Research Article

The Relationship between Knee Adduction Moment and Knee Osteoarthritis Symptoms according to Static Alignment and Pelvic Drop

Table 5

Linear relationships between KAM-related measures (independent variable) and HSS score (dependent variable) according to radiographic disease severity and pelvic drop angle (PDA) in the varus group.

HSS scoreUnivariable analysisMultivariable analysisMultivariable analysis
Correlation coefficientRegression coefficientSlope valueCorrelation coefficientRegression coefficientSlope valueCorrelation coefficientRegression coefficientSlope value

Peak KAM (Nm/(BW × HT)%)
 KL grade 2 (n = 14)−0.864−6.5000.006−0.875-9.101≤0.001−0.899−9.306≤0.001
 KL grade 3 (n = 26)0.1500.9910.2880.1470.9730.3130.0840.5550.556
 KL grade 4 (n = 37)0.0690.5410.5100.0650.5110.5300.0700.5490.505
 PDA ≤ 3 (n = 45)−0.209−1.7250.008−0.163−1.3450.028−0.142−1.1740.048
 PDA > 3 (n = 32)−0.055−0.5660.667−0.019−0.1990.867−0.047−0.4810.681
KAM impulse (Nm·s/(BW × HT)%)
 KL grade 2 (n = 14)−0.684−7.5970.061−0.785−17.5300.001−0.863−18.594≤0.001
 KL grade 3 (n = 26)−0.110−1.1570.437−0.114−1.1980.427−0.026−0.2750.855
 KL grade 4 (n = 37)0.0760.6210.4660.0800.6500.4410.1291.0530.290
 PDA ≤ 3 (n = 45)−0.265−2.8470.001−0.181−1.9440.006−0.148−1.5910.011
 PDA > 3 (n = 32)−0.210−2.1180.096−0.092−0.9250.441−0.008−0.0770.952

KL: Kellgren and Lawrence; PDA: pelvic drop angle; KAM: knee adduction moment; BW: body weight; HT: height; HSS: the hospital for special surgery. Age; age, speed.