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Can genetics explain the higher risk of worsening knee pain in offspring of people with total knee replacement for severe primary knee osteoarthritis?
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We read with great interest a recent paper by Pan et al.1 The authors found that offspring of those with severe knee osteoarthritis (OA) had an increased risk of worsening knee pain over 8 years when compared with controls who had no family history of OA.1 Based on these results, the authors suggested that genetic factors may be involved in the pathogenesis of knee pain.1
We commend the authors for performing a longitudinal study on the offspring of people with a total knee replacement (TKR) for severe OA. However, we would like to comment on several issues …