Evidence map›Paper›PMID 30456552›Full record

ArticleSkeletal radiology2019

The lateral joint space width can be measured reliably with Telos valgus stress radiography in medial knee osteoarthritis.

Daan Koppens, Ole Gade Sørensen, Stig Munk, Søren Rytter, Solveig Kärk Abildtrup Larsen, Maiken Stilling, Torben Bæk Hansen

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Article in Skeletal radiology, 2019. 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
0.6field-weighted citation impact, top 29% 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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Daan KoppensDepartment of Orthopaedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark. daankopp@rm.dk.ORCID http://orcid.org/0000-0001-6486-6012
Ole Gade SørensenDepartment of Orthopaedic Surgery, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus C, Denmark.
Stig MunkDepartment of Orthopaedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark.
Søren RytterDepartment of Orthopaedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark.
Solveig Kärk Abildtrup LarsenDepartment of Radiology, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark.
Maiken StillingDepartment of Orthopaedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark.
Torben Bæk HansenDepartment of Orthopaedic Surgery, University Clinic for Hand, Hip and Knee Surgery, Hospital Unit West, Lægårdvej 12, 7500, Holstebro, Denmark.
Aarhus University · DKRegional Hospital Holstebro · DKAarhus University Hospital · DK

Funding

Health Research Fund of Central Denmark Region 1-31-72-15-14
6 · The paper itself

Abstract

objectiveTo examine the reproducibility of valgus stress radiographs with the Telos stress device for assessment of lateral compartment degenerative changes in patients with medial osteoarthritis of the knee. MATERIALS AND

methodsA prospective reliability study was performed. Seventy-nine patients (80 knees) were included, and standardized valgus stress radiographs were obtained using the Telos stress device. Osteophytes and joint space narrowing (JSN) were graded using the OARSI (Osteoarthritis Research Society International) classification, and the joint space width (JSW) was measured in millimeters. Reproducibility was determined as intra-and inter-rater reliability and test-retest reliability. Weighted kappa was used to determine the reliability of osteophyte and JSN grading, and the intra-class correlation coefficient for JSW.

resultsGrading of osteophytes had an intra- and inter-rater reliability ranging from 0.40 to 0.83 on the medial side and ranging from 0.39 to 0.87 on the lateral side. Grading of medial JSN had an intra- and inter-rater reliability ranging from 0.62 to 0.84, and grading of lateral JSN had an intra- and inter-rater reliability ranging from 0.32 to 0.65. Intra- and inter-rater reliability of JSW ranged from 0.84 to 0.98 on the medial side, and from 0.59 to 0.89 on the lateral side. Test-retest reliability of JSW of the medial and lateral side ranged from 0.69 to 0.92.

conclusionsStandardized valgus stress radiographs taken with the Telos stress device are a reliable supplement in the assessment of medial OA of the knee. Evaluation of the lateral compartment on valgus stress radiographs is most reliable with measurement of the lateral JSW.

Indexed as

Orthopedic EquipmentAdultAgedAged, 80 and overBiomechanical PhenomenaEquipment DesignFemaleHumansMaleMiddle AgedOsteoarthritis, KneeOsteophyteProspective StudiesReproducibility of ResultsStress, MechanicalKneeOARSI (Osteoarthritis Research Society International) classificationOsteoarthritisReliabilityStress radiographs

Identifiers

PMID30456552
OpenAlexW2900479409

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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.