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Updated: Feb 12, 2026

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Prophylaxis of medial compartment gonarthrosis in varus knee - current state of knowledge
Anna Fryzowicz1, Lechosław B Dworak2, Paweł Koczewski3
1Chair of Biomechanics, University School of Physical Education, Poznan, Poland.
Abstract:
The progression of gonarthrosis results in reduction of physical activity. One of the factors that increase the risk of osteoarthrosis may be joint overload related to the malalignment of the mechanical axis of the lower extremity. The medial compartment (MC) of the knee is particularly susceptible to overload due to the external knee adduction moment (EKAM). Varus knee malalignment contributes to increased EKAM and thus results in increased MC loading. The purpose of this study is to present methods described in current literature aimed at reducing the disproportion in the distribution of loads on articular surfaces of medial and lateral knee compartments in people with varus knee malalignment. Methods have been divided into non-surgical (gait training, physiotherapy, and orthopedic supplies such as valgus braces, lateral wedge insoles, walking poles) and surgical ones (corrective osteotomy).
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