I. Melzer et al., Comparative study of osteoarthritis of the contralateral knee joint of male amputees who do and do not play volleyball, J RHEUMATOL, 28(1), 2001, pp. 169-172
Objective. To assess the prevalence of osteoarthritis (OA) of the contralat
eral knee of men with traumatic amputation who do and do not participate in
regular, vigorous physical activity.
Methods. Three groups of patients were assessed. Group 1 consisted of 8 mal
e amputee volleyball players. Group 2 consisted of 24 male amputees who do
not play volleyball, and Group 3 was made up of 24 healthy controls matched
by age and weight to Group 2. The prevalence of contralateral knee OA in G
roups 1 and 2 was assessed by questionnaire, physical examination, and radi
ographs, and was compared with findings for Group 3.
Results. The rate of OA in all amputees (Groups 1 and 2 together) was 65.6%
, which was significantly higher than among the controls (p < 0.05). The mo
st common findings among the amputees were patellar and medial osteophytosi
s of the tibiofemoral joint, with a tendency to medial narrowing of the tib
iofemoral joint space.
Conclusion. Traumatic amputees have a higher prevalence of OA in the knee o
f the nonamputated leg than matched healthy controls.