Indian Journal of Orthopaedics最新文献

{"title":"Editorial.","authors":"S S Jha","doi":"10.1007/s43465-025-01353-1","DOIUrl":"https://doi.org/10.1007/s43465-025-01353-1","url":null,"abstract":"","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 3","pages":"243"},"PeriodicalIF":1.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Waist Circumference and the Risk of Osteoporosis in Non-overweight US Adults.","authors":"Runzhou Pan, Hong Ji, Yan Zhang, Rongrong Wang, Xue Liang, Yongcai Zhao","doi":"10.1007/s43465-025-01355-z","DOIUrl":"https://doi.org/10.1007/s43465-025-01355-z","url":null,"abstract":"<p><strong>Background: </strong>Obesity and osteoporosis (OP) are becoming more prevalent and endangering people's health. As the most commonly used indicator for assessing obesity, body mass index (BMI) has its limitations. The health issues caused by central obesity in the non-overweight state need to be addressed. The relationship between waist circumference (WC), a traditional indicator of central obesity, and bone health is controversial. To date, the association between WC and OP in non-overweight populations has been unclear. Our study therefore aimed to assess the association between WC and risk of OP in non-overweight U.S. adults.</p><p><strong>Methods: </strong>This cross-sectional study included subjects aged 18 years or older with a BMI ≤ 25 kg/m² from National Health and Nutrition Examination Survey 1999-2018. A multivariable logistic regression model was used to assess the association between WC and risk of OP. Restricted cubic spline curves were used to evaluate the potential non-linear association. Subgroup and sensitivity analysis were conducted to assess the robustness of the results.</p><p><strong>Results: </strong>3606 participants were included. A higher WC was associated with a reduced risk of OP, regardless of traditional confounders. Each 1 cm increase in WC was associated with a 4% decrease in the risk of OP. Moreover, a non-linear association was observed. The association remaining consistent in sensitivity and subgroup analyses.</p><p><strong>Conclusion: </strong>In non-overweight US adults, there is a negative association between WC and the risk of OP. The association between WC and OP exhibits a non-linear relationship.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43465-025-01355-z.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"927-936"},"PeriodicalIF":1.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost Mitigation Using Implant-Minimizing Techniques in Multiligamentous Injuries of Knee.","authors":"Santosh K Sahanand, Govind Karunakaran, Girinivasan Chellamuthu, David V Rajan","doi":"10.1007/s43465-025-01352-2","DOIUrl":"10.1007/s43465-025-01352-2","url":null,"abstract":"<p><strong>Introduction: </strong>The recent advances in surgical techniques have resulted in increasing number of knee preservation surgeries including ligament reconstructions/repairs which adds to the financial burden in healthcare. Important hurdles in doing arthroscopic surgery are high cost and lack of sophisticated options like allografts. To overcome these, we have developed some simple yet effective implant-minimizing techniques (IMTs) which help minimize implants use and allografts for ligament reconstruction around knee.</p><p><strong>Methods: </strong>IMTs help us in minimizing the cost burden by reducing the amount of implants used in multiligament surgeries of knee. There are 4 IMTs that bypass implants for graft fixation. They include 1. <i>Confluent tunnel technique</i> for combined ACL, LCL reconstruction, combined PCL, MCL reconstruction, and combined ACL, ALL reconstruction; 2. <i>bone bridge technique</i> for the combined ACL reconstruction and meniscal root repair, combined ACL, and ALL reconstruction, and tibial MCL repair; 3. <i>suture bridge technique</i> for MPFL reconstruction; and 4. <i>cinch knot technique</i> for LCL reconstruction. The cost- effectiveness between two techniques were analyzed.</p><p><strong>Results: </strong>Our methods proved to be cost effective with a percentage difference in cost of more than 60 percentage when compared to standard methods of fixation. Patients showed good-to-excellent functional outcomes, with no major complications.</p><p><strong>Conclusion: </strong>IMTs helped us minimize cost by 60 percentage when compared to standard techniques. They also helped us minimize graft usage, preserve bone stock and avoid tunnel convergence particularly useful in smaller Indian knees. These techniques can be followed without special instrumentation.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 4","pages":"512-520"},"PeriodicalIF":1.