Jing Dai, Jian-Xiong Ma, Bin Lu, Hao-Hao Bai, Hongjie Zhang, Xin-Long Ma
{"title":"足部进展角度不对称作为膝骨关节炎放射学严重程度的潜在生物力学标志。","authors":"Jing Dai, Jian-Xiong Ma, Bin Lu, Hao-Hao Bai, Hongjie Zhang, Xin-Long Ma","doi":"10.3389/fbioe.2025.1667271","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Knee osteoarthritis (OA) induces asymmetric gait adaptations, yet the role of foot progression angle (FPA) remains unquantified. This study aimed to: (1) compare FPA differences between affected and contralateral limbs in knee OA patients, (2) characterize FPA asymmetry patterns, and (3) identify factors associated with inter-limb FPA differences.</p><p><strong>Methods: </strong>FPA asymmetry was quantified in 127 patients scheduled for unilateral high tibial osteotomy (HTO). FPA was measured bilaterally during natural walking. Multivariable logistic regression identified factors associated with asymmetry patterns.</p><p><strong>Results: </strong>FPA was significantly larger on contralateral limbs versus affected limbs (15.21° ± 7.72° vs 11.38° ± 8.13°, *p* < 0.001). Adjusted for covariates, patients with Kellgren-Lawrence (K&L) grade 1/2 OA had 70.2% lower odds (OR = 0.298, 95%CI:0.091-0.982) and grade 3 OA had 76.2% lower odds (OR = 0.238, 95%CI:0.081-0.700) of exhibiting contralateral-dominant FPA asymmetry compared to grade 4 OA (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Knee OA patients exhibit FPA asymmetry characterized by greater toe-out on the contralateral limb, correlating positively with higher radiographic severity (K&L grade) in the affected knee. FPA asymmetry may serve as a potential biomechanical marker of OA severity.</p>","PeriodicalId":12444,"journal":{"name":"Frontiers in Bioengineering and Biotechnology","volume":"13 ","pages":"1667271"},"PeriodicalIF":4.8000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463938/pdf/","citationCount":"0","resultStr":"{\"title\":\"Foot progression angle asymmetry as a potential biomechanical marker of radiographic severity in knee osteoarthritis.\",\"authors\":\"Jing Dai, Jian-Xiong Ma, Bin Lu, Hao-Hao Bai, Hongjie Zhang, Xin-Long Ma\",\"doi\":\"10.3389/fbioe.2025.1667271\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Knee osteoarthritis (OA) induces asymmetric gait adaptations, yet the role of foot progression angle (FPA) remains unquantified. This study aimed to: (1) compare FPA differences between affected and contralateral limbs in knee OA patients, (2) characterize FPA asymmetry patterns, and (3) identify factors associated with inter-limb FPA differences.</p><p><strong>Methods: </strong>FPA asymmetry was quantified in 127 patients scheduled for unilateral high tibial osteotomy (HTO). FPA was measured bilaterally during natural walking. Multivariable logistic regression identified factors associated with asymmetry patterns.</p><p><strong>Results: </strong>FPA was significantly larger on contralateral limbs versus affected limbs (15.21° ± 7.72° vs 11.38° ± 8.13°, *p* < 0.001). Adjusted for covariates, patients with Kellgren-Lawrence (K&L) grade 1/2 OA had 70.2% lower odds (OR = 0.298, 95%CI:0.091-0.982) and grade 3 OA had 76.2% lower odds (OR = 0.238, 95%CI:0.081-0.700) of exhibiting contralateral-dominant FPA asymmetry compared to grade 4 OA (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Knee OA patients exhibit FPA asymmetry characterized by greater toe-out on the contralateral limb, correlating positively with higher radiographic severity (K&L grade) in the affected knee. FPA asymmetry may serve as a potential biomechanical marker of OA severity.</p>\",\"PeriodicalId\":12444,\"journal\":{\"name\":\"Frontiers in Bioengineering and Biotechnology\",\"volume\":\"13 \",\"pages\":\"1667271\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2025-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463938/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Bioengineering and Biotechnology\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.3389/fbioe.2025.1667271\",\"RegionNum\":3,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"BIOTECHNOLOGY & APPLIED MICROBIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Bioengineering and Biotechnology","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.3389/fbioe.2025.1667271","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"BIOTECHNOLOGY & APPLIED MICROBIOLOGY","Score":null,"Total":0}
Foot progression angle asymmetry as a potential biomechanical marker of radiographic severity in knee osteoarthritis.
Introduction: Knee osteoarthritis (OA) induces asymmetric gait adaptations, yet the role of foot progression angle (FPA) remains unquantified. This study aimed to: (1) compare FPA differences between affected and contralateral limbs in knee OA patients, (2) characterize FPA asymmetry patterns, and (3) identify factors associated with inter-limb FPA differences.
Methods: FPA asymmetry was quantified in 127 patients scheduled for unilateral high tibial osteotomy (HTO). FPA was measured bilaterally during natural walking. Multivariable logistic regression identified factors associated with asymmetry patterns.
Results: FPA was significantly larger on contralateral limbs versus affected limbs (15.21° ± 7.72° vs 11.38° ± 8.13°, *p* < 0.001). Adjusted for covariates, patients with Kellgren-Lawrence (K&L) grade 1/2 OA had 70.2% lower odds (OR = 0.298, 95%CI:0.091-0.982) and grade 3 OA had 76.2% lower odds (OR = 0.238, 95%CI:0.081-0.700) of exhibiting contralateral-dominant FPA asymmetry compared to grade 4 OA (P < 0.05).
Conclusion: Knee OA patients exhibit FPA asymmetry characterized by greater toe-out on the contralateral limb, correlating positively with higher radiographic severity (K&L grade) in the affected knee. FPA asymmetry may serve as a potential biomechanical marker of OA severity.
期刊介绍：
The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs.
In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
