The gait pattern, affected by arthritic disease of the lower limbs, can serve as the parameter of the progression or improvement of the stability of the disorder, related to a treatment of choice. Thus when examining the gait of this patient, we can observe the kinematic parameters like the range of flexion / extension of the knee and ankle (during the initial contact, the stance phase and swing the right leg), before and after the application of 30 sessions of Orthopedic Manual Physical Therapy (OMPT). As we can observe the disturbances in progressive joint alignment and joint mechanics that this patient has, provide a maldistribution of translation and compression forces on her knee joint, causing a vicious cycle of degeneration of articular cartilage and subchondral bone.
The correction of the mechanical axis deviation and repair of hyaline cartilage, usually do so through surgical procedures (mosaicplasty, implants, transplantation), which are not always capable of being performed and the results are not very promising. Jensen et al. (2002) emphasize the need to correct any deviation of the mechanical axes, or joint instabilities, because if these abnormalities are not taken into account, the surgical procedure chosen is destined to fail.
The correction of the mechanical axis deviation and repair of hyaline cartilage, usually do so through surgical procedures (mosaicplasty, implants, transplantation), which are not always capable of being performed and the results are not very promising. Jensen et al. (2002) emphasize the need to correct any deviation of the mechanical axes, or joint instabilities, because if these abnormalities are not taken into account, the surgical procedure chosen is destined to fail.