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Retrograde Guidewire and Antegrade Screw Technique' in Performing Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS): A Technical Report.","authors":"Suresh Chand, Udit Agrawal","doi":"10.1007/s43465-025-01357-x","DOIUrl":"10.1007/s43465-025-01357-x","url":null,"abstract":"<p><p>Percutaneous epiphysiodesis using transphyseal screws (PETS) is a well-established method for managing limb deformities and length discrepancies in growing children. This technical report presents a modified approach to PETS. It emphasizes the use of a retrograde guidewire for precise screw trajectory and an antegrade screw placement technique. The procedure is performed under fluoroscopic guidance without a tourniquet, allowing immediate post-operative weight bearing. Key steps include meticulous patient positioning, fluoroscopic imaging to ensure accurate screw placement, and careful attention to anatomical landmarks. This technique offers advantages, such as minimal blood loss, shorter operative times, and preservation of joint function. By detailing our approach, we aim to enhance surgical efficiency and facilitate broader adoption of this minimally invasive procedure in orthopedic practice.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 5","pages":"689-693"},"PeriodicalIF":1.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Zone 2 and Zone 3 Cementless Tibial Fixation Shows Early Promise in Revision Total Knee Arthroplasty.","authors":"Adit R Maniar, Gregory S Kazarian, Ricardo J Torres-Ramirez, Amar S Ranawat","doi":"10.1007/s43465-025-01354-0","DOIUrl":"10.1007/s43465-025-01354-0","url":null,"abstract":"<p><strong>Background: </strong>Fixation in revision total knee arthroplasty(rTKA) should occur in at least 2 zones(epiphysis, metaphysis, or diaphysis) to maximize fixation strength. We report here the short-term survivorship of unsupported tibial base plates in rTKA when used with a cementless metaphyseal sleeve and non-cemented stem.</p><p><strong>Methods: </strong>We retrospectively reviewed all patients undergoing rTKA between 2014 and 2021 by a single surgeon at a single institute. We identified 17 patients with a minimum follow-up of 1 year.</p><p><strong>Results: </strong>The average age at surgery was 66.4 years (range 50-80) and the average BMI was 34.6 (range 22.4-43.3). One patient had Type 1 and 16 patients had Type 2 bone loss preoperatively (Anderson Orthopaedic Research Institute classification). Two patients (11.8%) received a standard posterior stabilized insert, nine patients (52.9%) received a varus valgus constrained insert and the remaining 6 (35.3%) patients received a hinged implant. There were no cases of revision for loosening, fracture or mechanical failure of the tibial component construct at an average follow up of 2.9 years (maximum 7.9 years). One patient required revision for end of stem pain. Only 1 patient developed subsidence (≤ 3 mm) but did not have any clinical mechanical symptoms suggestive of loosening.</p><p><strong>Conclusion: </strong>We report a 100% survivorship free of revision for loosening or mechanical failure of the tibial construct at short term follow up when using an unsupported tibial base plate with a metaphyseal sleeve and non-cemented stem. Based on early data, metaphyseal sleeves with a stable stem fixation in the tibia can be used without additional tibial tray fixation with cement.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 5","pages":"673-680"},"PeriodicalIF":1.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Psychiatric Morbidity Among the Elderly Patients Presenting to Emergency Trauma Setting: An Exploratory Study.","authors":"Kanika Sethi, Sandeep Grover, Deepak Negi, Sameer Aggarwal, Aseem Mehra","doi":"10.1007/s43465-025-01342-4","DOIUrl":"10.1007/s43465-025-01342-4","url":null,"abstract":"<p><strong>Background: </strong>A limited number of studies have examined the psychiatric morbidity in older adults presenting to emergency departments, but no data is available from emergency trauma clinics.</p><p><strong>Aim: </strong>To evaluate the prevalence of psychiatric morbidity among elderly patients presenting to the Emergency trauma setting.</p><p><strong>Methods: </strong>It was a cross-sectional study, with a convenient sampling technique used. 206 elderly patients presenting to the emergency trauma clinic were evaluated for psychiatric diagnosis as per the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) criteria. A trainee psychiatrist made diagnosis. Pa were also assessed on the Charlson Comorbidity Index (uCCI) (Updated), Adult Comorbidity Evaluation-27, Frail-VIG Index, and Visual Analogue Scale Numeric Pain Distress Scale.</p><p><strong>Results: </strong>Delirium was the most common diagnosis (24.3%), followed by major depressive disorder (8.7%) and followed by dementia (8.5%), generalized anxiety disorder (2.4%), psychotic disorder (0.9%) and Bipolar I disorder (0.5%). The most common substance use disorder was tobacco use disorder (11.2%), followed by alcohol use disorder (9.25%). A significantly higher proportion of those with psychiatric morbidity were males, were employed, from nuclear families and of older age. Those with psychiatric morbidity had significantly higher Charlson comorbidity index score, adult comorbidity index, frailty index score, and severity of pain. Those with delirium had significantly higher Charlson comorbidity index score, adult comorbidity index score, frailty index score, and score on visual analogue pain scale compared to without delirium.