Evidence map›Paper›PMID 30229227›Full record

ArticleJB & JS open access2017

The Utility of False-Profile Radiographs for the Detection of Osteoarthritis Progression in Acetabular Dysplasia.

Shunsuke Akiho, Takuaki Yamamoto, Koichi Kinoshita, Ayumi Matsunaga, Satohiro Ishii, Tetsuro Ishimatsu

Open access · goldAbstract read
In one paragraph

Article in JB & JS open access, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

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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

7 citing papers in PubMed, 17 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Shunsuke AkihoDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Takuaki YamamotoDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Koichi KinoshitaDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Ayumi MatsunagaDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Satohiro IshiiDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Tetsuro IshimatsuDepartment of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Fukuoka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth the lateral center-edge angle and acetabular roof obliquity on anteroposterior radiographs are well-known prognostic predictors of osteoarthritis progression in patients with acetabular dysplasia. However, few studies have evaluated osteoarthritis progression on false-profile radiographs. In the present study, osteoarthritis progression was evaluated on anteroposterior and false-profile radiographs.

methodsWe retrospectively evaluated 76 patients with acetabular dysplasia with Tönnis grade-0 or 1 osteoarthritis, from a group of 179 patients (209 hips), who had undergone unilateral periacetabular osteotomy from 1995 to 2005. We evaluated the hip joint of the contralateral, untreated side. All patients were followed for ≥10 years. Of the 76 patients, 52 patients with Tönnis grade-0 or 1 osteoarthritis at the latest follow-up were categorized into the non-progression group and the remaining 24 patients with Tönnis grade-2 or 3 osteoarthritis were categorized into the progression group. We evaluated patient characteristics as well as radiographic parameters, including the preoperative lateral center-edge angle, acetabular roof obliquity, and anterior center-edge angle.

resultsThe mean duration of follow-up was 12.6 years (range, 10 to 19 years). On univariate analysis, body weight, body mass index, and all radiographic parameters indicating the severity of acetabular dysplasia significantly differed between the 2 groups. On multivariate analysis, both the anterior center-edge angle and acetabular roof obliquity were considered to be significant predictive factors for osteoarthritis progression. On receiver operating characteristic curve analysis, the cutoff values for the lateral center-edge angle, acetabular roof obliquity, and anterior center-edge angle were 15.5°, 15.5°, and 12.5°, respectively.

conclusionsIn addition to the lateral center-edge angle and acetabular roof obliquity, we showed that the anterior center-edge angle is a possible prognostic predictor of osteoarthritis progression. These findings indicate that radiographic parameters based on the false-profile view are relevant. Additionally, patients with an anterior center-edge angle of ≤12.5° and a lateral center-edge angle of ≤15.5° seem to be at higher risk of osteoarthritis progression over a 10-year period. LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Identifiers

PMID30229227
PMCPMC6133147
OpenAlexW2762909467

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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.