Evidence map›Paper›PMID 29067954›Full record

ArticleChinese medical journal2017

Radiographic Measurement of Femoral Lateral Bowing and Distal Femoral Condyle Resection Thickness: Variances and Effects on Total Knee Arthroplasty Planning.

Pei-Hui Wu, Zhi-Qi Zhang, Ming-Hui Gu, Xiao-Yi Zhao, Yan Kang, Wei-Ming Liao, Ming Fu

Open access · goldAbstract read
In one paragraph

Article in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 37% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Distal femoral phenotypes in Asian varus osteoarthritic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    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

7 authors at 1 institution in 1 country.

Pei-Hui WuDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Orthopedics and Traumatology, Guangzhou, Guangdong 510080, China.
Zhi-Qi ZhangDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Ming-Hui GuDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Xiao-Yi ZhaoDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Yan KangDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Wei-Ming LiaoDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Ming FuDepartment of Joint Surgery, The 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Key Laboratory of Guangdong Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate evaluation of the plain radiography of lower limb is critical for preoperative planning of total knee arthroplasty (TKA). We aimed to investigate the effect of femoral lateral bowing and rotation on the radiographic measurements of distal femoral condyle resection thickness (DRT) and the distal femoral resection valgus angle (FVA).

methodsWe analyzed 246 three-dimensional femoral models generated from computed tomography images of 123 patients, acquiring projected contours in seven positions - 20° and 10° internal rotation; 0° rotation; 10°, 20°, 30°, and 40° external rotation - for each model. Medial and lateral condyle DRTs, femoral shaft lateral bowing angle (FBA), and distal FVA were determined for each position. Linear mixed effect model was used to determine the effect of degree of femur rotation on repeated measurements of DRT or FVA.

resultsFBA significantly affected the FVA and DRT (Pearson's R = 0.767 and -0.408, respectively; P < 0.000). Samples were divided into three groups according to the FBA measured in neutral position: FBA <0°: DRT 3.75 ± 1.30 mm, FVA 4.53° ± 1.27°; FBA >0° but <3°: DRT 3.39 ± 1.31 mm, FVA 5.92° ± 1.31°; FBA >3°: DRT 2.22 ± 1.31 mm, FVA 7.37° ± 1.31°. From simulated 20° internal rotation to 40° external rotation in each femoral model, the average variation ranges of radiographically measured DRT, FVA, and FBA were 0.50 ± 0.28 mm, 2.93° ± 0.96°, and 10.33° ± 1.90°, respectively, with no significant differences among the FBA groups. The degree of femoral rotation significantly affected the FVA (F = 62.148, P < 0.000), whereas there was no effect on condyle resection thickness (F = 0.4705, P = 0.494).

conclusionsAxial femoral rotation has less effect on radiographic measurements of differences in the DRT than on those of the distal FVA.

Indexed as

AdultAgedArthroplasty, Replacement, KneeBone MalalignmentFemaleFemurHumansKnee JointMaleMiddle AgedOsteoarthritis, KneeRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID29067954
PMCPMC5678254
OpenAlexW2766798747

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.