Evidence map›Paper›PMID 27693959›Full record

Trial reportGait & posture2017

Long-term effects of lateral wedge orthotics on hip and ankle joint space widths.

Mehmet E Tezcan, Berna Goker, Roy Lidtke, Joel A Block

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gait & posture, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00076453 (Clinical Effects of Altered Biomechanics in Knee Osteoarthritis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 87% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00076453 nacompletednot on this map

Clinical Effects of Altered Biomechanics in Knee Osteoarthritis

TypeinterventionalSponsorRush University Medical CenterRan2003 to 2007Enrolled100ConditionsOsteoarthritisArmsLateral wedge orthotic shoe inserts, Standard orthotic shoe inserts
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Overview of Ankle Arthropathy in Hereditary Hemochromatosis.Medical sciences (Basel, Switzerland) · 2023
    Review
  3. Article
  4. Review
  5. Ankle Osteoarthritis.Revista brasileira de ortopedia · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Mehmet E TezcanGazi University, School of Medicine, Department of Internal Medicine, Section of Rheumatology, Ankara, Turkey.
Berna GokerGazi University, School of Medicine, Department of Internal Medicine, Section of Rheumatology, Ankara, Turkey. Electronic address: bgoker@yahoo.com.
Roy LidtkeRush Medical College, Department of Internal Medicine, Section of Rheumatology, Department of Biochemistry, Chicago, IL, USA.
Joel A BlockRush Medical College, Department of Internal Medicine, Section of Rheumatology, Department of Biochemistry, Chicago, IL, USA.
Gazi University · TR

Funding

SPECIALIZED CENTER OF RESEARCH IN OSTEOARTHRITISP50AR039239 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI OEGEMA, THEODORE RICHARD · 1987 to 2007
$8.5M
NIAMS NIH HHS P50 AR039239
6 · The paper itself

Abstract

backgroundLateral wedge insoles have been used for the treatment of medial knee osteoarthritis (OA) and have been shown to reduce loading of the medial compartment of the knee. However, as the entire lower extremity acts as a single kinetic chain, altering the biomechanics of the knee may also have significant effects at the ankles or hips. We aimed to evaluate the effects of lateral wedge orthotics on ankle and hip joints, compared to neutral orthotics, by assessing the changes in joint space width (JSW) during 36 months of continuous use.

methodsWe prospectively enrolled 109 subjects with symptomatic osteoarthritis of the medial knee according to the American College of Rheumatology criteria. The trial was double blind and patients were randomized to either wedged or neutral orthotic shoe inserts. Hip and ankle JSWs were quantified using plain radiographies at baseline and at 36-months follow-up.

findings45 patients completed the 36 month study. 31 of those who completed the study were using the lateral wedge versus 14 were using neutral orthotics. 2 patients in the wedge group had missing radiographs and were not included in the JSW analyses. There were no significant differences between the wedge and the neutral orthotics groups in the magnitude of JSW change at either the hip or the ankles at 36 month.

interpretationWe found no significant adverse effects of the lateral wedges on ankles or hips. (ClinicalTrials.gov NCT00076453).

Indexed as

Foot OrthosesAgedAnkle JointDouble-Blind MethodFemaleHip JointHumansLower ExtremityMaleMiddle AgedOsteoarthritis, KneeRadiographyShoesJoint space widthsOrthoticsOsteoarthritis

Identifiers

PMID27693959
PMCPMC5140676
OpenAlexW2523429384

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.