{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:05:48Z","timestamp":1793462748697,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2004,10,8]],"date-time":"2004-10-08T00:00:00Z","timestamp":1097193600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2004,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect of a lateral\u2010wedge insole with elastic strapping of the subtalar joint on the femorotibial angle in patients with varus deformity of the knee.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The efficacy of a wedged insole with subtalar straps and that of a traditional wedged insole shoe insert were compared. Sixty\u2010six female outpatients with knee osteoarthritis (OA) were randomized (according to birth date) to be treated with either the strapped or the traditional inserted insole. Standing radiographs with unilateral insole use were used to analyze the femorotibial angles for each patient. In both groups, the baseline and 6\u2010month visual analog scale (VAS) scores for subjective knee pain and the Lequesne index scores for knee OA were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 61 patients who completed the 6\u2010month study were evaluated. At baseline, there was no significant difference in the femorotibial angle (<jats:italic>P<\/jats:italic> = 0.66) and the VAS score (<jats:italic>P<\/jats:italic> = 0.75) between the 2 groups. At the 6\u2010month assessment, the 29 subjects wearing the subtalar\u2010strapped insole demonstrated a significantly decreased femorotibial angle (<jats:italic>P<\/jats:italic> &lt; 0.0001) and significantly improved VAS scores (<jats:italic>P<\/jats:italic> = 0.001) and Lequesne index scores (<jats:italic>P<\/jats:italic> = 0.033) compared with their baseline assessments. These significant differences were not observed in the 32 subjects assigned to the traditional shoe\u2010inserted wedged insole.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that an insole with a subtalar strap maintained the valgus correction of the femorotibial angle in patients with varus knee OA for 6 months, indicating longer\u2010term clinical improvement with the strapped insert compared with the traditional insert.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.20569","type":"journal-article","created":{"date-parts":[[2004,10,8]],"date-time":"2004-10-08T21:03:14Z","timestamp":1097269394000},"page":"3129-3136","source":"Crossref","is-referenced-by-count":61,"title":["A six\u2010month followup of a randomized trial comparing the efficacy of a lateral\u2010wedge insole with subtalar strapping and an in\u2010shoe lateral\u2010wedge insole in patients with varus deformity osteoarthritis of the knee"],"prefix":"10.1002","volume":"50","author":[{"given":"Yoshitaka","family":"Toda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Tsukimura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,10,8]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.3.351"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.2.188"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(70)90050-3"},{"key":"e_1_2_6_5_2","first-page":"215","article-title":"Normal axial alignment of the lower extremity and load\u2010bearing distribution at the knee","volume":"225","author":"Hsu RW","year":"1990","journal-title":"Clin Orthop"},{"issue":"277","key":"e_1_2_6_6_2","first-page":"7","article-title":"Osteoarthritis of the knee: a radiographic 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