Evidence map›Paper›PMID 31058199›Full record

ArticleOrthopaedic journal of sports medicine2019

Tibiofemoral Cartilage Contact Differences Between Level Walking and Downhill Running.

Berkcan Akpinar, Eric Thorhauer, Scott Tashman, James J Irrgang, Freddie H Fu, William J Anderst

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-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

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

11 citing papers in PubMed, 15 citations in OpenAlex.

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  7. In search of a gold standard for objective clinical outcome: using dynamic biplane radiography to measure knee kinematics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
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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 3 institutions in 1 country.

Berkcan AkpinarUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Eric ThorhauerUniversity of Washington, Seattle, Washington, USA.
Scott TashmanUniversity of Texas Health Science Center, Houston, Texas, USA.
James J IrrgangUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Freddie H FuUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
William J AnderstUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh Medical Center · USThe University of Texas Health Science Center at Houston · USUniversity of Washington · US

Funding

Single- vs. Double-Bundle ACL Reconstruction: A Prospective Randomized TrialR01AR056630 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FU, FREDDIE H, IRRGANG, JAMES JOHN · 2010 to 2012
$1.7M
NIAMS NIH HHS R01 AR056630
6 · The paper itself

Abstract

backgroundSome studies have suggested that altered tibiofemoral cartilage contact behavior (arthrokinematics) may contribute to long-term cartilage degeneration, potentially leading to tibiofemoral osteoarthritis. However, few studies have assessed normal tibiofemoral arthrokinematics during dynamic activities. PURPOSE: To characterize tibiofemoral arthrokinematics during the impact phase of level walking and downhill running. STUDY

designDescriptive laboratory study.

methodsArthrokinematic data were collected on uninjured knees of 44 participants (mean age, 20.7 ± 6.6 years). Using a dynamic stereoradiographic imaging system with superimposed 3-dimensional bone models from computed tomography and magnetic resonance imaging of participant-specific tibiofemoral joints, arthrokinematics were assessed during the first 15% of the gait cycle during level walking and the first 10% of the gait cycle during downhill running.

resultsDuring level walking and downhill running, the medial compartment had a greater cartilage contact area versus the lateral compartment. Both compartments had a significantly less cartilage contact area during running versus walking (medial compartment gait cycle affected: 8%-10%; lateral compartment gait cycle affected: 5%-10%). Further, medial and lateral compartment tibiofemoral contact paths were significantly more posterior and longer during downhill running.

conclusionThere was a decreased tibiofemoral cartilage contact area during downhill running compared with level walking, suggesting that underlying bone morphology may play a key role in determining the size of cartilage contact regions. CLINICAL RELEVANCE: This study provides the first data characterizing tibiofemoral cartilage contact patterns during level walking and downhill running. These results provide evidence in support of performing biomechanical assessments during both level walking and downhill running to obtain a comprehensive picture of tibiofemoral cartilage behavior after clinical interventions.

Indexed as

articular cartilage biomechanicsdynamic cartilage motiongait analysisknee

Identifiers

PMID31058199
PMCPMC6452593
OpenAlexW2926196927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.