</p><p><strong>Conclusion: </strong>Over half of the older patients presenting to emergency trauma clinic had at least one psychiatric disorder. There is a need to re-organize the emergency trauma clinic service and psychiatric evaluation should be one of the integral components of the emergency set-up.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 5","pages":"635-643"},"PeriodicalIF":1.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tunnel-Less Medial Collateral Ligament Reconstruction in MLKI: A Novel Technique to Prevent Tunnel Convergence.","authors":"Prahalad Kumar Singhi, Pratik M Rathod, Ajay Gowtham Amutham Elangovan, Gopi Kumarasamy, Sivakumar Raju, M Chidambaram","doi":"10.1007/s43465-025-01351-3","DOIUrl":"10.1007/s43465-025-01351-3","url":null,"abstract":"<p><strong>Introduction: </strong>Medial collateral ligament is an important structure to stabilize the knee against valgus/rotatory forces and requires prompt treatment especially in MLKI scenario. The primary aim is to assess the outcome of our modified tunnel-less technique of MCL repair with hamstring augmentation/reconstruction using suture anchors and staples in MLKI.</p><p><strong>Materials and methods: </strong>This retrospective study included 26 patients of MLKI with concomitant valgus instability. All patients underwent MCL reconstruction or repair with augmentation.Patient demographic data, mode of injury, ligament injury pattern, surgical intervention, functional outcome and complications were compiled and evaluated. Outcomes including Lysholm score and ML-QOL score were computed at frequent intervals of 6, 12, and 18 months and final follow-up.</p><p><strong>Results: </strong>Of the 26 patients (21 males and 5 females), 9 patients underwent MCL repair with augmentation and 17 had MCL reconstruction. We had three cases of foot drop and one patient with vascular injury. The mean follow-up period of all the cases was 46.05 ± 10.04 months. Functional outcomes using Lysholm score improved significantly from 55.20 ± 6.42 at baseline to 90.79 ± 4.23 at final follow-up. Similar results were observed with the ML-QOL score which improved from 159.54 ± 14.65 to 61.04 ± 8.80 at final follow-up.</p><p><strong>Conclusion: </strong>This novel tunnel-less technique of MCL augmentation/reconstruction proved to be effective in stabilizing the knee, with significant improvements in functional outcomes. Thus, it provides a feasible alternative for the management of MCL injury in MLKI, avoiding tunnel convergence and subsequent failures.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 4","pages":"501-511"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Observational Case-Control Study on Bone Mineral Density in Asian-Indians With and Without Femoral Neck Fragility Fractures and Delineation of Fracture Thresholds.","authors":"Rimesh Pal, Sanjay Kumar Bhadada, Tulika Singh","doi":"10.1007/s43465-025-01341-5","DOIUrl":"https://doi.org/10.1007/s43465-025-01341-5","url":null,"abstract":"<p><strong>Introduction: </strong>The present study aims to compare bone mineral density (BMD) between adults with femoral neck (FN) fragility fractures and an equal number of age- and sex-matched healthy controls and delineate sex-specific BMD cut-offs that could predict FN fragility fractures.</p><p><strong>Materials and methods: </strong>Adult patients with FN fragility fractures admitted at our institution between January 2017 and December 2018 were enrolled. Patients with secondary causes of osteoporosis were excluded. Eligible patients underwent measurement of BMD using dual-energy X-ray absorptiometry. As controls, we selected age- and sex-matched healthy North Indian adults without any history of fractures from the Chandigarh Urban Bone Epidemiological Study (CUBES).</p><p><strong>Results: </strong>After exclusion, 120 cases (mean age = 67.1 ± 10.1 years) with FN fragility fractures were included (women n = 61). An equal number of age-, sex- and ethnicity-matched healthy controls (n = 120) were selected from CUBES. Controls had significantly higher BMD at both FN and lumbar spine (L1-L4) than cases. Receiver operating characteristic (ROC) analysis showed that in women, FN BMD ≤ 0.680 gm/cm² and L1-L4 BMD ≤ 0.888 gm/cm² predicted fragility fractures with sensitivities of 82.0% and 83.6%, respectively. Likewise, in men, FN BMD ≤ 0.709 gm/cm² and L1-L4 BMD ≤ 0.982 gm/cm² predicted fragility fractures with a sensitivity of 89.8% each. The corresponding specificities were however low in both the sexes.