ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
The medial inclination of the proximal tibia is associated with the external knee adduction moment in advanced varus knee osteoarthritis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Considerable inter-individual variability of tibial geometric ratios renders bone-implant mismatch unavoidable using off-the-shelf total knee arthroplasty: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- No significant difference in early clinical outcomes of custom versus off-the-shelf total knee arthroplasty: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- In vivo bundle-specific anterior cruciate ligament length changes during overground walking.Journal of experimental orthopaedics · 2026Article
- Off-axis biomechanical alterations and related interventions in medial knee osteoarthritis: a mini review.Frontiers in rehabilitation sciences · 2026Review
- Factors, characteristics and influences of the changes of muscle activation patterns for patients with knee osteoarthritis: a review.Journal of orthopaedic surgery and research · 2025Review
- Medial cortical bone thickness of the tibial diaphysis in osteoarthritis is related to lower extremity alignment and tibial morphology.Journal of orthopaedic surgery and research · 2024Article
- The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23-28 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Variability of functional knee phenotype for coronal alignment in advanced varus knee osteoarthritis in the Japanese population.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The coronal inclination of the medial tibial plateau affects coronal gait kinematics for varus osteoarthritic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A Strong Correlation Between the Severity of Flatfoot and Symptoms of Knee Osteoarthritis in 95 Patients.Frontiers in surgery · 2022Article
- Associations Between Periosteal Reaction of Proximal Tibial and Medial Compartment Knee Osteoarthritis.Orthopaedic surgery · 2021Article
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhether the inclined articular surface on the medial proximal tibia and the external knee adduction moment (KAM) correlate remains unclear. The hypothesis was that a steeper inclined articular surface correlated with a larger KAM in advanced knee osteoarthritis (OA).
methodsA total of 44 females (non-OA, 9 knees; early OA, 14 knees; advanced OA, 21 knees; mean age, 58 ± 16 years) were examined. Three-dimensional (3D) assessment was used on biplanar long-leg radiographs and 3D bone models using a 3D to 2D image registration technique. The approximation plane in the proximal tibia was determined using the least-square method. The joint moments were mathematically calculated in a gait analysis, applying a motion capture system and force plates. The main evaluation parameters were the femorotibial angle (FTA), the coronal inclination of the approximation plane in the medial proximal tibia (coronal inclination), and internal knee joint moments. The KAM means the external moments balanced with the internal knee abduction moments.
resultsThe advanced OA showed a larger internal abduction moment (p = 0.017) at the loading response than the other groups. The larger FTA and steeper coronal inclination correlated with the larger internal abduction moment (FTA, p < 0.001; coronal inclination, p = 0.003) at the loading response.
conclusionsAs the clinical relevance, the association among the coronal inclination of the medial proximal tibia, lower extremity alignment, and KAM is one of the key factors to help better understand the etiology of knee OA. LEVEL OF EVIDENCE: III.
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