Evidence map›Paper›PMID 30705762›Full record

ArticleJournal of ISAKOS : joint disorders & orthopaedic sports medicine2018

Longitudinal changes in subchondral bone structure as assessed with MRI are associated with functional outcome after high tibial osteotomy.

Alexandra S Gersing, Pia M Jungmann, Benedikt J Schwaiger, Julia Zarnowski, Felix K Kopp, Saskia Landwehr, Martin Sauerschnig, Gabby B Joseph, Andreas B Imhoff, Ernst J Rummeny and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of ISAKOS : joint disorders & orthopaedic sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. [Therapy of osteoarthritis].Der Orthopade · 2021
    Article
  5. Review
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

12 authors at 2 institutions in 3 countries.

Alexandra S GersingDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Pia M JungmannDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Benedikt J SchwaigerDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Julia ZarnowskiDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Felix K KoppDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Saskia LandwehrDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Martin SauerschnigDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Gabby B JosephDepartment of Radiology and Biomedical Imaging, University of California San Francisco, 185 Berry Street, Suite 350, San Francisco, CA 94107, U.S.A.
Andreas B ImhoffDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Ernst J RummenyDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Jan S KirschkeDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
Thomas BaumDepartment of Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany.
TUM Klinikum · DEUniversity of California, San Francisco · US

Funding

Translation of Quantitative Imaging in OsteoarthritisP50AR060752 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SOUZA, RICHARD BRIAN · 2011 to 2015
$6.2M
Impact of Weight loss on Knee Joint Biochemical and Structural DegenerationR01AR064771 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LINK, THOMAS M · 2014 to 2019
$1.6M
NIAMS NIH HHS P50 AR060752NIAMS NIH HHS R01 AR064771
6 · The paper itself

Abstract

objectivesThe primary objective of this study was to evaluate the effects of high tibial osteotomy (HTO) on subchondral bone structure assessed with magnetic resonance (MR)-based trabecular bone imaging and the correlations of these effects with functional outcome and clinical symptoms.

methodsPatients with varus malalignment (6.2±2.2°) and without a history of knee surgery (n=22; 3 women; 48.7±10.3 years) were included into this prospective study. 1.5T MR imaging was performed before and on average 1.5 years after HTO (amount of correction 4.7±2.5°) and histomorphometric parameters of the trabecular bone were calculated for the medial/ lateral tibia and femur. Functional outcome was assessed with validated scores focusing on sports activity including the Lysholm Score, Tegner Activity Scale and the adapted Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Score.

resultsApparent trabecular number significantly decreased in all compartments of the tibiofemoral joint when comparing values before and on average 1.5 years after HTO (

conclusionThese findings indicate a reversal of the previous subchondral bone alterations in patients with varus malalignment after undergoing HTO, while pronounced subchondral changes were associated with a better functional outcome. LEVEL OF EVIDENCE: 3.

Indexed as

BoneKneeMRIOsteotomy

Identifiers

PMID30705762
PMCPMC6349395
OpenAlexW2810105896

What OpenQuestion holds

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Registered trials

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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.