</p><p><strong>Conclusions: </strong>Adults with FN fragility fractures have lower BMD than age- and sex-matched healthy controls. Although specific BMD thresholds predicting fragility fractures are forthcoming with relatively good sensitivities, they have low specificities thereby possibly limiting their use in routine clinical practice.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 7","pages":"920-926"},"PeriodicalIF":1.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Varus Deformity Correction on Clinical Outcomes: a Comparative Study of Proximal Fibular Osteotomy and High Tibial Osteotomy in Knee Osteoarthritis.","authors":"Mehmet Okan Atahan, Fatih Gölgelioğlu, Mustafa Yalın, Mehmet Cihat Gündoğdu, Mehmet Fatih Uzun, Ahmet Güney","doi":"10.1007/s43465-025-01348-y","DOIUrl":"10.1007/s43465-025-01348-y","url":null,"abstract":"<p><strong>Background: </strong>Proximal fibular osteotomy (PFO) and high tibial osteotomy (HTO) are two surgical options for treating varus deformities in knee osteoarthritis (KOA). While HTO provides more extensive correction, PFO offers a less invasive alternative. This study compares the radiologic and clinical outcomes of PFO and HTO to evaluate their relative efficacy.</p><p><strong>Methods: </strong>A retrospective study was conducted with 120 patients, 60 undergoing PFO and 60 undergoing HTO, across two centers. Clinical outcomes were assessed using the Knee Society Score (KSS) and Visual Analogue Scale (VAS) for pain, while radiological outcomes were evaluated by measuring the hip-knee-ankle (HKA) angle. The complication rates were recorded, and multivariate regression analysis was performed to examine the factors influencing varus correction.</p><p><strong>Results: </strong>Both groups showed significant improvements in pain and function, with no major differences in clinical outcomes between PFO and HTO (<i>p</i> > 0.05). However, HTO provided greater correction of the varus deformity (10.5 ± 1.5° vs. 3.1 ± 1.6°, <i>p</i> = 0.010). A higher proportion of PFO patients exhibited residual varus (> 3°) compared to those who underwent HTO (50% vs. 10%, <i>p</i> = 0.003). Complication rates were higher in the HTO group, with non-union and tibial hinge fractures occurring in 7% and 8% of patients, respectively.</p><p><strong>Conclusion: </strong>PFO is a less invasive option with fewer complications but provides less varus correction than HTO. Despite this, both techniques yield comparable clinical outcomes, indicating that PFO may be a viable alternative for patients with milder deformities or higher surgical risk.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 4","pages":"530-538"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity, Reliability and Responsiveness of the Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ) in Knee Osteoarthritis.","authors":"Zeynep Irem Bulut, Edibe Unal, Sevim Oksuz, Atalay Dogru, Ahmet Akyol, Yavuz Yakut","doi":"10.1007/s43465-025-01350-4","DOIUrl":"10.1007/s43465-025-01350-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study was planned to test whether the Cognitive Exercise Therapy Approach- Biopsychosocial Questionnaire (BETY-BQ) is an appropriate questionnaire in assessing the biopsychosocial status in KOA.</p><p><strong>Methods: </strong>Frequently used assessment tools, OA-specific scale The Western Ontario and McMaster Universities OA Index, the Hospital Anxiety and Depression Scale, and the Short Form-36 were utilized for the validity and responsiveness of BETY-BQ in individuals with KOA. The test-retest method, internal consistency analysis, and item analysis were used to test reliability. For the test-retest method, BETY-BQ was administered again to the same 30 individuals 1 week later. To assess the responsiveness of the BETY-BQ, individuals who underwent medical treatment were subjected to a second round of questionnaire administration after a 3-month interval.</p><p><strong>Results: </strong>Moderate to weak correlations between BETY-BQ and the other questionnaires ensued the divergent validity. According to the confirmatory factor analysis, all goodness-of-fit indices of BETY-BQ were acceptable (CMIN/df = 2.212; RMSEA = 0.080; SRMR = 0.08). Both Cronbach's α (0.900) and ICC value (0.941) showed that the BETY-BQ has excellent reliability in the KOA population. The Bland-Altman Plot showed high agreement as all differences between the first and second BETY-BQ were found between the 95% lower and upper limits. BETY-BQ demonstrated moderate responsiveness as the effect size and standardized mean response were 0.656 and 0.566, respectively.</p><p><strong>Conclusion: </strong>A valid, reliable, responsive, multi-dimensional, and self-reported questionnaire for measuring biopsychosocial status in KOA was introduced to the use of healthcare professionals.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 4","pages":"521-529"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}