Evidence map›Paper›PMID 38795543›Full record

ArticleJournal of biomechanics2024

Recommendation of minimal distal tibial length for long axis coordinate system definitions.

Erika P Muhlrad, Andrew C Peterson, Abigail M Anderson, Katelyn C Aragon, Rich J Lisonbee, Bruce A MacWilliams, Karen M Kruger, Amy L Lenz

Abstract read
In one paragraph

Article in Journal of biomechanics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Erika P MuhlradDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Andrew C PetersonDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Abigail M AndersonDepartment of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA.
Katelyn C AragonDepartment of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA.
Rich J LisonbeeDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Bruce A MacWilliamsDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Motion Analysis Center, Shriners Hospitals for Children-Salt Lake City, 1275 Fairfax Rd, Salt Lake City, UT 84103, USA.
Karen M KrugerDepartment of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA; Gerald F. Harris Motion Analysis Center, Shriners Children's, 2211 N Oak Park Ave, Chicago, IL 60707, USA. Electronic address: karen.kruger@marquette.edu.
Amy L LenzDepartment of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Department of Biomedical Engineering, University of Utah, 36 S Wasatch Dr, Salt Lake City, UT 84112, USA. Electronic address: amy.lenz@utah.edu.

Funding

Post-Surgical Form and Function of Planovalgus Foot Deformities in Patients with Cerebral PalsyR01AR083490 · NIAMS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Amy L. Lenz · 2024 to 2026
$1.9M
NIAMS NIH HHS R01 AR083490
6 · The paper itself

Abstract

Accurate anatomical coordinate systems for the foot and ankle are critical for interpreting their complex biomechanics. The tibial superior-inferior axis is crucial for analyzing joint kinematics, influencing bone motion analysis during gait using CT imaging and biplane fluoroscopy. However, the lack of consensus on how to define the tibial axis has led to variability in research, hindering generalizability. Even as advanced imaging techniques evolve, including biplane fluoroscopy and weightbearing CT, there exist limitations to imaging the entire foot together with the full length of the tibia. These limitations highlight the need to refine axis definitions. This study investigated various superior-inferior axes using multiple distal tibia lengths to determine the minimal field of view for representing the full tibia long-axis. Twenty human cadaver tibias were imaged and segmented to generate 3D bone models. Axes were calculated based on coordinate definitions that required user manual input, and a gold standard mean superior-inferior axis was calculated based on the population's principal component analysis axis. Four manually calculated superior-inferior tibial axes groups were established based on landmarks and geometric fittings. Statistical analysis revealed that geometrically fitting a cylinder 1.5 times the mediolateral tibial width, starting 5 cm above the tibial plafond, yielded the smallest angular deviation from the gold standard. From these findings, we recommend a minimum field of view that includes 1.5 times the mediolateral tibial width, starting 5 cm above the tibial plafond for tibial long-axis definitions. Implementing these findings will help improve foot and ankle research generalizability and impact clinical decisions.

Indexed as

TibiaAgedAged, 80 and overAnkle JointBiomechanical PhenomenaCadaverFemaleFootGaitHumansImaging, Three-DimensionalMaleMiddle AgedTomography, X-Ray ComputedWeight-BearingGeometric-based axisLandmark-based axisPrimary axisPrincipal component analysisTibial axisTibial field of view

Identifiers

PMID38795543
PMCPMC11220913

What OpenQuestion holds

Textmetadata
LicenceTDM
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.