Evidence map›Paper›PMID 32025151›Full record

ArticleJournal of orthopaedics

A radiographic analysis of alignment in 966 lower extremities with knee pain and its association with osteoarthritis in Indian population.

Mayur Nayak, Vijay Kumar, Gourav Kanojiya, Stephen Mellon, Deep Narayan Srivastava, Hemant Pandit, Rajesh Malhotra

Abstract read
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Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

12 citing papers in PubMed.

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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

7 authors.

Mayur NayakDepartment of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
Vijay KumarDepartment of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
Gourav KanojiyaDepartment of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
Stephen MellonBotnar Research Centre, University of Oxford, Oxford, UK.
Deep Narayan SrivastavaDepartment of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
Hemant PanditOrthopaedics and Honorary Consultant, Chapel Allerton Hospital, University of Leeds, UK.
Rajesh MalhotraDepartment of Orthopedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate the alignment based on deformity in knees affected by osteoarthritis (OA) at different stages and evaluate its association with OA. MATERIAL AND

methodsThe following radiological parameters were measured from weight bearing long leg radiographs of 966 legs in the Indian subjects via a morphometric software (Matlab R2009a) (1)Hip-Knee-Ankle angle (HKAA), (2) Femoral bowing, (3) Tibial Bowing, (4) Condylar Plateau angle (CPA). The knees were classified according to the Kellegren and Lawrence grading and these parameters were evaluated with OA for its association using appropriate statistical tests.

resultsThe mean HKAA angle was 174.5° ±6.5°, 65.8% of the limbs were in found to be in varus (<177°) and 3.8% in valgus (>183°). The mean femoral and tibial bowing was -1.19 ± 4.95° and -1.54 ± 3.58° respectively. 55.8% of femorae and 41.4% of the tibia were observed to have varus bowing while 24.12% of femorae and 12.11% the tibia were observed to have valgus bowing. An increase in odds of disease severity was observed with femoral and tibial bowing >2°. With an increase in the grades of OA a significant increase in the lateral bow of both femur and tibia was observed. The mean condylar plateau angle was observed to be -2.53° ±7.9°. Positive association was seen between the varus CPA, HKA and OA (p

conclusionThis study describes the various radiological parameters in Indian patients at different grades of OA and might elucidate the role of these factors in OA initiation and progression.

Indexed as

Condylar plateau angleCoronal bowingIndian populationMechanical alignmentOsteoarthritis

Identifiers

PMID32025151
PMCPMC6997480

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