ArticleInternational orthopaedics2021
Change in the weight-bearing line ratio of the ankle joint and ankle joint line orientation after knee arthroplasty and high tibial osteotomy in patients with genu varum deformity.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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.
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.
Who cites it
28 citing papers in PubMed.
- Ankle Alignment Changes After High Tibial Osteotomy due to Valgus-Shaped Distal Tibia.Cartilage · 2026Article
- Evaluation of the Coronal Plane Alignment of the Knee (CPAK) classification in arthritic knees following robotic total knee arthroplasty.BMC musculoskeletal disorders · 2026Article
- Coronal plane alignment of the knee phenotypes and ankle joint coronal plane alignment patterns in Egyptian population.World journal of orthopedics · 2026Article
- Distinct effects of three knee-preserving surgeries on hip-knee-ankle alignment in patients with knee osteoarthritis.Journal of orthopaedic surgery and research · 2025Article
- Assessment and quantification of ipsilateral and contralateral ankle joint alignment changes after unilateral total knee arthroplasty for knee osteoarthritis with varus deformity: a retrospective cohort study.Knee surgery & related research · 2025Article
- Ankle alignment before and after total knee arthroplasty in patients with valgus knee deformity.Journal of orthopaedic surgery and research · 2025Article
- Correction to at least neutral alignment during high tibial osteotomy is sufficient in reducing the knee adduction moment.Scientific reports · 2025Article
- Knee osteotomies significantly influence coronal ankle alignment: A radiographic analysis.Journal of experimental orthopaedics · 2025Article
- Article
- Ankle pain and orientation after high tibial osteotomy as a treatment of medial compartment knee osteoarthritis.SICOT-J · 2025Article
- Medial opening low tibial osteotomy shifts the load laterally not only at the ankle joint but also at the knee joint.Journal of experimental orthopaedics · 2024Article
- Compensatory mechanisms for proximal & distal joint alignment & gait in varus knee osteoarthritis treated with high tibial osteotomy: A systematic review.Journal of orthopaedics · 2024Review
- Osseous factors influencing distal tibial rotation in biplane medial opening wedge high tibial osteotomy.International orthopaedics · 2024Article
- Changes in clinical outcomes and alignment of the ipsilateral knee and ankle after supramalleolar osteotomy in patients with varus osteoarthritis of the ankle: a short-term follow-up study.Archives of orthopaedic and trauma surgery · 2024Article
- Effects of different hinge positions on tibial rotation in uniplanar medial opening wedge high tibial osteotomy with three-dimensional tibial models.Frontiers in surgery · 2024Article
- Coronal and sagittal alignment of ankle joint is significantly affected by high tibial osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Osteotomies around the knee alter alignment of the ankle and hindfoot: a systematic review of biomechanical and clinical studies.EFORT open reviews · 2023Article
- Osteotomies around the knee are not correlated to substantial post-operative ankle pain.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Targeting the neutral hip-to-calcaneus axis in kinematically aligned total knee arthroplasty is feasible with fewer alignment outliers for varus osteoarthritic patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Ground kinematically aligned total knee arthroplasty: new personalized technique which enables a stable knee with deep flexion.International orthopaedics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral studies reported that excessive correction of severe genu varum deformity with total knee arthroplasty or high tibial osteotomy (HTO) could result in ankle joint pain and osteoarthritis progression. However, few studies have evaluated the change in the weight-bearing-line (WBL) ratio of the ankle joint after knee arthroplasty or HTO in patients with genu varum deformities. This study aimed to investigate the change in the WBL ratio of the ankle joint and ankle joint line orientation after knee arthroplasty or HTO in patients with genu varum deformities.
methodsWe retrospectively evaluated 40 patients (mean age, 69.9 ± 8.0 years) with genu varum deformities of > 5° and underwent knee arthroplasty or HTO. Three radiologic parameters, including (1) the hip-knee-ankle (HKA) angle, (2) WBL ratio of the ankle joint, and (3) ankle joint line orientation relative to the ground (AJLO-G), were assessed using pre-operative and post-operative orthoradiographs. A paired t test was used to evaluate post-operative changes in the three parameters. Correlations between the change in HKA angle and that in the WBL ratio of the ankle joint and AJLO-G were analyzed.
resultsThe mean HKA angle significantly decreased post-operatively (10.6° ± 5.3° to 1.1° ± 3.4°; P < 0.001). The WBL ratio of the ankle joint increased from 35.8% ± 15.2% to 53.0% ± 17.4% (P < 0.001), with a lateral shift of the mechanical axis. The AJLO-G decreased with valgization of ankle orientation (7.8° ± 4.8° to 0.4° ± 3.8°; P < 0.001). The change in the HKA angle was significantly correlated with that in the AJLO-G (correlation coefficient = 0.716; P < 0.001) but not with the change in the WBL ratio of the ankle joint.
conclusionKnee arthroplasty and HTO corrected the genu varum deformity, which influenced the lateral shift of the WBL of the ankle joint and valgization of the ankle joint line orientation.
Indexed as
Identifiers
32975681What OpenQuestion holds
Registered trials
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.