Evidence map›Paper›PMID 33791824›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

The evaluation of Rolimeter, KLT, KiRA and KT-1000 arthrometer in healthy individuals shows acceptable intra-rater but poor inter-rater reliability in the measurement of anterior tibial knee translation.

Armin Runer, Tommaso Roberti di Sarsina, Vasco Starke, Alessandra Iltchev, Gernot Felmet, Sepp Braun, Christian Fink, Robert Csapo

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  13. BLU-DAT: a new reliable and accurate arthrometer for measuring anterior knee laxity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  16. A novel digital arthrometer to measure anterior tibial translation.Journal of orthopaedic surgery and research · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Armin RunerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria. armin.runer@i-med.ac.at.
Tommaso Roberti di SarsinaClinica Ortopedica e Traumatologica, Istituto Ortopedico Rizzoli, Bologna, Italy.
Vasco StarkeMedical University of Innsbruck, Innsbruck, Austria.
Alessandra IltchevMedical University of Innsbruck, Innsbruck, Austria.
Gernot FelmetOrthopädische Praxis and ARTICO Sportklinik, Schwenningen, Germany.
Sepp BraunGelenkpunkt - Sports and Joint Surgery, Innsbruck, Austria.
Christian FinkGelenkpunkt - Sports and Joint Surgery, Innsbruck, Austria.
Robert CsapoMedical Informatics and Technology, ISAG, Research Unit for Orthopaedic Sports Medicine and Injury Prevention, Private University for Health Sciences, Innsbruck, Austria.
Innsbruck Medical University · ATIstituto Ortopedico Rizzoli · ITOrthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess measurement equivalence, inter- and intra-rater reliability, standard error of measurements (SEM) and false positive measurements (FPM) of four different knee arthrometers (KLT,Karl Storz; KiRA, I + ; KT-1000 MEDmetric Corp; Rolimeter, Aircast) in healthy patients.

methodsFour different investigators (two advanced (AR) and two beginners (BR)) examined 12 participants with healthy knees at two time points with regards to anterior tibial translation (ATT) and side-to-side difference (SSD). Test equivalence was assessed using the TOST (two-one-sided t test) procedure with ± 1 mm equivalence boundaries. Intraclass correlation coefficients (ICCs) were calculated using two-way mixed effects models. Furthermore, false positive-(SSD > 3 mm) and SEMs were assessed.

resultsA total of 2304 Lachman Tests were performed. Between-rater SSDs were equivalent between AR and BR raters for the Rolimeter only. Inter-rater ICC values (SSD, ATT) were graded as "poor" to "moderate" for all devices. Equivalent test-retest results were observed for all raters using the Rolimeter, KLT and KT-1000, whereas measurement consistency with KiRA was given in the advanced examiners group only. Intra-rater ICC values (Range: SSD, ATT) were graded as "poor" to "moderate" for SSD values and "moderate" to "good" for ATT. SEMs were lowest for the Rolimeter and highest for KiRA. FPM were never obtained with the Rolimeter (0%), twice (2.1%) with the KT-1000, three times (3.1%) with the KLT and 33 times (34.4%) using KiRA.

conclusionThere is acceptable intra-rater but poor inter-rater reliability with all tested arthrometers. Measures of knee laxity are comparable between Rolimeter, KLT and KT-1000 but higher for KiRA. Clinically, the present study shows that repeated arthrometry measurements should always be performed by the same investigators.

Indexed as

Anterior Cruciate Ligament InjuriesJoint InstabilityHumansKnee JointReproducibility of ResultsTibiaACL anterior tibial translationAnterior cruciate ligamentEquivalence testing; Lachman TestKiRAKLTKnee arthrometerKT1000RolimeterSide-to-side difference

Identifiers

PMID33791824
PMCPMC8298217
OpenAlexW3142876141

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.