ReviewOrthopadie (Heidelberg, Germany)2026
[Knee joint distraction : A short narrative literature review].
Review in Orthopadie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
backgroundKnee osteoarthritis is a prevalent degenerative disease with considerable impact on quality of life and function. Conservative therapies are typically symptomatic only, while total knee arthroplasty shows high revision rates in younger patients. Knee joint distraction (KJD) represents an alternative joint-preserving clinical strategy.
objectivesNarrative assessment of current evidence on KJD regarding clinical efficacy and structural effects, and its potential role in the therapeutic spectrum of knee osteoarthritis. MATERIALS AND
methodsStructured literature search in PubMed (2010-2025) analyzing 13 clinical studies. INCLUSION CRITERIA: clinical KJD application with outcome parameters (WOMAC, KOOS, VAS) and structural measurements. Assessment performed qualitatively.
resultsKJD leads to significant improvements in WOMAC and KOOS scores, which are sustained over several years. Structurally, an increase in cartilage thickness, an improvement in the dGEMRIC index, and an increase in joint space width have been observed for up to 10 years after the intervention. Compared with high tibial osteotomy (HTO), similar functional outcomes are reported, while the structural improvements suggesting cartilage regeneration after KJD should be interpreted with caution. The main complications are pin tract infections, occurring in approximately 63% of cases and representing a key procedure-specific risk, although they can be managed with oral antibiotic therapy in the majority of patients.
conclusionsKJD is establishing itself as a promising joint-preserving option for selective patient groups (40-65 years, medial/bicompartmental osteoarthritis, no significant axis deformities), though long-term independent RCTs are required.
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41894028What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.