Evidence map›Paper›PMID 35941670›Full record

ArticleJournal of orthopaedic surgery and research2022

Correlation of short knee and full-length X-rays in evaluating coronal plane alignment in total knee arthroplasty.

Seyyed-Morteza Kazemi, Seyyed-Mohammad Qoreishi, Arash Maleki, Reza Minaei-Noshahr, Seyyed-Mohsen Hosseininejad

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Femorotibial angle scan-rescan reproducibility: A high-precision calculation on a large cohort.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024
    Article
  4. 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

5 authors at 3 institutions in 1 country.

Seyyed-Morteza KazemiBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0003-3631-1305
Seyyed-Mohammad QoreishiClinical Research and Development Unit, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medial Science, Tehran, Iran. Hosseininejad.s.mohsen@gmail.com.ORCID http://orcid.org/0000-0002-8975-3951
Arash MalekiClinical Research and Development Unit, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medial Science, Tehran, Iran.
Reza Minaei-NoshahrBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyyed-Mohsen HosseininejadBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0001-6640-2983
Shahid Beheshti University of Medical Sciences · IRGolestan University · IRShahid Beheshti University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronal alignment after total knee arthroplasty (TKA) would influence the implant survival. Coronal alignment could be measured on short and full-length X-rays. The goal of the current study was to assess the correlation of short and full-length X-rays to accurate prediction of the true Hip-Knee-Ankle alignment after TKA in the Iranian population.

methodsLateral distal femoral and medial proximal tibial angles, FTA, HKA, in 180 Iranian patients (243 knees without extra-articular deformities) were measured and compared on short and full-length standing X-rays of primary TKA pre/postoperatively.

resultsThe correlation between the preoperative FTA-short and FTA-long, FTA-short and HKA, and FTA-long and HKA values in degrees were fair, good and good (r = 0.64) (r = 0.73), (r = 0.76), respectively. This correlation for postoperative aMPTA and mMPTA (r = 0.73), and FTA-short and HKA (r = 0.76) values were good and significant (P = 0.001). Also, assessing coronal alignment based on short and full-length measurements would result in varying pre/postoperative alignments (varus, neutral and valgus).

conclusionFull length X-rays could not be replaced by short knee X-rays to asses true coronal alignment in TKA; considerable portion of our cases were missorted as varus, neutral or valgus based on the FTA versus the HKA. Intraoperative fixed 5° valgus angle cut of distal femur did not result in postoperative favorable neutral alignment in all cases. LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeFemurHumansIranKnee JointRetrospective StudiesTibiaAnatomical alignmentFull length X-raysMechanical alignmentShort X-raysTotal knee arthroplasty

Identifiers

PMID35941670
PMCPMC9358910
OpenAlexW4290613008

What OpenQuestion holds

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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.