosis secondary to OA. Upon further examination, it was noted that only 15 of the 42 have evidence-based information to support their effectiveness in relieving symptoms common within the knee for an individual with a diagnosis of OA. The 15 braces are SofTec OA brace (Bauerfeind), Thruster 2/Dynamic Unloading Osteoarthritis (DUO) (Bledsoe), Legacy Thruster OA (Bledsoe), Fusion OA (Breg), Defiance OA (Donjoy), OA Adjuster (Donjoy), OA Nano (Donjoy), OAsys (Ossur), Unloader ADJ (Ossur), Unloader Express (Ossur), Unloader One (Ossur), Unloader Select (Ossur), Unloader Spirit (Ossur), Genu Arthro-Model 28K29/21 (Ottobock), and Bionicare Knee System (VQ OrthoCare). The purpose of this article was twofold. The first was to examine the pros and cons indicated within the evidence-based articles for each of the 15 OA knee braces currently on the market, and the second was to provide an updated picture for each of the 15 braces, as well as the manufacturer, description, indication(s), features, warranty, and approximate price list.
机译：在美国，最常见的残疾原因是膝骨关节炎（OA）。该疾病影响了超过2700万通常在-40岁以上的美国人（疾病控制与预防中心[CDC]，-2012）。骨关节炎在几年中逐渐发展，并导致覆盖膝关节关节表面的透明软骨逐渐退化。在大多数人中，这种疾病是特发性的，但也可能是遗传性的或外伤的结果，导致疼痛，僵硬，活动范围有限以及膝盖局部肿胀（Brandt和Slemenda。骨关节炎的流行病学，病理学和发病机理。风湿性疾病入门，第10版，佐治亚州亚特兰大：关节炎基金会; 1993年，第18408页）。膝骨关节炎无法治愈，但有干预措施可帮助控制症状。减轻膝关节矫形器的作用之一。卸荷护膝的原理是在膝盖处形成内翻或外翻力矩，在关节间隙中创造额外的空间，从而减轻因骨头与骨头接触而引起的疼痛并改善膝盖在日常生活中的功能（ADL）（Kirkley等人，JBone Joint Surg 1999; 81 [4]：539-547。Sharma等人，JAMA 2001; 286 [2]：188-195）。经过广泛的研究，目前在美国有42种定制的和现成的OA膝关节矫正器用于OA继发的内翻和外翻性膝关节倾斜症患者。进一步检查后发现，在42例中只有15例具有循证信息，以支持其对诊断为OA的个体缓解膝关节常见症状的有效性。这15个牙套是SofTec OA牙套（Bauerfeind），推力器2 /动态卸荷骨关节炎（DUO）（Bledsoe），旧式推力器OA（Bledsoe），Fusion OA（Breg），反抗OA（Donjoy），OA调节器（Donjoy），OA Nano（Donjoy），OAsys（Ossur），Unloader ADJ（Ossur），Unloader Express（Ossur），Unloader One（Ossur），Unloader Select（Ossur），Unloader Spirit（Ossur），Genu Arthro模型28K29 / 21（Ottobock） ，以及Bionicare膝盖系统（VQ OrthoCare）。本文的目的是双重的。首先是针对目前市场上15种OA膝关节矫正器，检查循证文章中指出的利弊，其次是提供15种矫正器以及制造商的最新情况。 ，说明，指示，功能，保修和近似价格表。

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