Evidence map›Paper›PMID 32648780›Full record

ArticleFoot & ankle international2020

Correlation of 3D Joint Space Width From Weightbearing CT With Outcomes After Intra-articular Calcaneal Fracture.

Molly A Day, Michael Ho, Kevin Dibbern, Karan Rao, Qiang An, Donald D Anderson, J Lawrence Marsh

Open access · greenAbstract readComparative Study
In one paragraph

Article in Foot & ankle international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Morphological analysis of ankle joint space width.Surgical and radiologic anatomy : SRA · 2025
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  4. Review
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  12. [A comparative study on internal fixation of calcaneal fractures assisted by robot and traditional open reduction internal fixation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  13. Article
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 at 1 institution in 1 country.

Molly A DayDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.ORCID https://orcid.org/0000-0001-5205-7947
Michael HoDepartment of Biomedical Engineering, University of Iowa, Iowa City, IA, USA.
Kevin DibbernDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.ORCID https://orcid.org/0000-0002-8061-4453
Karan RaoDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Qiang AnDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
Donald D AndersonDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
J Lawrence MarshDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.
University of Iowa · US

Funding

Tissue and Experimental Modeling CoreP50AR055533 · NIAMS · UNIVERSITY OF IOWA · PI GOETZ, JESSICA E · 2007 to 2016
$14.9M
NIAMS NIH HHS P50 AR055533
6 · The paper itself

Abstract

backgroundPosttraumatic osteoarthritis (PTOA) of the subtalar joint is a serious, disabling, and frequent complication following intra-articular calcaneal fractures (IACFs). Using plain radiographs to assess the subtalar joint for PTOA is imprecise and insensitive, hindering progress toward improving treatment and assessing outcomes. This study explored how low-dose weightbearing computed tomography (WBCT) can be used to provide reliable, quantitative 3D measures of subtalar joint space width (JSW) following IACF and correlated the 3D JSW with clinical outcomes.

methodsAfter institutional review board approval, 21 patients (15 male; age, 28-70 years) who sustained IACFs and were treated with percutaneous surgical reduction underwent WBCT scans at follow-up visits 2 to 15 years (average, 7.8 years) after surgical treatment. Subtalar joint 3D JSW was computed after a semiautomated protocol was used to segment the talus and calcaneus from the WBCT data. Mean and minimum 3D JSW measurements were calculated and compared with Kellgren-Lawrence (KL) radiographic osteoarthritis grade, RAND-36 Physical (PCS) and Mental (MCS) Component Scores, and visual analog scale (VAS) pain scores. Spearman's rank correlation was used to detect the strength of association between variables, with significance set at

resultsMean 3D JSW values measured from WBCT for patients with IACFs ranged from 0.9 to 2.5 mm (1.7

conclusionWBCT-based methods were used to quantify the preservation/loss of JSW in patients with IACFs, enabling more accurate, definitive measurement of subtalar PTOA. The results of this study demonstrate that WBCT can be utilized to objectively assess subtalar PTOA and help us to better understand how arthritic changes affect actual patient experience. LEVEL OF EVIDENCE: Level III, prognostic comparative study.

Indexed as

AdultAgedCalcaneusFemaleHumansIntra-Articular FracturesMaleMiddle AgedOsteoarthritisSubtalar JointTomography, X-Ray ComputedWeight-Bearingintra-articular calcaneus fractureposttraumatic osteoarthritissubtalar jointweightbearing CT

Identifiers

PMID32648780
PMCPMC8162170
OpenAlexW3041231300

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.